Specialist, Payor Partnerships (Remote)

at  DaVita

MINIMUM QUALIFICATIONS:

Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required.

• High school diploma or equivalent required
• Associate’s degree in related field strongly preferred
• Strong verbal and written communication skills (excellent grammar, spelling, ability to effectively verbalize concepts)
• Minimum of two (2) years’ healthcare claims administration, contracting, or payor experience required
• Demonstrated knowledge of healthcare contracts preferred
• Intermediate computer skills and proficiency in MS Excel, Outlook, Access required; ability to use Internet effectively required; basic familiarity with Oracle Financial System and an electronic billing system strongly preferred.

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as “a place where I belong.” Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
Applications are accepted on an ongoing basis.

GENERAL PURPOSE OF THE JOB:

The Specialist, Payor Partnerships position administers the terms of the contract portfolio with DaVita and health insurance companies. This position researches contract language, documents and tracks portfolio performance of critical contract terms, and communicates with health insurance companies and internal DaVita teams.
SUPERVISORY RESPONSIBILITIES: No

ESSENTIAL DUTIES & RESPONSIBILITIES:

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive.

• Research and review contract language as needed
• Track portfolio performance
• Provide language-strength analyses as needed (e.g. BDP, ad-hoc projects)
• Respond to inquiries on facility contracting from internal and external sources
• Prepare and send official notices to payors per contractual requirements
• Create facility lists to be included as exhibits in contracts or amendments using existing databases & queries
• Maintain confidentiality of upcoming deals or negotiations when required
• Understand contracting strategies to analyze payor/facility relationships
• Participate in meetings with other departmental teams and committees as necessary to facilitate solutions on payor issues
• Evaluate and report key performance metrics to department management
• Provide recommendations to improve policies, procedures, and performance
• Other duties and responsibilities as assigned
• Work overtime with little or no notice as needed
• Attend team meetings, phone conferences and training as needed
• Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
• Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position.

Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required.

• High school diploma or equivalent required
• Associate’s degree in related field strongly preferred
• Strong verbal and written communication skills (excellent grammar, spelling, ability to effectively verbalize concepts)
• Minimum of two (2) years’ healthcare claims administration, contracting, or payor experience required
• Demonstrated knowledge of healthcare contracts preferred
• Intermediate computer skills and proficiency in MS Excel, Outlook, Access required; ability to use Internet effectively required; basic familiarity with Oracle Financial System and an electronic billing system strongly preferred