Managed Care Associate

Welcome to AdventHealth, a leading healthcare organization dedicated to providing compassionate and exceptional care to our patients. We are currently seeking a highly motivated individual to join our team as a Managed Care Associate. As a Managed Care Associate, you will play a vital role in ensuring the efficient and effective management of our healthcare plans, working closely with our providers and insurance partners. The ideal candidate will possess strong organizational skills, attention to detail, and a passion for improving the healthcare experience for our patients. If you are a team player with a strong background in managed care and a desire to make a positive impact in the lives of others, we encourage you to apply for this exciting opportunity.

1. Manage and maintain relationships with insurance partners to ensure timely and accurate processing of claims and authorizations.
2. Serve as a liaison between healthcare providers and insurance companies to ensure the best possible coverage for patients.
3. Monitor and analyze healthcare plan data to identify areas for improvement and cost-saving opportunities.
4. Collaborate with internal departments such as billing and coding to ensure accurate and efficient processing of claims.
5. Stay up-to-date on industry trends and changes in healthcare regulations to ensure compliance and effective management of healthcare plans.
6. Communicate with patients regarding their healthcare coverage and assist in resolving any issues or concerns.
7. Work closely with the finance team to monitor and manage the financial performance of healthcare plans.
8. Participate in meetings and trainings to continuously improve knowledge and skills in managed care.
9. Maintain accurate and organized records and documentation related to managed care activities.
10. Provide excellent customer service to all stakeholders, including patients, providers, and insurance partners.

According to JobzMall, the average salary range for a Managed Care Associate in Portland, OR, USA is $50,000-$80,000 per year. This range may vary depending on factors such as level of experience, education, and specific job responsibilities.

AdventHealth is a faith-based, non-profit health care system headquartered in Altamonte Springs, Florida, that operates facilities within nine states across the United States. The Adventist Health System was rebranded AdventHealth on January 2, 2019.