43 Administration jobs in Lake Mary
Manager, Medicare Administration
32806 Orlando, Florida
Molina Healthcare
Posted 1 day ago
Job Viewed
Job Description
**Job Description**
**Job Summary**
Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and services.
**Knowledge/Skills/Abilities**
- Establishes audit controls and measurements to ensure correct processes are established. Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit findings and recommendations to ensure contractual State and Federal Compliance.
- Coordinates development of written policies and procedures regarding compliance with local, state and federal guidelines.
- Establishes member grievance appeals and policies and updates annually or as directed by the Centers for Medicare and Medicaid Services.
- Establishes non-contracted provider dispute and appeals policies and policies and updates annually or as directed by the Center for Medicare and Medicaid.
- Responsible for development, implementation and maintenance of department strategic initiatives.
**Job Qualifications**
**Required Education**
Bachelors Degree
**Required Experience**
5-7 Years
**Preferred Education**
Graduate Degree or equivalent combination of education and experience
**Preferred Experience**
7-9 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and services.
**Knowledge/Skills/Abilities**
- Establishes audit controls and measurements to ensure correct processes are established. Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit findings and recommendations to ensure contractual State and Federal Compliance.
- Coordinates development of written policies and procedures regarding compliance with local, state and federal guidelines.
- Establishes member grievance appeals and policies and updates annually or as directed by the Centers for Medicare and Medicaid Services.
- Establishes non-contracted provider dispute and appeals policies and policies and updates annually or as directed by the Center for Medicare and Medicaid.
- Responsible for development, implementation and maintenance of department strategic initiatives.
**Job Qualifications**
**Required Education**
Bachelors Degree
**Required Experience**
5-7 Years
**Preferred Education**
Graduate Degree or equivalent combination of education and experience
**Preferred Experience**
7-9 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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0
Physician / Administration / Florida / Permanent / Administration Opening, Orlando, Florida Job
32801 Orlando, Florida
Confidential
Posted today
Job Viewed
Job Description
Administration OpportunityOrlando, FL more information on this Administration opening and others like it through Metropolis, a Provider Engagement Platform that connects you with organizations in the top 100 Metropolitan areas. Metropolis sources physicians according to each organization's search parameters in a secure, hands-off environment where you can passively or actively evaluate available openings. Metropolis is designed to be user friendly, as it requires very little oversight, offers 24/7 updates on openings without being bombarded by recruiters, and can be easily accessed via laptop, smart phone, or smart device. Unlike traditional job boards, Metropolis offers a confidential experience for both the healthcare facilities and the candidatesMetropolis does not allow recruiting firms on the platform and only shares your information if an organization matches your specific preferences. Additionally, you have the ability to omit facilities you dont want to match with. Lastly, Metropolis operates off sincerity and integrity; job postings will never claim a job is located in the city when it is actually over an hour away.Im already set to interview! I really like Metropolis and love the direct connection to the organization! Jacksonville CandidateGo to the link below to get connected with Administration openings!
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1
Trust Administration Team Director
32806 Orlando, Florida
Truist
Posted today
Job Viewed
Job Description
**The position is described below. If you want to apply, click the Apply Now button at the top or bottom of this page. After you click Apply Now and complete your application, you'll be invited to create a profile, which will let you see your application status and any communications. If you already have a profile with us, you can log in to check status.**
Need Help? ( you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility ( ?subject=Accommodation%20request)_
_(accommodation requests only; other inquiries won't receive a response)._
**Regular or Temporary:**
Regular
**Language Fluency:** English (Required)
**Work Shift:**
1st shift (United States of America)
**Please review the following job description:**
This is an in-office position. The location is flexible. The cities that are listed are options but we can review other locations as needed.
JOB SUMMARY
Reports to the Fiduciary Director and is responsible for the successful day to day execution and leadership of all the Trust Administration, New Business Engagement Risk Oversight, Compliance and Client (or Client Team) Delivery commitments for their respective segment(s). The Fiduciary Team Leader is accountable for the performance of Trust Administration Advisors in their respective segment. At the direction of the Fiduciary Director, the Fiduciary Team Leader is responsible for assigned projects and other activities which benefit the overall line of business or center location.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Responsible for the successful delivery of various Trust Administration and client (direct client and client team) activities in accordance with the terms of governing instruments, Policies, Procedures and applicable state laws.
2. Responsible for the coaching, development, oversight and performance of assigned Center Trust Advisors and Client Service Specialists.
3. Responsible for day to day coordination of Risk, Compliance and other Oversight activities in collaboration with Fiduciary Director, Risk, Legal, Compliance and other partners
4. Responsible for the successful ongoing execution of assigned management routines
5. Responsible for the successful execution of projects for the Advisory Center line of business
6. Responsible for addressing any client or teammate escalations, and tasked with escalating further to the Fiduciary Director if needed.
QUALIFICATIONS
Required Qualifications:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. College Degree with a preferred emphasis on Business or Finance
2. Significant experience (over 10 years) in Trust Administration , Fiduciary oversight and new business activities for Personal Trust
3. Familiarity and experience with State and other applicable laws governing the administration of Personal Trust Accounts
4. Leadership qualities and ability to successfully meet competing deadlines and commitments
5. Proven ability to communicate with partners and peers
Preferred Qualifications:
1. CTFA or similar designation
2. Advance degree (JD, MBA, etc)
3. Prior direct Trust Administration experience with a book of personal trust accounts
4. Proficiency with various computer and systems applications used to lead the business
5. Experience with addressing and resolving risk and compliance issues associated with Personal Trust Services matters
**General Description of Available Benefits for Eligible Employees of Truist Financial Corporation:** All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position. Truist offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on Truist's generous benefit plans, please visit our Benefits site ( Depending on the position and division, this job may also be eligible for Truist's defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.
**_Truist is an Equal Opportunity Employer that does not discriminate on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status, or other classification protected by law. Truist is a Drug Free Workplace._**
EEO is the Law ( Transparency Nondiscrimination Provision ( (
Need Help? ( you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility ( ?subject=Accommodation%20request)_
_(accommodation requests only; other inquiries won't receive a response)._
**Regular or Temporary:**
Regular
**Language Fluency:** English (Required)
**Work Shift:**
1st shift (United States of America)
**Please review the following job description:**
This is an in-office position. The location is flexible. The cities that are listed are options but we can review other locations as needed.
