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 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 Responsibilities
  • Manage relationships with insurance payers and internal customers to resolve issues and negotiate contract terms.
  • Create tools and resources to support contract compliance and reimbursement.
  • Consult with clinical and business units to assess contract adherence and identify opportunities for growth.
  • Address operational issues and provide contract language to support appeals and facilitate meetings with payers.
  • Ensure accurate documentation and regular audits to maintain contract integrity.
Requirements
  • Three to five years of experience in a healthcare setting, preferably in the payer or provider environment.
  • Demonstrated ability to resolve complex issues and exercise independent decision-making.
  • Bachelor's degree in Business, Finance, Accounting, or a related field; or 7 years of healthcare experience in lieu of degree.
  • Knowledge of managed care principles and the insurance industry.
  • Strong communication, organizational, and project management skills.
Perks and Benefits

Froedtert Health offers a range of benefits to support the well-being and career growth of its employees, including paid time off, career development opportunities, and a comprehensive benefits package.



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