Managed Care Coordinator

Job Summary

To support the Contract Administration team, the full-time Managed Care Coordinator will manage reimbursement calculations, perform payment variance analysis, and assist with contract modeling and negotiation activities in a remote capacity.

Key responsibilities

• Build and maintain reimbursement configurations within Epic for various payers, ensuring accurate alignment with payer systems
• Support major payer negotiations by analyzing contract modeling scenarios and summarizing financial impacts for leadership
• Validate contract builds through payment variance analysis and collaborate with teams to resolve discrepancies

Required qualifications

• Bachelor's degree in a relevant field
• Two years of experience with managed care contracts and provider relations (or equivalent experience based on education level)
• Certification in Epic Hospital Billing Expected Reimbursement Contracts or similar proficiency expected within the first 90 days
• General understanding of Healthcare Revenue Cycle processes
• Experience with insurance payment processes and posting of payer remittance information