Managed Care Coordinator
Core
Assists with the review, analysis, and implementation of managed care contracts and products while organizing educational forums and leading interdepartmental teams to resolve operational issues.
Role type
Managed Care Coordinator
Builds
Operationalized managed care contracts and support systems for a children's health network
Domain
Healthcare administration / Managed care operations
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Managed care contract administration, HMO/POS/PPO and Medi-Cal payor structures knowledge, Microsoft Office proficiency (Word, Excel, PowerPoint), interdepartmental team leadership, operational issue resolution
Preferred skills
Commercial and governmental health services payor resources expertise, managed care strategies, basic finance and budget principles, presentation skills, Microsoft Access proficiency
Technologies
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access
Responsibilities
Review and analyze managed care contracts, implement managed care products, organize and implement educational forums, lead interdepartmental teams to operationalize contracts, resolve managed care operational issues, participate in developing operations support systems
Seniority
Mid-level, hands-on IC