Job Description

Locations: Gainesville, Florida

Categories: Office and Clerical

Req ID: 62338

Overview

Enjoy long-term hybrid flexibility while helping coordinate projects and contract operations across the health system.

💻 Work Style: Onsite (Hybrid opportunity after training)

📍 Location: Gainesville, FL

🕒 FTE: Full-Time (1.0 FTE)

Supports the planning, coordination, and execution of key Managed Care initiatives, with a focus on contracting, payer relations, and network enrollment operations.

Serves as a central point of coordination across cross-functional teams, ensuring alignment of project activities, timelines, and deliverables. Drives assigned initiatives forward through effective planning, clear communication, and consistent follow-through while maintaining visibility into progress, risks, and outcomes.

Provides operational support across the contract lifecycle, contributing to system-wide efforts to enhance coordination, standardization, and efficiency within Managed Care operations.

Responsibilities

Key Responsibilities

• Facilitates communication among healthcare providers, insurance companies, and patients.
• Manages patient authorizations, referrals, and verifies insurance coverage.
• Guides patients through the managed care process.
• Monitors care plans to ensure compliance with established protocols.
• Collaborates with medical staff to promote cost-effective, high-quality patient care.
• Maintains accurate records in support of managed care policies and regulatory requirements.
• Supports the implementation of managed care policies and process improvements to enhance operational efficiency.

Qualifications

Required Qualifications

Education

• Bachelor’s degree in Healthcare Administration, Business, or a related field preferred, or an equivalent combination of education and relevant experience
• 2+ years of experience in managed care coordination, healthcare administration, or a related healthcare setting.
• Knowledge of patient authorization, referral processes, and insurance coverage verification.
• Experience collaborating with healthcare providers, medical staff, and insurance payers.
• Strong organizational, documentation, and record-keeping skills.
• Familiarity with managed care policies, healthcare regulations, and compliance requirements.