JOB SUMMARY
Reports to the Fiduciary Director and is responsible for the successful day to day execution and leadership of all the Trust Administration, New Business Engagement Risk Oversight, Compliance and Client (or Client Team) Delivery commitments for their respective segment(s). The Fiduciary Team Leader is accountable for the performance of Trust Administration Advisors in their respective segment. At the direction of the Fiduciary Director, the Fiduciary Team Leader is responsible for assigned projects and other activities which benefit the overall line of business or center location.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Responsible for the successful delivery of various Trust Administration and client (direct client and client team) activities in accordance with the terms of governing instruments, Policies, Procedures and applicable state laws.
2. Responsible for the coaching, development, oversight and performance of assigned Center Trust Advisors and Client Service Specialists.
3. Responsible for day to day coordination of Risk, Compliance and other Oversight activities in collaboration with Fiduciary Director, Risk, Legal, Compliance and other partners
4. Responsible for the successful ongoing execution of assigned management routines
5. Responsible for the successful execution of projects for the Advisory Center line of business
6. Responsible for addressing any client or teammate escalations, and tasked with escalating further to the Fiduciary Director if needed.
QUALIFICATIONS
Required Qualifications:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. College Degree with a preferred emphasis on Business or Finance
2. Significant experience (over 10 years) in Trust Administration , Fiduciary oversight and new business activities for Personal Trust
3. Familiarity and experience with State and other applicable laws governing the administration of Personal Trust Accounts
4. Leadership qualities and ability to successfully meet competing deadlines and commitments
5. Proven ability to communicate with partners and peers
Preferred Qualifications:
1. CTFA or similar designation
2. Advance degree (JD, MBA, etc)
3. Prior direct Trust Administration experience with a book of personal trust accounts
4. Proficiency with various computer and systems applications used to lead the business
5. Experience with addressing and resolving risk and compliance issues associated with Personal Trust Services matters
**General Description of Available Benefits for Eligible Employees of Truist Financial Corporation:** All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position. Truist offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on Truist's generous benefit plans, please visit our Benefits site ( Depending on the position and division, this job may also be eligible for Truist's defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.
**_Truist is an Equal Opportunity Employer that does not discriminate on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status, or other classification protected by law. Truist is a Drug Free Workplace._**
EEO is the Law ( Transparency Nondiscrimination Provision ( (
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2
Manager Contract Administration 3
32806 Orlando, Florida
Northrop Grumman
Posted today
Job Viewed
Job Description
RELOCATION ASSISTANCE: Relocation assistance may be available
CLEARANCE TYPE: None
TRAVEL: Yes, 25% of the Time
**Description**
At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations to come. Our pioneering and inventive spirit has enabled us to be at the forefront of many technological advancements in our nation's history - from the first flight across the Atlantic Ocean, to stealth bombers, to landing on the moon. We look for people who have bold new ideas, courage and a pioneering spirit to join forces to invent the future, and have fun along the way. Our culture thrives on intellectual curiosity, cognitive diversity and bringing your whole self to work - and we have an insatiable drive to do what others think is impossible. Our employees are not only part of history, they're making history.
Northrop Grumman C4 Missile Defense (C4MD) Business Unit (BU) is seeking a **Manager Contract Admin 3** to join its team of qualified and diverse individuals to support the BU Contracts Director in Huntsville, AL. The C4MD BU delivers innovative Battle Management mission capabilities extending into adjacent missions, arenas, customers and is a global leader in Advanced Integrated Air and Missile Defense Battle Management Systems. This position can be based in Huntsville, AL; Linthicum, MD; Beavercreek, OH; Warner Robins, GA; Orlando, FL; or Lake Charles, LA.
This position requires extensive experience with U.S. Government contracts. The selected candidate will oversee and direct the daily activities of the Contracts Managers to ensure proper contract acquisition and fulfillment in accordance with company policies, legal requirements, and customer requirements. The successful candidate will abide by the highest ethical standards for personal conduct, be self-motivated, proactive, and be able to work independently, demonstrating strong leadership, organizational, and interpersonal skills. In addition, the successful candidate must be able to lead an engaged, geographically dispersed team and develop highly effective customer relations.
Basic Qualifications:
+ Bachelor's Degree and 8+ years of relevant professional experience in contracts administration/contracts management or a Master's Degree and 6+ years of relevant professional experience in contracts administration/contracts management.
+ In-depth understanding and ability to perform analysis, interpretation, and application of U.S. Government acquisition policies, FAR/DFARs, other U.S. Federal Government contract regulations, and proposal compliance requirements.
+ Extensive negotiation experience.
+ Proven leadership skills, interpersonal skills, and ability to mentor and train contracts management employees.
+ Strong communication skills, both written and verbal, with the experience in using them in informing, presenting, and negotiating to all levels of management.
+ Ability to obtain and maintain a Secret level security clearance.
Preferred Qualifications:
+ Experience managing people.
+ Experience with international contracting.
+ Active DoD Secret or Top-Secret security clearance.
+ Experience with international contracts and offsets.
+ Familiarity with SAP based systems.
+ Advanced knowledge of MS Office (Excel, PowerPoint, Word).
Salary Range: $133,400.00 - $221,300.00
The above salary range represents a general guideline; however, Northrop Grumman considers a number of factors when determining base salary offers such as the scope and responsibilities of the position and the candidate's experience, education, skills and current market conditions.
Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. Annual bonuses are designed to reward individual contributions as well as allow employees to share in company results. Employees in Vice President or Director positions may be eligible for Long Term Incentives. In addition, Northrop Grumman provides a variety of benefits including health insurance coverage, life and disability insurance, savings plan, Company paid holidays and paid time off (PTO) for vacation and/or personal business.
The application period for the job is estimated to be 20 days from the job posting date. However, this timeline may be shortened or extended depending on business needs and the availability of qualified candidates.
Northrop Grumman is an Equal Opportunity Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. For our complete EEO and pay transparency statement, please visit U.S. Citizenship is required for all positions with a government clearance and certain other restricted positions.
CLEARANCE TYPE: None
TRAVEL: Yes, 25% of the Time
**Description**
At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations to come. Our pioneering and inventive spirit has enabled us to be at the forefront of many technological advancements in our nation's history - from the first flight across the Atlantic Ocean, to stealth bombers, to landing on the moon. We look for people who have bold new ideas, courage and a pioneering spirit to join forces to invent the future, and have fun along the way. Our culture thrives on intellectual curiosity, cognitive diversity and bringing your whole self to work - and we have an insatiable drive to do what others think is impossible. Our employees are not only part of history, they're making history.
