WI3644748

1

Bachelor's Degree

Bachelors Degree

Unspecified

40

JOB REQUIREMENTS: Discover. Achieve. Succeed. #BeHere Location:
US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility. This job is
HYBRID. FTE: 1.000000 Shift: 1st shift 8 am to 4:30 pm onsite Tuesday
and Wednesday then work from home Monday Thursday, and Friday. 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. The Managed Care Contract Coordinator manages the
contracts with the insurance payers for the entire FH system. The
position: \*Works as a liaison by presenting contract summaries to the
organization to explain contract reimbursement and contract terms to
internal constituents. \*Consults with clinical and business units to
assess if contract terms are being followed. \*Identifies new
contracting opportunities for strategic growth. \*Assists to negotiate
reimbursement and language of payer contracts. \*Addresses operational
issues and provides contract language to support appeals to the Payer.
\*Establishes productive personal relationships with payer
representatives and internal clinical/business staff. \*Ensure all
documents associated with the negotiation payer agreement are in
appropriate system accurately and performs audits on a regular basis to
ensure accuracy. \*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. Perks & Benefits at Froedtert Health Froedtert Health Offers
a variety of perks & benefits to staff, depending on your role you may
be eligible for the following: Paid time\... For full info follow
application link. We are proud to be an Equal Opportunity Employer who
values and maintains an environment that attracts, recruits, engages and
retains a diverse workforce. As a federal contractor/subcontractor, we
take affirmative action in employment based on race, sex, disability and
status as a protected veteran. 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
\*\*\*\*\* APPLICATION INSTRUCTIONS: Apply Online:
ipc.us/t/609EACE6D6FA4982