Managed Care Contract Coordinator

2 days ago


Menomonee Falls, Wisconsin, United States Froedtert Health Full time
Job Summary

The Managed Care Contract Coordinator plays a crucial role in ensuring seamless interactions between managed care organizations and internal stakeholders. This position requires strong communication and organizational skills to resolve complex issues related to contract term requirements and reimbursement.

Key Responsibilities
  • Manage relationships with insurance payers and internal customers
  • Create tools to facilitate contract term understanding and reimbursement
  • Consult with clinical and business units to ensure contract compliance
  • Identify new contracting opportunities for strategic growth
  • Address operational issues and provide contract language for appeals
Requirements

To be successful in this role, you will need:

  • Three to five years of experience in a healthcare setting, preferably in the payer or provider environment
  • Demonstrated ability to resolve complex issues
  • Bachelor's degree in Business, Finance, Accounting, or a related field
  • Knowledge of managed care principles and the insurance industry
  • Strong communication and organizational skills
  • Project management experience and proficiency in database management, spreadsheets, and SharePoint editor
Perks and Benefits

Froedtert Health offers a range of benefits to support your career growth and well-being, including:

  • Paid time off
  • Growth opportunities through Career Pathways and Career Tuition Assistance
  • Academic partnership with the Medical College of Wisconsin
  • Referral bonuses
  • Retirement plan
  • Medical, dental, vision, life insurance, and disability benefits
  • Employee assistance programs and other work-life benefits


  • Menomonee Falls, Wisconsin, United States Froedtert Health Full time

    Job SummaryThe Managed Care Contract Coordinator plays a critical role in ensuring seamless interactions between managed care organizations and internal stakeholders. This position requires strong communication and organizational skills to resolve complex issues related to contract term requirements and reimbursement.Key ResponsibilitiesManage relationships...

  • RN Case Manager

    4 weeks ago


    Menomonee Falls, Wisconsin, United States Froedtert Health Full time

    About the RoleFroedtert Health is seeking a skilled RN Case Manager to coordinate care and services for selected patient populations. As a key member of our interdisciplinary team, you will work collaboratively with healthcare professionals to improve patient outcomes and drive desired clinical and financial results.ResponsibilitiesCoordinate care and...


  • Menomonee Falls, Wisconsin, United States Froedtert & Medical College of Wisconsin Full time

    Froedtert & Medical College of Wisconsin RN Case Manager Job SummaryThe RN Case Manager plays a vital role in coordinating care and services for selected patient populations throughout the acute care episode and across the continuum. This position requires collaboration with interdisciplinary teams and team members to ensure seamless care transitions and...


  • Menomonee Falls, Wisconsin, United States Froedtert & Medical College of Wisconsin Full time

    Job SummaryThe RN Case Manager plays a vital role in coordinating care and services for selected patient populations throughout the acute care episode and across the continuum.Key ResponsibilitiesCollaborate with interdisciplinary teams to develop and implement effective care plans.Work closely with patients, families, and healthcare providers to ensure...

  • Care Coordinator MSW

    4 weeks ago


    Menomonee Falls, Wisconsin, United States Froedtert Hospital Full time

    Job SummaryWe are seeking a skilled Social Worker MSW to join our team as a Care Coordinator. In this role, you will be responsible for coordinating the care of designated patients and families, providing psychosocial assessments and updates, and establishing plans of care that provide maximum benefit to patients and their families.As a Care Coordinator, you...


  • Menomonee Falls, Wisconsin, United States Froedtert Hospital Full time

    Job SummaryWe are seeking a skilled Social Worker MSW to join our team as a Care Coordinator. In this role, you will be responsible for coordinating the care of designated patients and families, providing psychosocial assessments and updates, and establishing plans of care that provide maximum benefit to patients and their families.The goal of our social...


  • Menomonee Falls, Wisconsin, United States Froedtert Health Full time

    Job SummaryWe are seeking a skilled Social Worker MSW to join our team as a Care Coordinator. In this role, you will be responsible for coordinating the care of designated patients and families, providing psychosocial assessment and updates, and establishing a plan of care that provides maximum benefit to patients and their families.Key...


  • Menomonee Falls, Wisconsin, United States Sonova Full time

    About the RoleWe are seeking a highly skilled and compassionate Hearing Care Coordinator to join our team at Sonova. As a key member of our clinical staff, you will play a vital role in ensuring patients receive exceptional care and service.Key ResponsibilitiesPartner with Hearing Care Professionals to provide quality care and service to patientsSchedule...


