Accurate and timely contract reviews with regards to Best Demonstrated Performance language, check lists, codes, rates, and credentialing operational language.
Independently research and resolve complex network and claims issues by collaborating with Credentialing Specialists and Negotiation teams.
Maintain accurate data across multiple systems (Orion, CLM, COR, Salesforce, and IBM-based data systems).
Build and maintain strong professional relationships with external payor contacts to facilitate efficient processing.
Manage an extremely high volume of work, including maintaining email inbox counts below 40 and responding to requests within 1-2 business days.

High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
Minimum 2 years of experience in high-volume research, Customer Accounts ownership or complex administrative resolution work.
Proven track record of top performance in a production-based environment.
Advanced Excel Skills Required: Must have experience at the formula writing level (e.g., complex IF statements, VLOOKUP, mail merge integration, conditional formatting).
Strong proficiency in Microsoft Outlook (managing high email volume), Word, PowerPoint, and SharePoint.
Experience with Salesforce or database management systems preferred.

Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.

Contract Operations Specialist II

Key skills