Managed Care Coordinator

A Brief Overview

Supports the Managed Care department team members. Coordinates internal and external communications processes and ensures all Managed Care resources are up to date and accurate. Office located in Downtown Orlando.

Maintains High Level of Accountability

• Develops and implements processes and procedures to ensure accuracy of information produced.
• Facilitates content and interfaces with Strategic Communications department on internal and external messaging.
• Organizes and manages contract file database.
• Standardizes naming conventions and identifies missing documents.
• Led implementation of conversion to new contract management platform.
• Develops and maintains process for Contract Notifications to all relevant areas of the Orlando Health system.
• Works with team members to implement an online contract summary resource to maximize system knowledge of managed care plans.
• Effectively communicates with payors, coordinating monthly/quarterly meetings, facilitating training sessions or webinars, and arranging for appropriate attendance and location.
• Reviews and maintains accurate Orlando Health external website listing of contracted managed care plans.
• Works with IT to make sure list is constantly up-to-date.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
• Supports credentialing team processes, including payor notifications, database maintenance, and documentation.
• Monitors health plan websites for changes in provider directories, policies and procedures, and other operational items.
• Appropriately notifies Managed Care team members of all changes.
• Researches current health care trends and becomes familiar with industry changes.
• Supports credentialing team processes, including payor notifications, database maintenance, and documentation.
• Maintains confidentiality.
• Assumes responsibility for professional growth and development.
• Represents Orlando Health through community interaction.

Qualifications

• Associate’s degree
• Two (2) years in managed care, healthcare finance, healthcare administration, or related experience.
• Proficient in Microsoft Windows including Excel, Word, and Access, and database management.