Northrop Grumman C4 Missile Defense (C4MD) Business Unit (BU) is seeking a **Manager Contract Admin 3** to join its team of qualified and diverse individuals to support the BU Contracts Director in Huntsville, AL. The C4MD BU delivers innovative Battle Management mission capabilities extending into adjacent missions, arenas, customers and is a global leader in Advanced Integrated Air and Missile Defense Battle Management Systems. This position can be based in Huntsville, AL; Linthicum, MD; Beavercreek, OH; Warner Robins, GA; Orlando, FL; or Lake Charles, LA.
This position requires extensive experience with U.S. Government contracts. The selected candidate will oversee and direct the daily activities of the Contracts Managers to ensure proper contract acquisition and fulfillment in accordance with company policies, legal requirements, and customer requirements. The successful candidate will abide by the highest ethical standards for personal conduct, be self-motivated, proactive, and be able to work independently, demonstrating strong leadership, organizational, and interpersonal skills. In addition, the successful candidate must be able to lead an engaged, geographically dispersed team and develop highly effective customer relations.
Basic Qualifications:
+ Bachelor's Degree and 8+ years of relevant professional experience in contracts administration/contracts management or a Master's Degree and 6+ years of relevant professional experience in contracts administration/contracts management.
+ In-depth understanding and ability to perform analysis, interpretation, and application of U.S. Government acquisition policies, FAR/DFARs, other U.S. Federal Government contract regulations, and proposal compliance requirements.
+ Extensive negotiation experience.
+ Proven leadership skills, interpersonal skills, and ability to mentor and train contracts management employees.
+ Strong communication skills, both written and verbal, with the experience in using them in informing, presenting, and negotiating to all levels of management.
+ Ability to obtain and maintain a Secret level security clearance.
Preferred Qualifications:
+ Experience managing people.
+ Experience with international contracting.
+ Active DoD Secret or Top-Secret security clearance.
+ Experience with international contracts and offsets.
+ Familiarity with SAP based systems.
+ Advanced knowledge of MS Office (Excel, PowerPoint, Word).
Salary Range: $133,400.00 - $221,300.00
The above salary range represents a general guideline; however, Northrop Grumman considers a number of factors when determining base salary offers such as the scope and responsibilities of the position and the candidate's experience, education, skills and current market conditions.
Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. Annual bonuses are designed to reward individual contributions as well as allow employees to share in company results. Employees in Vice President or Director positions may be eligible for Long Term Incentives. In addition, Northrop Grumman provides a variety of benefits including health insurance coverage, life and disability insurance, savings plan, Company paid holidays and paid time off (PTO) for vacation and/or personal business.
The application period for the job is estimated to be 20 days from the job posting date. However, this timeline may be shortened or extended depending on business needs and the availability of qualified candidates.
Northrop Grumman is an Equal Opportunity Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. For our complete EEO and pay transparency statement, please visit U.S. Citizenship is required for all positions with a government clearance and certain other restricted positions.
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3
Physician Contract Administration Hybrid
32794 Maitland, Florida
AdventHealth
Posted today
Job Viewed
Job Description
**All the benefits and perks you need for you and your family**
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
**Our promise to you:**
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
**Job Location: Monday-Friday 8am-5pm Hybrid on-site**
**The role you'll contribute:**
**This position is responsible for physician contract review and interpretation; as well as, the building and maintenance of rates and terms into designated contract management systems for Florida and multi-state providers. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms and provides appropriate reconciliation of patient accounts and estimates. This affords AdventHealth leadership the foundation for reporting and determining overall payer performance and allows AdventHealth the ability to accurately model contracts for future negotiations. The accuracy of these builds is also essential for estimating month-end net patient revenue. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental initiatives, rules and regulations. Develops and maintains a strong working relationship with AdventHealth Florida and Multi-state Division leadership, Managed Care Reimbursement team, Regional Revenue Cycle leadership, Finance/Accounting, physician practices and AH Physician Enterprise in order to ensure compliance and awareness of negotiated contract terms and rates.**
**The value you'll bring to the team:**
+ Systems * Uses acquired knowledge, experience and contract details to load, maintain and test contract management systems with a high level of accuracy of payment calculations. * Responsible for netting down system-wide accounts receivable. * Updates contract information in appropriate programs for assigned contracts. * Performs necessary research to obtain and maintain non-contracted payer reimbursement including Medicare, Medicaid, Tricare and other gov't payers. * Responsible for ensuring accurate patient estimation through accurate calculation of estimated reimbursement. * Periodically audits contract management systems to ensure accurateness. * Provides the necessary feedback regarding system failures or inefficiencies so that the operational function of contracts and labor performance is not compromised. * Responsible for timely entry of contract data into the Managed Care database which includes addition of new payors, renewals and terminations to ensure the accuracy of reporting provided to all providers. * Works closely with physician group billing and system departments to resolve contract load issues and identify trends to ensure contract management systems are accurate and working appropriately.
+ Communication * Effectively communicates with staff, leadership, payors and/or providers. Provides * Clearly and successfully represents self and this organization in a professional, * courteous manner. * Participates in meetings as assigned or requested. * Deals with patient information in a sensitive manner to ensure respect and privacy * for patient and expeditious handling of related issues. * During negotiations of the contract, works with the managed care team and other internal departments to identify issues or limitations of the contract that could have a negative impact on contract operations and administration. * Provides follow-up as appropriate with internal departments, providers and * leadership regarding parameters or limitations of contract fee schedule. * Support and Liaison-15% * Supports the overall mission of Advent Health and the role of the Managed * Care Department in that mission. * Demonstrates an eagerness to assist co-workers in the completion of tasks as needed. * Performs special projects and tasks as requested by senior staff and leadership. * Supports the contracting team, internal departments and providers as applicable to * assist with, identify and resolve operational, accounts receivable, billing and other * related issues. * Serves as liaison between Managed Care and provider groups by providing continual * education, support and training for the application of contracts as needed. * Demonstrates and encourages a team environment between hospital departments, * regions, payors and provider groups.
