University of California Irvine Health
Managed Care Specialist II - Health Services Contracting - FT HYBRID
University of California Irvine Health, Orange, California, United States, 92613
Managed Care Specialist II - Health Services Contracting - FT HYBRIDReq ID:
92409Location:
Irvine, CaliforniaDivision:
Medical CenterDepartment:
Health Services ContractingPosition Type:
Full TimeSalary Range Minimum:
USD $36.88/Hr.Salary Range Maximum:
USD $66.67/Hr.Who We AreUCI Health
is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.To learn more about UCI Health, visit
www.ucihealth.org.Your Role on the TeamPosition Summary:The incumbent manages implementation of new and amended contracts, provides, updates and clarifies contract related information to internal departments and works effectively with Medical Center, Community Hospital Network, Medical Group and School of Medicine coworkers to resolve operational issues with payors in a timely manner. This position works cooperatively with Provider Enrollment to ensure that correct, accurate information is sent to the Payors. Maintains the contracting SharePoint site ensuring that information is accurate and current. Position is responsible for the maintenance of credentialing, and fee schedule information for all UCI Health facilities. Works with contract managers to negotiate single patient agreements in a timely manner. Supports our MSO, risk relationships.What It Takes to be SuccessfulTotal CompensationWe offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our
compensation practices
and
benefits .Required Qualifications:Strong analytical and problem solving skillsMust possess the skill, knowledge, and ability essential to the successful performance of assigned dutiesMust demonstrate customer service skills appropriate to the jobInterest in managed care contractingExcellent written and verbal communication skills in EnglishBachelor's Degree in Business Administration or related field; or an equivalent combination of education and experienceAbility to work effectively in a constantly changing environmentAbility to maintain a work pace appropriate to the workloadAbility to establish and maintain effective working relationships across the organizationPreferred Qualifications:Knowledge of University and Medical Center policies and processesConditions of Employment:The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:Background Check and Live ScanLegal Right to Work in the United StatesVaccination PoliciesSmoking and Tobacco PolicyDrug Free EnvironmentThe following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.California Child Abuse and Neglect Reporting ActE-VerifyPre-Placement Health EvaluationDetails of each policy may be reviewed by visiting the following page:
https://hr.uci.edu/new-hire/conditions-of-employment.phpClosing Statement:The University of California, Irvine is an
Equal Opportunity/Affirmative Action Employer . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC
nondiscrimination policy .We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at
eec@uci.edu
or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.Consideration for Work Authorization SponsorshipMust be able to provide proof of work authorizationTo apply, visit
https://jobs.uci.edu/careers-home/jobs/92409
#J-18808-Ljbffr
92409Location:
Irvine, CaliforniaDivision:
Medical CenterDepartment:
Health Services ContractingPosition Type:
Full TimeSalary Range Minimum:
USD $36.88/Hr.Salary Range Maximum:
USD $66.67/Hr.Who We AreUCI Health
is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.To learn more about UCI Health, visit
www.ucihealth.org.Your Role on the TeamPosition Summary:The incumbent manages implementation of new and amended contracts, provides, updates and clarifies contract related information to internal departments and works effectively with Medical Center, Community Hospital Network, Medical Group and School of Medicine coworkers to resolve operational issues with payors in a timely manner. This position works cooperatively with Provider Enrollment to ensure that correct, accurate information is sent to the Payors. Maintains the contracting SharePoint site ensuring that information is accurate and current. Position is responsible for the maintenance of credentialing, and fee schedule information for all UCI Health facilities. Works with contract managers to negotiate single patient agreements in a timely manner. Supports our MSO, risk relationships.What It Takes to be SuccessfulTotal CompensationWe offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our
compensation practices
and
benefits .Required Qualifications:Strong analytical and problem solving skillsMust possess the skill, knowledge, and ability essential to the successful performance of assigned dutiesMust demonstrate customer service skills appropriate to the jobInterest in managed care contractingExcellent written and verbal communication skills in EnglishBachelor's Degree in Business Administration or related field; or an equivalent combination of education and experienceAbility to work effectively in a constantly changing environmentAbility to maintain a work pace appropriate to the workloadAbility to establish and maintain effective working relationships across the organizationPreferred Qualifications:Knowledge of University and Medical Center policies and processesConditions of Employment:The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:Background Check and Live ScanLegal Right to Work in the United StatesVaccination PoliciesSmoking and Tobacco PolicyDrug Free EnvironmentThe following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.California Child Abuse and Neglect Reporting ActE-VerifyPre-Placement Health EvaluationDetails of each policy may be reviewed by visiting the following page:
https://hr.uci.edu/new-hire/conditions-of-employment.phpClosing Statement:The University of California, Irvine is an
Equal Opportunity/Affirmative Action Employer . All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC
nondiscrimination policy .We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at
eec@uci.edu
or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.Consideration for Work Authorization SponsorshipMust be able to provide proof of work authorizationTo apply, visit
https://jobs.uci.edu/careers-home/jobs/92409
#J-18808-Ljbffr