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Kaleida Health Managed Care Contracting Spec in Buffalo, New York

Managed Care Contracting Spec

Location: Larkin Bldg @ Exchange Street

Location of Job : US:NY:Buffalo

Work Type : Full-Time

Shift 1

Job Description

Primarily responsible to manage Kaleida Health third party payer Contracts. Ensure all Legal and Governmental requirements are included and all payment rates and contract terms are consistent with the goals and strategies of Kaleida Health. Also responsible for resolution of Payer Issues which require Contract interpretation and knowledge Revenue Cycle. Performs analysis to support third party payer negotiations and special projects as required related to Payer Strategy and revenue recognition.

Education And Credentials

BS - Bachelor of Science in relevant field required.

Experience

3 years of experience in Third Party Payer Contracting/Payer Relations-Understanding of Payer Reimbursement methodologies required.

Working Conditions

Essential:

* Weight Requirement - Light (up to 20 lbs)

Job Details

Department: KH Reimbursement

Standard Hours Bi-Weekly: 75.00

Weekend/Holiday Requirement: No

On Call Required: No

With Rotation: No

Scheduled Work Hours: 8am-4pm

Work Arrangement: Onsite

Union Code: N00 - Non Union KH

Requisition ID#: 5484

Recruiter: Andria R. Getz

Grade: EX212

Pay Frequency: Bi-Weekly

Salary Range: $61,756.50 - $84,922.50

*Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement.

Kaleida Health’s mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!

Position Managed Care Contracting Spec

Location US:NY:Buffalo | Clinical Support Staff | Full-Time

Req ID null

Equal Opportunity Employer

Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences.

Kaleida Health is an equal opportunity and affirmative action employer. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, religion, sex, national origin, citizenship status, creed, gender, gender identity or expression, sexual orientation, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for or perform your job.

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