+ Information * Keeps all pertinent payor information up to date for distribution to AH Regional Managed Care Departments. * Maintains contract information in an organized manner to promote consistency in departmental operations. * Extracts pertinent contract information to update database which provides reports for distribution to senior staff, AH Multistate Managed Care Directors and provider groups. * Responsible for remaining current on regulatory updates and rate changes that affect Medicare, Medicaid and TriCare reimbursement for contract loading and analysis purposes. * Obtains, updates, and disseminates quarterly fee schedule updates (eg Injectables, Immunizations) to all appropriate parties including, but not limited to physician team * members, physician billing departments and AH Physician Enterprise.
+ Development, Education and Training * Maintains Epic Certification (CPE) Continuing Professional Education. * Displays a willingness to grow and develop skills required to perform his/her job duties and assist in the training and education of team members. * Takes the initiative to seek out education and training experience when there is a need and to stay informed of changes in the field of managed care and the objectives of the department. * Leads or facilitates in education of staff of Florida and Multi-State AH physician groups as requested. * Actively participates in providing constructive feedback and ideas for new development of contract management systems. * Deadlines, Timeliness and Performance Standards-10% * Completes assigned tasks in the appropriate time period and maintains an acceptable * workplace. * In group situations, effectively contributes to the overall completion of work product * according to the applicable directive and deadline. * Does not interfere with the ability of co-workers to complete duties. * Readily able to adapt to new situations and changing priorities in order to accomplish * department goals. * Adheres to applicable internal policies, procedures and guidelines set forth by AdventHealth, its associated hospitals, physician groups, PHO's and ancillaries during the execution of assigned duties. * Abides by all applicable rules, regulations and laws prescribed by any authoritative * governing body such as state regulations, AHCA, etc.
Qualifications
**The expertise and experiences you'll need to succeed:**
+ Associate Required
+ Bachelor's in business or healthcare administration or related field Preferred
+ 4 Work Experience Required
+ Microsoft Office
+ Detail oriented
+ Assertive
+ High degree of competency in contract language interpretation
+ Ability to problem solve and think analytically
+ Strong organizational skills
+ Effectively communicate with all department levels
+ Ability to grow strong relationships
+ Certification in Epic Contract Management
+ Patient Accounting knowledge
+ CPT/HCPC coding knowledge
**Our people are passionate about what they do, the product they sell, and the customers they serve. If you're looking for an opportunity to be a part of a work family that values collaboration, innovation and dedication, we're the right company for you.**
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
**Category:** Managed Care
**Organization:** AdventHealth Corporate
**Schedule:** Full-time
**Shift:** 1 - Day
**Req ID:** 25017121
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
**Our promise to you:**
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
**Job Location: Monday-Friday 8am-5pm Hybrid on-site**
**The role you'll contribute:**
**This position is responsible for physician contract review and interpretation; as well as, the building and maintenance of rates and terms into designated contract management systems for Florida and multi-state providers. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms and provides appropriate reconciliation of patient accounts and estimates. This affords AdventHealth leadership the foundation for reporting and determining overall payer performance and allows AdventHealth the ability to accurately model contracts for future negotiations. The accuracy of these builds is also essential for estimating month-end net patient revenue. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental initiatives, rules and regulations. Develops and maintains a strong working relationship with AdventHealth Florida and Multi-state Division leadership, Managed Care Reimbursement team, Regional Revenue Cycle leadership, Finance/Accounting, physician practices and AH Physician Enterprise in order to ensure compliance and awareness of negotiated contract terms and rates.**
**The value you'll bring to the team:**
+ Systems * Uses acquired knowledge, experience and contract details to load, maintain and test contract management systems with a high level of accuracy of payment calculations. * Responsible for netting down system-wide accounts receivable. * Updates contract information in appropriate programs for assigned contracts. * Performs necessary research to obtain and maintain non-contracted payer reimbursement including Medicare, Medicaid, Tricare and other gov't payers. * Responsible for ensuring accurate patient estimation through accurate calculation of estimated reimbursement. * Periodically audits contract management systems to ensure accurateness. * Provides the necessary feedback regarding system failures or inefficiencies so that the operational function of contracts and labor performance is not compromised. * Responsible for timely entry of contract data into the Managed Care database which includes addition of new payors, renewals and terminations to ensure the accuracy of reporting provided to all providers. * Works closely with physician group billing and system departments to resolve contract load issues and identify trends to ensure contract management systems are accurate and working appropriately.
+ Communication * Effectively communicates with staff, leadership, payors and/or providers. Provides * Clearly and successfully represents self and this organization in a professional, * courteous manner. * Participates in meetings as assigned or requested. * Deals with patient information in a sensitive manner to ensure respect and privacy * for patient and expeditious handling of related issues. * During negotiations of the contract, works with the managed care team and other internal departments to identify issues or limitations of the contract that could have a negative impact on contract operations and administration. * Provides follow-up as appropriate with internal departments, providers and * leadership regarding parameters or limitations of contract fee schedule. * Support and Liaison-15% * Supports the overall mission of Advent Health and the role of the Managed * Care Department in that mission. * Demonstrates an eagerness to assist co-workers in the completion of tasks as needed. * Performs special projects and tasks as requested by senior staff and leadership. * Supports the contracting team, internal departments and providers as applicable to * assist with, identify and resolve operational, accounts receivable, billing and other * related issues. * Serves as liaison between Managed Care and provider groups by providing continual * education, support and training for the application of contracts as needed. * Demonstrates and encourages a team environment between hospital departments, * regions, payors and provider groups.
+ Information * Keeps all pertinent payor information up to date for distribution to AH Regional Managed Care Departments. * Maintains contract information in an organized manner to promote consistency in departmental operations. * Extracts pertinent contract information to update database which provides reports for distribution to senior staff, AH Multistate Managed Care Directors and provider groups. * Responsible for remaining current on regulatory updates and rate changes that affect Medicare, Medicaid and TriCare reimbursement for contract loading and analysis purposes. * Obtains, updates, and disseminates quarterly fee schedule updates (eg Injectables, Immunizations) to all appropriate parties including, but not limited to physician team * members, physician billing departments and AH Physician Enterprise.
