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Consultant, Managed Care Policy

United States, Jacksonville · Job Posted May 20, 2026
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Job Description

Baptist Health is hiring a Managed Care Policy Consultant for our Managed Care team! This is a fully remote opportunity located in Jacksonville, Florida. Approved work states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia and Wyoming

Job Responsibility

  • Proactively identifies, analyzes and resolves payer contract, underpayments and policy discrepancies and initiates timely contract disputes to recover lost revenue.
  • Investigate identified trends and payer issues to identify root causes and will develop solutions and communicate with internal and external contacts to resolve payer issues.
  • Collaborate with internal departments, including Revenue Integrity, Billing, Patient Access, Operations and Finance to develop thorough responses to plans.
  • Draft Notices and Formal Disputes to send to plans or government entities.
  • Have a deep understanding of healthcare operations, contract law, and regulatory frameworks, and is detail-oriented, self-directed, and capable of managing multiple complex projects simultaneously.

Requirements

  • 7+ years experience in Legal, Revenue Cycle and Managed Care required.
  • Bachelor's Degree
  • Juris Doctor Preferred

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