Managed Care Specialist (Finance)

Are you a Contracts and Managed Care Professional looking for a great company with a great mission and culture Then consider joining Devereux Florida as a Managed Care Specialist!

Devereux provides mental and behavioral health services as well as child welfare case management services for children adolescents and adults whose needs are extra ordinary. As a Managed Care Specialist you will:

• Submit monthly rosters to all Managed Medicaid agencies (new hires changes terminations)
• Complete re-credentialing applications for: Florida Medicaid programsMedical Doctors (MDs) and ARNPsRenew Florida Medicaid provider numbers
• Credential all new MD and ARNP hires with Managed Medicaid agencies
• Complete system configuration requests in myAvatar (guarantor rates)
• Manage contract tracking and related Excel spreadsheets
• Maintain spreadsheets for Managed Care commercial insurance and Medicaid
• Coordinate and manage Managed Care audits (including medical record submissions)
• Process contracts amendments funding letters and single case agreements
• Organize and lead meetings with Managed Care agencies (contracting credentialing claims)

Position Details:

Salary:Ranges from $20.25- $23.09 / hr (rate is based on education and relevant experience)

Schedule: Full time position; Monday-Friday

Location: in-person on-site

Benefits and Rewards

• Up to 24 PTO days/year (increases with service)
• Up to 64 hours of sick time
• Low-cost medical dental vision Devereux Benefits
• 403(b) retirement plan
• ASCEND Tuition Program
• Student loan repayment assistance
• Payactiv: Access your earned wages early
• Employee Assistance Program & Discounts

#sponsored

Education:

• Bachelors degree in Finance Business or related required

OR

• In lieu of bachelors degree: 5 years experience in Contracts or Managed Care can substitute for education required

Experience:

• Experience in managed care credentialing or healthcare administration preferred.
• Strong communication and organizational skills.
• Ability to work independently and manage multiple tasks.
• Familiarity with CAQH Medicaid processes and insurance credentialing preferred.

Other:

• Valid drivers license required
• Successfully pass pre-employment medical screenings which include: Drug Screen.
• Successfully pass a Level 2 background screening with the State of Florida. To learn more visit: .

Company Overview

Devereux is one of the nations largest nonprofit organizations providing services insight and leadership in the evolving field of behavioral healthcare. Founded in 1912 Devereux operates a comprehensive national network of clinical therapeutic educational and employment programs that positively impact the lives of 10000 children adults and their families every year.

Our Mission: Devereux changes lives by unlocking and nurturing human potential for people living with emotional behavioral or cognitive differences.

With nearly 6500 employees working in programs across the country Devereux is a trusted partner for families schools and communities serving individuals in the areas of autism intellectual and developmental disabilities specialty mental health education and foster care.

Our Culture Our Expectations

At Devereux Servant Leadership is embedded throughout our culture and every aspect of our organizational framework. Our mission-driven people-first mindset is at the heart of the compassionate and high-quality programming we provide every day for the individuals and families we serve and other key stakeholders. Devereux offers challenging and exciting work and our team environment creates an empowering positive and rewarding atmosphere. To be successful at Devereux you will: put the needs of others first feel called to serve and called to lead. As a member of our team you will be a significant part of our commitment to providing a welcoming and supportive work environment across all programs and services and within all policies and employee practices.

We believe a workplace rooted in inclusivity offering a sense of belonging to all those who walk through our doors is fundamental to delivering the highest quality healthcare services. Through open dialogue and the creation of brave spaces we will engage in work that gives each of us a chance to change the world one person one family one community at a time.

What Devereux Offers You

In addition to a competitive salary Devereux provides a comprehensive health and welfare program to eligible full-time employees family members and domestic partners. Eligible employees are eligible to start benefits after 30 days of addition we offer;

• Medical (including telemedicine via phone web app) dental prescription drug preventative care and mental health services.

• Student loan debt assistance tuition reimbursement and continuing education assistance.

• Generous time-off (start accruing 1st day) 403(b) retirement plan with matching benefit and voluntary/employee paid supplemental life and accident coverage.

• Employee assistance / work-life balance program.

Visit to see why Devereux is a great place to work!

Devereux is a drug-free workplace drug screening required. EOE