+ Development, Education and Training * Maintains Epic Certification (CPE) Continuing Professional Education. * Displays a willingness to grow and develop skills required to perform his/her job duties and assist in the training and education of team members. * Takes the initiative to seek out education and training experience when there is a need and to stay informed of changes in the field of managed care and the objectives of the department. * Leads or facilitates in education of staff of Florida and Multi-State AH physician groups as requested. * Actively participates in providing constructive feedback and ideas for new development of contract management systems. * Deadlines, Timeliness and Performance Standards-10% * Completes assigned tasks in the appropriate time period and maintains an acceptable * workplace. * In group situations, effectively contributes to the overall completion of work product * according to the applicable directive and deadline. * Does not interfere with the ability of co-workers to complete duties. * Readily able to adapt to new situations and changing priorities in order to accomplish * department goals. * Adheres to applicable internal policies, procedures and guidelines set forth by AdventHealth, its associated hospitals, physician groups, PHO's and ancillaries during the execution of assigned duties. * Abides by all applicable rules, regulations and laws prescribed by any authoritative * governing body such as state regulations, AHCA, etc.
Qualifications
**The expertise and experiences you'll need to succeed:**
+ Associate Required
+ Bachelor's in business or healthcare administration or related field Preferred
+ 4 Work Experience Required
+ Microsoft Office
+ Detail oriented
+ Assertive
+ High degree of competency in contract language interpretation
+ Ability to problem solve and think analytically
+ Strong organizational skills
+ Effectively communicate with all department levels
+ Ability to grow strong relationships
+ Certification in Epic Contract Management
+ Patient Accounting knowledge
+ CPT/HCPC coding knowledge
**Our people are passionate about what they do, the product they sell, and the customers they serve. If you're looking for an opportunity to be a part of a work family that values collaboration, innovation and dedication, we're the right company for you.**
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
**Category:** Managed Care
**Organization:** AdventHealth Corporate
**Schedule:** Full-time
**Shift:** 1 - Day
**Req ID:** 25017121
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
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4
Manager, Provider Network Administration (Remote)
32885 Orlando, Florida
Molina Healthcare
Posted 2 days ago
Job Viewed
Job Description
Job Description
Job Summary
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
Knowledge/Skills/Abilities
-
Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
-
Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
-
Produces reports related to provider network information.
-
Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
-
Identifies issues, resolves problems and implements best practices.
Job Qualifications
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
-
5-7 years managed care experience, including min. 2 years of supervisory experience
-
Min. 2 years health plan Provider Network experience
Required License, Certification, Association
N/A
Preferred Education
Bachelor's Degree
Preferred Experience
-
7+ years managed care experience
-
QNXT; SQL experience
-
Crystal Reports for data extraction
-
Access and Excel - intermediate plus skill level
Preferred License, Certification, Association
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
5
Cognos Server Administration Manager HYBRID
32885 Orlando, Florida
MedStar Health
Posted 4 days ago
Job Viewed
Job Description
About Rotech
Qualifications
Rotech Information
Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech provides high quality medical products, services and outstanding customer care through hundreds of locations across 45 states. For additional information, visit our company homepage
Overview and ResponsibilitiesJob Summary
We are seeking a dedicated Manager, Cognos Server Administration to join our team. In this position, you are responsible to oversee the administration, optimization, and governance of IBM Cognos environments that support enterprise-wide reporting and analytics. Reporting to the Director of Data Analytics & Reporting, this leader will manage a technical team responsible for Cognos server maintenance, platform performance, content governance, and enterprise user support. The ideal candidate will-versed in Cognos architecture and administration, has a proven track record of managing BI infrastructure teams, and is passionate about delivering scalable, secure and reliable reporting solutions. This role serves as a critical liaison between Data Analytics, IT infrastructure, and business users.
Essential Job Duties and Responsibilities
(Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.)
- Collaborate with IT, DBAs, and Data Engineering to ensure efficient data integrations, performant queries, and reliable refresh cycles
- Develop and maintain technical runbooks, documentation, and standard operating procedures for system maintenance and incident response
- Drive continuous improvements in deployment pipelines, performance, and platform governance
- Ensure system uptime, reliability, and performance through proactive monitoring, root-cause analysis, and capacity planning
- Evaluate and recommend improvements to Cognos architecture and integration with cloud platforms or data lakes as needed
- Lead and mentor a team responsible for the administration of IBM Cognos environments, including system upgrades, patching, server configuration, and platform performance
- Maintain vendor relationships (e.g., IBM, Snowflake, Rivery) and manage support tickets for Cognos platform issues
- Manage and govern the deployment of pipelines for BI assets, including packages, reports, dashboards, and data modules across environments
- Oversee Cognos security administration, including user provisioning, role-based access, and data source credentials
- Oversee intake, privatization, and resolution of system-level support tickets, performance issues and enhancement requests
- Own and manage the full life-cycle of the Framework Manager, ensuring scalability, performance, and documentation
- Partner with Analytics and Reporting teams to provide optimal authoring environments and promote governed self-service reporting
- Represent the Server Administration function in cross-functional meetings and initiatives related to enterprise reporting infrastructure
- Performs other duties as assigned
Travel
- Hybrid - on-site presence expected periodically for system upgrades, testing, and team collaboration
Qualifications
Employment is contingent on
- Background investigation (company-wide)
- Drug screen (when applicable for the position )
- Valid driver's license in state of residence with a clean driving record (when applicable for the position)
Required Education and/or Experience
- High school diploma or GED equivalent, required
- Bachelor's degree in Information Systems, Computer Science, Engineering, or a related field
- Experience with efficient distribution of reports needed by varying positions and locations within the organization
- Experience with packaging data sets and data modules for efficient data query costs
- Familiarity with modern DevOps practices in BI environments
- Minimum 4 years of experience in IBM Cognos administration, including server configuration, performance tuning, and environment management. At least 2 years of experience managing or leading technical teams in a business intelligence or data infrastructure environment. Hands-on experience with Cognos 11.x or Cognos 12.x architecture, configuration, upgrades, and content management
- Proficiency in Snowflake, Rivery (or equivalent ETL platforms), and general SQL performance optimization
Preferred Education and/or Experience
- Experience supporting reporting infrastructure in a healthcare, DME, or similarly regulated industry.
- Familiarity with enterprise data warehouse design (Star Schema, Snowflake Schema).
- Graduate degree in Information Systems, Data Engineering, or a related field.
- Prior involvement in change management, system migrations, or BI tool rollouts.
- Understanding of data governance and metadata management principles.
