Managed Care Coordinator

Job Summary

A company is looking for a Managed Care Coordinator.

Key Responsibilities

• Maintain and troubleshoot reimbursement calculations within Epic for governmental and commercial payers
• Support payer negotiations by developing and analyzing contract modeling scenarios
• Validate contract builds and perform payment variance analysis to ensure accurate reimbursement terms

Required Qualifications, Training, and Education

• Bachelor's degree in a relevant field
• Two years of experience with managed care contracts and provider relations (with a Bachelor's degree)
• Six years of experience with managed care contracts and provider relations (with an Associate's degree)
• Ten years of experience with managed care contracts and provider relations (with a High School diploma or GED)
• Zero years of experience required (with a Master's degree)