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MANAGED CARE CONTRACT COORD, FCH - MANAGED CARE

Remote: 
Full Remote
Contract: 
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Offer summary

Qualifications:

Bachelor's degree in Business, Finance, Accounting or related field required, or 7 years of health care experience in lieu of degree., 3-5 years of experience in a Health Care setting, either in payer or provider environments., Strong communication and organizational skills are essential, along with project management experience., Knowledge of managed care principles and the insurance industry is required..

Key responsabilities:

  • Act as a liaison with managed care organizations and internal customers to resolve reimbursement issues.
  • Coordinate with Patient Financial Services and Quality to ensure compliance with managed care requirements.
  • Exercise independent decision-making and take initiative in resolving complex issues.
  • Perform other duties as assigned related to managed care contract coordination.

Job description

Discover. Achieve. Succeed. #BeHere

Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility.

This job is REMOTE.

FTE: 1.000000

Shift: 1st shift 8 am to 4:30pm CST (Cental Standard Time)

Job Summary:

The Managed Care Contract Coordinator acts as a liaison with managed care organizations (e.g., networks, insurers) and with internal customers, such as Patient Financial Services and Quality, to resolve issues related to reimbursement and managed care requirements. Other duties as assigned.

EXPERIENCE DESCRIPTION:

Three to five years of experience in a Health Care setting in either the payer or provider environment..

Demonstrated ability in resolving complex issues is required.

EDUCATION DESCRIPTION:

Bachelor's degree in Business, Finance, Accounting or related field is required. In lieu of degree will consider 7 years of health care experience.

SPECIAL SKILLS DESCRIPTION:

Knowledge of managed care principles and the insurance industry is required.

Ability to take initiative and exercise independent decision making.

Strong Communication Skills And Strong Organizational Skills Are Essential.

Project management experience and strong PC skills including database management, spreadsheets and SharePoint editor.

LICENSURE DESCRIPTION:

Managed care certification is preferred.

Compensation, Benefits & Perks At Froedtert Health

Pay is expected to be between: (expressed as hourly) $24.83 - $42.46. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:

  • Paid time off
  • Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
  • Academic Partnership with the Medical College of Wisconsin
  • Referral bonuses
  • Retirement plan - 403b
  • Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
  • Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Decision Making

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