Skills and Competencies
- Ability to manage multiple projects in a fast-paced, collaborative environment
- Ability to translate complex BI infrastructure requirements into actionable project plans
- Deep technical knowledge of IBM Cognos system administration, performance tuning, and troubleshooting
- Effectively communicate in English; both oral and written
- Excellent verbal and written communication skills; ability to convey technical concepts to non-technical audiences
- Experience developing standard operating procedures and documentation
- Experience working within ITIL or similar support frameworks
- High attention to detail and a commitment to platform reliability and user experience
- Interpret a variety of communications (verbal, non-verbal, written, listening and visual)
- Maintain confidentiality, discretion and caution when handling sensitive information
- Multi-task along with attention to detail
- Proactive and service-oriented mindset with a desire to enable analytics at scale
- Self-motivation, organized, time-management and deductive problem solving skills
- Strong leadership, planning, and delegation skills
- Work independently and as part of a team
Machines, Equipment and Technical Abilities
- Email transmission and communication
- Internet navigation and research
- Microsoft applications; Outlook, Word and Excel
- Office equipment; fax machine, copier, printer, phone and computer and/or tablet
Physical Demands
- Lift and carry office equipment at times
- Requires sitting, walking, standing, talking and listening
- Requires close vision to small print on computer and/or tablet and paperwork
Rotech Information
Benefits
- Generous paid time Off and paid holidays
- Overtime pay for non-exempt hourly positions based on business needs Commission for Account Executives Fixed and variable rate car reimbursement for Area Managers and Account Executives
- Employee discount program
- Employee recognition program
- Bonus and incentive opportunities
- Mileage reimbursement (when applicable for the position)
- Telephone reimbursement (when applicable for the position)
- EAP
- 401k
- Medical, Prescription, Dental and Vision
- HSA and FSA/Dependent Care FSA
- Life Insurance, Disability, Accidental death, Identity protection and Legal services Meru Health Mental health and Mercer SmartConnect Medicare programs Livongo Diabetes and High Blood Pressure programs Healthcare Bluebook and RX Savings solutions programs
- HEPB and TB vaccinations
Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, gender identity, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.
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6
Network Engineer III-Court Administration
32723 Deland, Florida
County of Volusia, FL
Posted 21 days ago
Job Viewed
Job Description
Salary: $67,708.00 - $80,000.00 Annually
Location : DeLand, FL
Job Type: Full-Time
Job Number: 25-00270
Department: Court Administration
Opening Date: 02/18/2025
Closing Date: Continuous
Major Functions
Highly responsible position performing advanced technical work analyzing, developing, implementing, maintaining, and securing enterprise voice and data networks. Manages projects. Ensures compliance with standards and regulations. Researches, recommends, and determines adherence to adopted security frameworks. Mentors other Network Engineers.
Illustrative Duties
(NOTE: These are intended only as illustrations of the various types of work performed. The omission of specific duties does not exclude them from the position.)
• Serve as the primary Information Security point of contact between the Circuit's partners, vendors, and the FDLE.
• Review and make recommendations to improve data integrity and cyber-security.
• Subject matter expert in selecting, deploying, and configuring cyber-security tools.
• Maintain comprehensive network documentation, including diagrams, configurations, and operational procedures.
• Implement and manage robust security measures, including firewalls, VPNs, IDS/IPS, and network segmentation to prevent unauthorized access and mitigate cyber threats.
• Develop and enforce network security policies, ensuring they are integrated into network design and operations.
• Develop the curriculum for a circuit-wide cyber-security awareness training program.
• Research and recommend network best practices.
• Ensure that critical systems and applications are always available through redundancy, load balancing, and failover solutions.
• Create and maintain disaster recovery and business continuity plans, including backup strategies, geographically distributed failover, and rapid recovery techniques.
The position will initially be headquartered in DeLand. Headquarters are subject to change based upon the needs of the court. Work hours may include periodic weekends and holidays. Day travel to offices throughout the circuit will be required as needed.
Minimum Requirements
Eight (8) years of experience of responsible experience performing the duties of a Network Engineer, or in a related field.
or
Bachelor's degree in Computer Science, Information Systems, Engineering, Telecommunications, or related field; and four (4) years of responsible experience performing the duties of a Network Engineer, or in a related field.
Must possess a valid driver's license.
Must obtain a valid Florida driver's license within 30 days of appointment and maintain thereafter.
A comparable amount of education, training, or experience may be substituted for the minimum qualifications
Knowledge, Skills & Abilities
Physical Demands: Ability to see, hear, talk, reach. Ability to grasp, push, pull, lift, and carry up to 40 pounds. Finger dexterity. Visual acuity (depth perception, peripheral vision) necessary to operate a motorized vehicle.
Environmental Demands : Inside and occasional outside work.
Mental Demands: Ability to read and comprehend technical and professional writing; including journals, instructions, layouts, schematics, memos, letters, procedures, and safety instructions. Ability to write reports, critiques, memos, letters, instructions and procedures. Ability to speak and write clearly and concisely. Ability to perform general mathematical functions. Ability to analyze data and develop conclusions. Ability to identify and resolve problems. Ability to think logically and show attention to detail.
We offer a competitive and comprehensive benefits package that includes:
HEALTH INSURANCE
PAID TIME OFF
HOLIDAYS
The County of Volusia observes the following holidays annually:
ADDITIONAL BENEFITS
Temporary and intermittent employees are not paid for holidays and are not eligible for benefits.
01
NOTE: Your response to the following supplemental questions must match the information in the work experience section on your application. If your responses do not match, your application will be deemed incomplete and will disqualify you from further consideration.
02
Do you possess a High School Diploma or GED?
03
Do you have at least eight (8) years of experience of responsible experience performing the duties of a Network Engineer, or in a related field?
04
If you answered "Yes" to the previous question, please indicate the following:
(1) the number of years,
(2) position title
(3) brief description of your experience and
(4) the name of the agency/organization(s).
If you answered "No", please indicate N/A.
05
Do you have a Bachelor's degree in Computer Science, Information Systems, Engineering, Telecommunications, or related field; and four (4) years of responsible experience performing the duties of a Network Engineer, or in a related field?
06
Do you have a valid driver's license?
07
Do you have a comparable amount of education, training or experience may substitute for the minimum experience?
08
If you answered "Yes" to the previous question, please indicate the following:
(1) the number of years,
(2) position title
(3) brief description of your experience and
(4) the name of the agency/organization(s).
If you answered "No", please indicate N/A.