  • Menomonee Falls, Wisconsin, United States Froedtert Health Full time

    Job SummaryThe Behavioral Health RN Care Manager plays a vital role in our Collaborative Care team, coordinating and supporting mental health care for patients managed by primary care providers. This position requires a skilled nurse to educate patients about depression and its treatment, monitor depressive symptoms, and work closely with primary care...


  • Menomonee Falls, Wisconsin, United States Messer Cutting Systems, Inc. Full time

    Job SummaryThe Service Coordinator is a vital member of the Messer Team, responsible for receiving, recording, and posting work orders for the service department. Under the direction of the Customer Service Supervisor, the coordinator assists with the dispatch of service technicians to install and service Messer machines throughout North America.Key...

  • Production Coordinator

    2 months ago


    Menomonee Falls, Wisconsin, United States Capital Construction Services Holdings, Inc Full time

    Capital Construction Services Holdings, Inc. Seeks Production CoordinatorWe are seeking a highly motivated Production Coordinator to join our dynamic team at Capital Construction Services Holdings, Inc. in Milwaukee. As a recognized leader in the industry, we offer a competitive benefits package and a thriving company culture.In this role, you will be...

  • Process Coordinator

    3 weeks ago


    Menomonee Falls, Wisconsin, United States Froedtert Health Full time

    Job SummaryAs a Process Coordinator - Workforce Health, you will play a critical role in supporting the Workforce Health (WFH) program by performing key business process functions. This includes contract management, budget tracking, materials management, billing, and collections. You will coordinate and monitor processes and related deliverables, ensuring...


  • Menomonee Falls, Wisconsin, United States RPh on the Go Full time

    Job Title: Retail Pharmacy ManagerLocation: Richland Center, WIContract Duration: 13+ WeeksSchedule: Monday to Friday, 8:30 AM - 5:00 PMJob OverviewWe are seeking an experienced Retail Pharmacy Manager to oversee our pharmacy operations in Richland Center, WI. This role is a 13+ week contract position ideal for a professional with a solid background in...


  • Menomonee Falls, Wisconsin, United States SKYGEN USA Full time

    Job DescriptionThe Client Experience Manager - Medicare Advantage is a critical role within SKYGEN USA, responsible for ensuring client satisfaction for Medicare Advantage clients. This includes monitoring account performance, overseeing contract performance, and resolving customer concerns.Key ResponsibilitiesServe as primary client liaison and subject...

  • RN Case Manager

    1 day ago


    Menomonee Falls, Wisconsin, United States Amergis Full time

    Job Title: RN Case ManagerThe RN Case Manager is a critical role in ensuring the optimal utilization of resources and service delivery for assigned patients. This position requires a strong clinical background and excellent communication skills to coordinate continuum of care activities and advocate for patients' needs.Key Responsibilities:Perform initial...


  • Menomonee Falls, Wisconsin, United States Froedtert Health Full time

    Job SummaryThe Account Manager Workforce Health is a key role in our organization, responsible for building and maintaining strong relationships with clients to ensure high client satisfaction and patient experience. This position requires a business and strategy expert who can collaborate with client stakeholders to develop, coordinate, and implement...


  • Menomonee Falls, Wisconsin, United States Jobot Full time

    Construction Project ManagerA family-owned and operated General Contractor in Milwaukee, we are seeking a skilled Construction Project Manager to oversee and coordinate various aspects of the construction process.Key Responsibilities:Lead and manage project teams, including contractors, subcontractors, and other stakeholders, to achieve project goals and...


  • Menomonee Falls, Wisconsin, United States Orthodontic Experts Ltd Full time

    About Orthodontic Experts LtdWe are a leading provider of orthodontic care, dedicated to delivering exceptional patient experiences and outstanding clinical results. Our team is passionate about making a positive impact on the lives of our patients, and we are seeking a skilled Treatment Coordinator to join our team.Job SummaryThe Treatment Coordinator will...


  • River Falls, Wisconsin, United States E-VOLVE CARE Full time

    Job OverviewWe are seeking a highly skilled Residential Supervisor to oversee the daily operations of our residential home and ensure that all residents receive exceptional care.Key Responsibilities:Manage and coordinate care services for residents, including medication administration and medical appointments.Supervise and support care team members,...


  • Menomonee Falls, Wisconsin, United States Hope Network INC Full time

    Job Title: Development CoordinatorWe are seeking a highly motivated and organized Development Coordinator to join our team at Hope Network INC. The successful candidate will be responsible for securing funding from various sources, developing fundraising plans, and maintaining donor relationships.Key Responsibilities:Establish a realistic budget for events...