**Location:** Avera Health **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for this position is listed below. Actual pay rate dependent upon experience._ $55,640.00 - $83,200.00 **Position Highlights** **You Belong at Avera** **Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.** **A Brief Overview** Accountable for payer contract maintenance, processing and analytic activities. This position is an interface position between Managed Care/ACO Operations and Avera provider entities. This position also supports Managed Care/ACO leadership in payer relations, contract negotiation preparation and planning and education, reporting and process improvement with internal and external stakeholders. **What you will do** + Responsible for evaluating, educating and communicating commercial and government payer updates for billing, coding and credentialing to stakeholders at Avera. Serves as key point of contact and project lead for implementing changes and process improvement on behalf of department. + Oversee contracts through their life cycle and ensure contract renewals or terminations occur within established timeframes. + Assess and review risks and opportunities across Avera related to payer contracting, delegated credentialing of business issues that may impact organizational results and develop plans to address such issues. + Responsible for development of educational materials to support socialization of payer statistics, trends and operational requirements to Avera + Assist department leadership in coordination of regular meetings with payer and networks and develops best practices to identify and trend issues and variances about target from payer performance reports. + Serves as department lead for meeting payer and government reporting deadlines for quarterly rosters, credentialing audits and organizational roster updates. **Essential Qualifications** The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Associate's in business, economics, management, accounting or related field; or a minimum of 5 years related experience and/or training; or an equivalent combination of education and experience. + 4-6 years experience in revenue cycle, insurance or related field. **Expectations and Standards** + Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. + Promote Avera’s values of compassion, hospitality, and stewardship. + Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. + Maintain confidentiality. + Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. + Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. **Benefits You Need & Then Some** Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. + PTO front-loaded for eligible hires + Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan + Up to 5% employer matching contribution for retirement + Career development guided by hands-on training and mentorship _Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to_ _talent@avera.org_ _._ At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward. The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444. Additional Notices: For TTY, dial 711 Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.