Required Question
Location : DeLand, FL
Job Type: Full-Time
Job Number: 25-00270
Department: Court Administration
Opening Date: 02/18/2025
Closing Date: Continuous
Major Functions
Highly responsible position performing advanced technical work analyzing, developing, implementing, maintaining, and securing enterprise voice and data networks. Manages projects. Ensures compliance with standards and regulations. Researches, recommends, and determines adherence to adopted security frameworks. Mentors other Network Engineers.
Illustrative Duties
(NOTE: These are intended only as illustrations of the various types of work performed. The omission of specific duties does not exclude them from the position.)
• Serve as the primary Information Security point of contact between the Circuit's partners, vendors, and the FDLE.
• Review and make recommendations to improve data integrity and cyber-security.
• Subject matter expert in selecting, deploying, and configuring cyber-security tools.
• Maintain comprehensive network documentation, including diagrams, configurations, and operational procedures.
• Implement and manage robust security measures, including firewalls, VPNs, IDS/IPS, and network segmentation to prevent unauthorized access and mitigate cyber threats.
• Develop and enforce network security policies, ensuring they are integrated into network design and operations.
• Develop the curriculum for a circuit-wide cyber-security awareness training program.
• Research and recommend network best practices.
• Ensure that critical systems and applications are always available through redundancy, load balancing, and failover solutions.
• Create and maintain disaster recovery and business continuity plans, including backup strategies, geographically distributed failover, and rapid recovery techniques.
The position will initially be headquartered in DeLand. Headquarters are subject to change based upon the needs of the court. Work hours may include periodic weekends and holidays. Day travel to offices throughout the circuit will be required as needed.
Minimum Requirements
Eight (8) years of experience of responsible experience performing the duties of a Network Engineer, or in a related field.
or
Bachelor's degree in Computer Science, Information Systems, Engineering, Telecommunications, or related field; and four (4) years of responsible experience performing the duties of a Network Engineer, or in a related field.
Must possess a valid driver's license.
Must obtain a valid Florida driver's license within 30 days of appointment and maintain thereafter.
A comparable amount of education, training, or experience may be substituted for the minimum qualifications
Knowledge, Skills & Abilities
- All knowledge, skills, and abilities for a Network Engineer I or II, plus the following:
- Skilled in developing enterprise cyber-security strategic plans, including: Security Resiliency Backup Disaster recovery Routine maintenance.
- Ability to identify, analyze, and resolve complex system and network threats and security issues.
- Ability to engineer configuration templates for routers and switches.
- Ability to design and implement remote site LAN and WAN circuits, routing, and switching.
- Ability to troubleshoot core firewalls.
- Ability to design and implement campus-wide Ethernet switching.
- Ability to organize work on multiple tasks, establish priorities, and meet deadlines.
- Ability to think logically and show attention to detail.
- Ability to communicate effectively both orally and in writing.
- Ability to establish and maintain effective working relationships
- Ability to work under stressful conditions.
Physical Demands: Ability to see, hear, talk, reach. Ability to grasp, push, pull, lift, and carry up to 40 pounds. Finger dexterity. Visual acuity (depth perception, peripheral vision) necessary to operate a motorized vehicle.
Environmental Demands : Inside and occasional outside work.
Mental Demands: Ability to read and comprehend technical and professional writing; including journals, instructions, layouts, schematics, memos, letters, procedures, and safety instructions. Ability to write reports, critiques, memos, letters, instructions and procedures. Ability to speak and write clearly and concisely. Ability to perform general mathematical functions. Ability to analyze data and develop conclusions. Ability to identify and resolve problems. Ability to think logically and show attention to detail.
We offer a competitive and comprehensive benefits package that includes:
HEALTH INSURANCE
- Medical
- Dental
- Vision
- Flexible Spending Account
- Florida Retirement System (FRS)
- Deferred Retirement Option Program (DROP)
- Deferred Compensation (475 Plan)
- Life Insurance
- Short Term Disability Insurance
- Long Term Disability Insurance
- Cancer Insurance
- Critical Illness Insurance
PAID TIME OFF
- Personal Leave
- Holidays
- Bereavement
- Military
HOLIDAYS
The County of Volusia observes the following holidays annually:
- New Year's Day
- Martin Luther King Day
- Good Friday
- Memorial Day
- Independence Day
- Labor Day
- Veterans Day
- Thanksgiving (and day after)
- Christmas
ADDITIONAL BENEFITS
- Tuition Reimbursement
- Onsite Wellness/Fitness Center
- Computer Purchase Program
- Direct Deposit Payroll
Temporary and intermittent employees are not paid for holidays and are not eligible for benefits.
01
NOTE: Your response to the following supplemental questions must match the information in the work experience section on your application. If your responses do not match, your application will be deemed incomplete and will disqualify you from further consideration.
- I have read and understand the above statement.
02
Do you possess a High School Diploma or GED?
- Yes
- No
03
Do you have at least eight (8) years of experience of responsible experience performing the duties of a Network Engineer, or in a related field?
- Yes
- No
04
If you answered "Yes" to the previous question, please indicate the following:
(1) the number of years,
(2) position title
(3) brief description of your experience and
(4) the name of the agency/organization(s).
If you answered "No", please indicate N/A.
05
Do you have a Bachelor's degree in Computer Science, Information Systems, Engineering, Telecommunications, or related field; and four (4) years of responsible experience performing the duties of a Network Engineer, or in a related field?
- Yes
- No
06
Do you have a valid driver's license?
- Yes
- No
07
Do you have a comparable amount of education, training or experience may substitute for the minimum experience?
- Yes
- No
08
If you answered "Yes" to the previous question, please indicate the following:
(1) the number of years,
(2) position title
(3) brief description of your experience and
(4) the name of the agency/organization(s).
If you answered "No", please indicate N/A.
Required Question
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7
Cognos Server Administration Manager HYBRID
32885 Orlando, Florida
Rotech Healthcare
Posted 24 days ago
Job Viewed
Job Description
About Rotech
Qualifications
Rotech Information
Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech provides high quality medical products, services and outstanding customer care through hundreds of locations across 45 states. For additional information, visit our company homepage Rotech.com
Overview and ResponsibilitiesJob Summary
We are seeking a dedicated Manager, Cognos Server Administration to join our team. In this position, you are responsible to oversee the administration, optimization, and governance of IBM Cognos environments that support enterprise-wide reporting and analytics. Reporting to the Director of Data Analytics & Reporting, this leader will manage a technical team responsible for Cognos server maintenance, platform performance, content governance, and enterprise user support. The ideal candidate will-versed in Cognos architecture and administration, has a proven track record of managing BI infrastructure teams, and is passionate about delivering scalable, secure and reliable reporting solutions. This role serves as a critical liaison between Data Analytics, IT infrastructure, and business users.
