Managed Care Supervisor jobs in Wisconsin
Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)
Recently Added Managed Care Supervisor jobs
MANAGED CARE CONTRACT COORD, FCH - MANAGED CARE
- Froedtert Health
-
Menomonee Falls, WI
CONTRACTOR
-
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.
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 off
- Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
- Academic Partnership with the Medical College of Wisconsin
- Referral bonuses
- Retirement plan - 403b
- Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
- Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. 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. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests. - 6 Days Ago
Managed Care Coordinator
- Family Health Center of M
-
Neillsville, WI
FULL_TIME
- The Managed Care Coordinator completes insurance requirements and provides case management as needed for services performed in various patient seeing settings. The individual obtains and provides insu...
- 2 Days Ago
Managed Care Coordinator
- Family Health Center of M
-
Medford, WI
FULL_TIME
- The Managed Care Coordinator completes insurance requirements and provides case management as needed for services performed in various patient seeing settings. The individual obtains and provides insu...
- 9 Days Ago
Managed Care Coordinator
- Family Health Center of Marshfield, Inc.
-
Neillsville, WI
FULL_TIME
- The Managed Care Coordinator completes insurance requirements and provides case management as needed for services performed in various patient seeing settings. The individual obtains and provides insu...
- 9 Days Ago
Managed Care Coordinator
- Family Health Center of Marshfield, Inc.
-
Medford, WI
PART_TIME
- The Managed Care Coordinator completes insurance requirements and provides case management as needed for services performed in various patient seeing settings. The individual obtains and provides insu...
- 16 Days Ago
RN Care Manager
- Managed Health Services Wisconsin
-
Carlton, WI
FULL_TIME
- You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri...
- 3 Days Ago
Managed Care Supervisor jobs at Popular Companies
Child Care Supervisor
- Stratton Mountain
-
Stratton Mountain, VT
- Please note, this position is located at Stratton Mountain Resort in Stratton Mountain, VT Year Round At Stratton, we ar...
- 6/11/2024 12:00:00 AM
Residential Care Supervisor
- THE CENTERS FOR HABILITATION
-
Gilbert, AZ
- Job Description Job Description Direct Care Supervisor II (Tempe) 3196 WHO WE ARE: TCH has been serving the needs of ind...
- 6/11/2024 12:00:00 AM
Floor Care Supervisor
- Threes Co Carpet & Uphostery I
-
Pikesville, MD
- Job Description Job Description Starting salary 21.77 per hour Part time position averaging 30 hours per week Some night...
- 6/11/2024 12:00:00 AM
Care Supervisor
- ComForCare
-
Lansdale, PA
- Benefits: Bonus based on performance Competitive salary Flexible schedule Paid time off Wellness resources Full job desc...
- 6/7/2024 12:00:00 AM
Animal Care Supervisor
- Petco
-
Rochester, MN
- Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
- 6/6/2024 12:00:00 AM
Direct Care Supervisor
- Mosaic
-
Axtell, NE
- If making a positive impact in the lives of others is a constant on your to-do list — you’ll LOVE working with a team th...
- 6/6/2024 12:00:00 AM
Direct Care Supervisor
- Mosaic
-
Kearney, NE
- If making a positive impact in the lives of others is a constant on your to-do list — you’ll LOVE working with a team th...
- 6/6/2024 12:00:00 AM
Animal Care Supervisor
- Petco
-
Wausau, WI
- Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
- 6/3/2024 12:00:00 AM
About Wisconsin
Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast.
With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$75,561 to $104,274
Most Popular Cities in Wisconsin for Managed Care Supervisor Jobs
What does a Managed Care Supervisor do?
Managed Care Supervisor in Columbia, SC
The Supervisor Business Services of Government Billing and Collections will be responsible for the overall AR management of all government inventory.
January 02, 2020
Managed Care Supervisor in Colorado Springs, CO
In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.
February 15, 2020
Managed Care Supervisor in Portland, ME
· Minimum one year resolving claims issues with Payer Relations representatives to handle managed care contract implications.
February 19, 2020