Contract Specialist (REMOTE) (davita)
Job posting number: #158746 (Ref:R0378859)
Job Description
5200 Virginia Way, Brentwood, Tennessee, 37027-7569, United States of AmericaTitle: Contract Specialist
GENERAL PURPOSE OF THE JOB
The incumbent in this role will be tasked with the creation, negotiation, and execution of Single Patient Agreements between payors and DaVita facilities, adhering to DaVita's established guidelines and parameters. A comprehensive understanding of the Revenue Cycle is essential, enabling team members to leverage their expertise and experience in crafting agreements that meet the approval of both the payor and DaVita.
The ideal candidate will possess previous experience in negotiating managed care contracts, conducting contract reviews, and exhibit proficiency in written and verbal communication, as well as analytical skills. They should be adept at quick learning, critical thinking, working independently when necessary, and effectively prioritizing tasks.
ESSENTIAL DUTIES & RESPONSIBILITIES
ESSENTIAL FUNCTION
- Conduct thorough research and analysis of contract terms and rate structures. Review patient notes, historical system data, claims analyses, and validate benefits and eligibility. Foster collaboration across various intra-departmental teams and ROPs to ensure the acquisition of precise information crucial for complete agreement execution.
- Leverage influencing skills to facilitate consensus on terms and rates for Single Patient Agreements. Consistently meet and uphold production targets while adeptly managing client relationships. Ensure quality assurance and approval of agreements as required
- Address inquiries regarding Single Patient Agreements from both internal and external stakeholders, employing relevant knowledge and resources thoughtfully. Evaluate and research agreement language when necessary, alongside reviewing patient benefit information as appropriate
- Engage in internal and external meetings and committees as required to resolve issues related to Single Patient Agreements within stringent deadlines and departmental service level agreements (SLAs), operating within a time-sensitive and resource-constrained project environment
- Provide recommendations and contribute to improve system policies, procedures, and performance; 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; all other duties as assigned
EDUCATION AND EXPERIENCE
- 1+ years of relevant experience in contract administration, sales, collections, or field that requires tenacity and follow-up
- High School Diploma required
- Proven ability to be successful in an autonomous work environment
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.
Salary/ Wage Range
$20.43 - $30.00 / hourCompensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits
Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.