Essential Job Duties and Responsibilities
(Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.)
- Collaborate with IT, DBAs, and Data Engineering to ensure efficient data integrations, performant queries, and reliable refresh cycles
- Develop and maintain technical runbooks, documentation, and standard operating procedures for system maintenance and incident response
- Drive continuous improvements in deployment pipelines, performance, and platform governance
- Ensure system uptime, reliability, and performance through proactive monitoring, root-cause analysis, and capacity planning
- Evaluate and recommend improvements to Cognos architecture and integration with cloud platforms or data lakes as needed
- Lead and mentor a team responsible for the administration of IBM Cognos environments, including system upgrades, patching, server configuration, and platform performance
- Maintain vendor relationships (e.g., IBM, Snowflake, Rivery) and manage support tickets for Cognos platform issues
- Manage and govern the deployment of pipelines for BI assets, including packages, reports, dashboards, and data modules across environments
- Oversee Cognos security administration, including user provisioning, role-based access, and data source credentials
- Oversee intake, privatization, and resolution of system-level support tickets, performance issues and enhancement requests
- Own and manage the full life-cycle of the Framework Manager, ensuring scalability, performance, and documentation
- Partner with Analytics and Reporting teams to provide optimal authoring environments and promote governed self-service reporting
- Represent the Server Administration function in cross-functional meetings and initiatives related to enterprise reporting infrastructure
- Performs other duties as assigned
Travel
- Hybrid - on-site presence expected periodically for system upgrades, testing, and team collaboration
Qualifications
Employment is contingent on
- Background investigation (company-wide)
- Drug screen (when applicable for the position )
- Valid driver's license in state of residence with a clean driving record (when applicable for the position)
Required Education and/or Experience
- High school diploma or GED equivalent, required
- Bachelor's degree in Information Systems, Computer Science, Engineering, or a related field
- Experience with efficient distribution of reports needed by varying positions and locations within the organization
- Experience with packaging data sets and data modules for efficient data query costs
- Familiarity with modern DevOps practices in BI environments
- Minimum 4 years of experience in IBM Cognos administration, including server configuration, performance tuning, and environment management. At least 2 years of experience managing or leading technical teams in a business intelligence or data infrastructure environment. Hands-on experience with Cognos 11.x or Cognos 12.x architecture, configuration, upgrades, and content management
- Proficiency in Snowflake, Rivery (or equivalent ETL platforms), and general SQL performance optimization
Preferred Education and/or Experience
- Experience supporting reporting infrastructure in a healthcare, DME, or similarly regulated industry.
- Familiarity with enterprise data warehouse design (Star Schema, Snowflake Schema).
- Graduate degree in Information Systems, Data Engineering, or a related field.
- Prior involvement in change management, system migrations, or BI tool rollouts.
- Understanding of data governance and metadata management principles.
Skills and Competencies
- Ability to manage multiple projects in a fast-paced, collaborative environment
- Ability to translate complex BI infrastructure requirements into actionable project plans
- Deep technical knowledge of IBM Cognos system administration, performance tuning, and troubleshooting
- Effectively communicate in English; both oral and written
- Excellent verbal and written communication skills; ability to convey technical concepts to non-technical audiences
- Experience developing standard operating procedures and documentation
- Experience working within ITIL or similar support frameworks
- High attention to detail and a commitment to platform reliability and user experience
- Interpret a variety of communications (verbal, non-verbal, written, listening and visual)
- Maintain confidentiality, discretion and caution when handling sensitive information
- Multi-task along with attention to detail
- Proactive and service-oriented mindset with a desire to enable analytics at scale
- Self-motivation, organized, time-management and deductive problem solving skills
- Strong leadership, planning, and delegation skills
- Work independently and as part of a team
Machines, Equipment and Technical Abilities
- Email transmission and communication
- Internet navigation and research
- Microsoft applications; Outlook, Word and Excel
- Office equipment; fax machine, copier, printer, phone and computer and/or tablet
Physical Demands
- Lift and carry office equipment at times
- Requires sitting, walking, standing, talking and listening
- Requires close vision to small print on computer and/or tablet and paperwork
Rotech Information
Benefits
- Generous paid time Off and paid holidays
- Overtime pay for non-exempt hourly positions based on business needs
- Commission for Account Executives
- Fixed and variable rate car reimbursement for Area Managers and Account Executives
- Employee discount program
- Employee recognition program
- Bonus and incentive opportunities
- Mileage reimbursement (when applicable for the position)
- Telephone reimbursement (when applicable for the position)
- EAP
- 401k
- Medical, Prescription, Dental and Vision
- HSA and FSA/Dependent Care FSA
- Life Insurance, Disability, Accidental death, Identity protection and Legal services
- Meru Health Mental health and Mercer SmartConnect Medicare programs
- Livongo Diabetes and High Blood Pressure programs
- Healthcare Bluebook and RX Savings solutions programs
- HEPB and TB vaccinations
Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, gender identity, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.
View Now
8
Manager, Provider Network Administration (Remote)
32806 Orlando, Florida
Molina Healthcare
Posted today
Job Viewed
Job Description
**Job Description**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**Knowledge/Skills/Abilities**
- Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
- Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
- Produces reports related to provider network information.
- Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
- Identifies issues, resolves problems and implements best practices.
**Job Qualifications**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
- 5-7 years managed care experience, including min. 2 years of supervisory experience
- Min. 2 years health plan Provider Network experience
**Required License, Certification, Association**
N/A
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
- 7+ years managed care experience
- QNXT; SQL experience
- Crystal Reports for data extraction
- Access and Excel - intermediate plus skill level
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**Knowledge/Skills/Abilities**
- Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
- Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
- Produces reports related to provider network information.
- Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
- Identifies issues, resolves problems and implements best practices.
**Job Qualifications**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
- 5-7 years managed care experience, including min. 2 years of supervisory experience
- Min. 2 years health plan Provider Network experience
**Required License, Certification, Association**
N/A
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
- 7+ years managed care experience
- QNXT; SQL experience
- Crystal Reports for data extraction
- Access and Excel - intermediate plus skill level
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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