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Managed Care Coordinator

undefined: Moses Cone Hospital
Location: 1121 N Church St, Greensboro,North Carolina,27401
Category: Corporate Professions
Job ID: 31952
widget: Full Time (40 hours/week)
Remote: Fully Remote
undefined: Days/No Weekends
undefined: No
undefined: Finance
undefined: Administrative Support
undefined: FINANCE

Description

The Managed Care Coordinator is responsible for accurately analyzing, implementing and monitoring Managed Care contractual relationships. Working under limited supervision, this role resolves problems between the organization and payers.


Resolves departmental and divisional conflicts related to managed care, bringing in senior staff, if necessary, to reach a conclusion that benefits the organization as much as possible.
Leads joint operating committee meetings with payers to include holding both the organization and the payer accountable for resolving conflicts.
Negotiates single case agreements with payers and ensures that payment is received.
Responsible for coding of contract databases, development, performance, and documentation of tasks for the appropriate contract management applications.
Performs other duties as assigned.

EDUCATION:
Required: Associate's Degree
Preferred: Bachelor's Degree

EXPERIENCE:
Required:
Associates, requires 5 years of Managed Care experience
Bachelors, requires 3 years of Managed Care experience
Juris Doctor, requires 1 year of legal experience

LICENSURE/CERTIFICATION/REGISTRY/LISTING:

Equal Opportunity Employer At Cone Health, we strive to create a welcoming atmosphere that celebrates a diverse and unique workforce. We believe in offering equal opportunities for employment to all applicants and employees, regardless of their race, religion, age, sex, sexual orientation, gender identity, veteran's status, ethnicity, national origin, disability, color, or any other characteristic protected by law. Our hiring and employment choices are based on each individual's qualifications, skills and performance. We believe that by embracing the diversity of our team, we can better serve our patients, communities and each other.

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Life at Cone Health

We’re working together to build strong communities inside and outside.
Culture
You will be empowered to make every minute of your work meaningful in a supportive culture of inclusion, growth and connection.
Total Rewards
Cone Health offers a competitive total rewards program that supports you and your dependents’ holistic wellbeing—physically, mentally, financially, socially and spiritually.
Diversity, Equity and Inclusion
Our dedication to ensuring that everyone feels respected, accepted, valued and empowered is real. We’re creating not just a workplace, but a silo-free environment that fosters a true sense of belonging.

Glassdoor Reviews

Overall rating 3.5 out of 5 for673 Ratings
Employee Rating 4 out of 5
posted dateDec 31, 2024

"Growth opportunities in communication and leadership"

Current employee - Former employee - PMHNP-BCin Greensboro, NC
Employee Rating 4 out of 5
posted dateDec 17, 2024

"Good start"

Current employee - Former employee - Transit Support Servicesin Greensboro, NC
Employee Rating 4 out of 5
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"Chaos"

Current employee - Former employee - Internal Travel RNin Greensboro, NC