Experience Inc. Jobs

AdventHealth Corporate

All the benefits and perks you need for you and your family:

· Benefits from Day One

· Career Development

· Whole Person Wellbeing Resources

· Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Shift : Full-time

Job Location : Hybrid; Altamonte Springs, FL

The role you’ll contribute:

The Manager of Corporate Responsibility, Contracts and Operations, supports the Executive Director of Operations to provide direction and oversight of the systemwide Contract Review Team (CRT) and other CR processes/initiatives that support the organizational Corporate Responsibility (CR) Program. As part of the Corporate Responsibility team, the Manager will be responsible for assisting with physician contract activities across the system, including managing the CRT process, reviewing and auditing contracts, providing training and education on the contract management system, and developing analytics and reporting to improve the quality and overall efficiency of the process.

In addition to physician contract management, the Manager will assist with other CR operational processes, including but not limited to physician payment revie, conflict of interest (COI) management policy management and intranet webpage management.

The value that you bring to the team:

· Physician Contract Review

· Responsible for maintaining subject matter expertise on system physician contracting policies, standards and procedures

· Responsible for monitoring contract submissions for appropriate contract usage and complete documentation in the contract management system

· Responsible for facilitating weekly Contract Review Team (CRT) meetings

· Responsible for auditing “fast track” physician contract submissions, ensuring that qualification and submission criteria is met

· Responsible for collaborating with AIT on performance/workflow enhancements to the contract management system, including the development of reporting and analytics

· Responsible for developing reporting and analytics to measure and optimize workflow

· Responsible for developing and providing training and education to various stakeholders on the contract management system and overall process

· Responsible for maintaining the CRT intranet page

Other Operational Processes

o Physician Payment Review

· Responsible for supervising the A/P Physician Payment Reviewer

· Responsible for overseeing review of payment requests for physicians and physician-owned companies

· Responsible for ongoing collaboration with Accounts Payable and other internal departments to identify and incorporate any new risks into the review workflow

· Responsible for developing reporting and analytics to measure and optimize workflow

· Responsible for providing back-up coverage in the absence of the A/P Physician Payment Reviewer

o Conflict of Interest (COI) Management

· Responsible for assisting in the development, implementation and ongoing optimization of the COI management system and associated workflows

· Responsible for assisting in launching and completing routine and ad-hoc disclosure campaigns

· Responsible for developing reporting and analytics to support the Regional Corporate Responsibility Officers (RCROs) with follow-up processes, and to measure and optimize workflow

· Responsible for developing and providing training and education to various stakeholders on the COI management system and overall process

o Policy Management

· Responsible for assisting in the development, review and revision of CR policies

· Responsible for maintaining CR policies in the system policy management system

o CR Intranet Management

· Responsible for updating and maintaining the CR intranet page

· Responsible for optimizing the layout and content of the intranet page, including seeking out value-added resources for RCROs and other stakeholders

The expertise and experiences you’ll need to succeed :

· Bachelor’s degree in relevant field

· Minimum five years health care privacy experience.

· Certification in Health Care Compliance or certification eligible

Preferred Qualifications :

· Masters or higher-level degree in related field

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Compliance

Organization: AdventHealth Corporate

Schedule: Full-time

Shift: 1 - Day

Req ID: 24013165

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.