Managed Care Specialist
Avera Health - Sioux Falls, SD

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SUMMARY: The Managed Care Specialists primary responsibility for contributing to the managed care contracting process by analyzing and evaluating managed care contracts and proposals, managing large databases, and supporting the provider credentialing process. This position will serve as a primary contact and resource for Avera Health affiliated facilities and ancillary providers with regards to escalated managed care issues.

  • Graduation or equivalent education from a recognized two or four-year college or university with a degree in health administration, health information management, business, accounting, or information services or 3 or more years of experience within a health plan, third party administrator, managed care industry, or hospital/clinic is required.