Managed Care Contract Coordinator, Hospital Contracting

2 months ago

Denver, United States US Health Services Full time
Description

Managed Care Contract Coordinator, Hospital Contracting

Location: UCHealth UCHlth Lowry Admin, US:CO: Denver

Department: UCHlth Hospital Contracting

FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks)

Shift: Days

Pay: $25.80 - $38.70 / hour. Pay is dependent on applicant's relevant experience

Summary:

This is a full-time position on UCHealth's Hospital Contracting team based in Denver, Colorado. This is a hybrid position...work-from-home/on-site. You must be available for on-site presence as needed. Assists with coordination of contract development and administration. Evaluates contract information and reports on contract records. May educate staff, physicians, and management in addressing contract issues and ensuring contract requirements are met.

Responsibilities:

  • Facilitates problem-solving, coordinates report development, and serves as liaison to third party payors and system departments. Maintains operational standards of managed care contracts, including facility credentialing.
  • Interprets complex contracts to maintain compliance. Identifies risks and options to correct or minimize risk. Reviews and updates contracts, monitors all third party payor contracts for adherence to contract terms. Implements new managed care contract terms.
  • Updates and maintains contract information in the managed care files and contract database, contracts, rate sheets, and payer policies; updates information for the managed care intranet web page. Coordinates pay-for-performance and Centers of Excellence initiatives with third party payors and internal departments. Develops business and payor relationships to enhance market share.
  • Negotiates agreements under supervision of Director.
Requirements:
  • High School or GED.
  • 2 years of experience in physician reimbursement, customer service or insurance in the healthcare industry.
  • 2 years in a position related to managed care in a hospital, physician organization or managed care organization.
Preferred:
  • Bachelor's degree in business administration, public health or finance.
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.

UCHealth invests in its Workforce.

UCHealth offers a Five Year Incentive Bonus to recognize employee's contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of five years' employment.

UCHealth offers their employees a competitive and comprehensive total rewards package:
  • Full medical, dental and vision coverage
  • Retirement plans to include 403(b) matching
  • Paid time off. Start your employment at UCHealth with PTO in your bank
  • Employer-paid life and disability insurance with additional buy-up coverage options
  • Tuition and continuing education reimbursement
  • Wellness benefits
  • Full suite of voluntary benefits such as identity theft protection and pet insurance
  • Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may also qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year.
Loan Repayment:
  • UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an affirmative action/equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. UCHealth does not discriminate against any "qualified applicant with a disability" as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

Who We Are (uchealth.org)

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