Managed Care Coordinator
SPHS-Managed Care Services

The Managed Care Coordinator will:

• Deploy necessary education, services, and tools to achieve positive outcomes and practices' defined goals for the ACO and Value Based Programs
• Be the main point of contact for the ACO and Value Based Programs as well as the Executive Directors and Practice Site Managers.
• Disseminate payer reports on a monthly basis, for practice performance and gap closure from the ACO and Value Based Programs.
• Have the ability to collect, analyze and evaluate data from the ACO, Value Based Programs and the SPUH organization quality reports to develop and recommend improvement efforts.
• Establish and Maintain relationship with the ACO, Value Based Programs teams, and practice teams.
• Effectively measure clinical quality data through manual and electronic chart audit.
• Support management in contracting duties.
• Be responsible for other duties:
  • Prepare correspondence internally and externally
  • Document all revenue from value-based care and ACO
  • Fulfill all compliance responsibilities related to the position.
  • Maintain appropriate confidentiality of all documents.

Requirements:

• Bachelor's Degree in Healthcare Administration, Finance, or Public Health; or 3-5 years of experience in network management, Accountable Care Organizations with knowledge of value based programs, physician contracting and/or credentialing desired as well as working knowledge of CAQH (Council of Affordable Quality Healthcare) online physician credentialing and Microsoft Office.
• Must be detail orientated, organized, and maintain strict confidentiality.
• Must have excellent communication skills both verbal and written.

We offer competitive base rates that are determined by many factors, including job-related work experience, internal equity, and industry-specific market data. In addition to base salary, some positions may be eligible for clinical certification pay and shift differentials.

The salary range listed for exempt positions reflects full-time compensation and will be prorated based on employment status.

Saint Peter's offers a robust benefits program to eligible employees that will support you and your family in working toward achieving and maintaining secure, healthy lives now and into the future. Benefits include medical, dental, and vision insurance; savings accounts, voluntary benefits, wellness programs and discounts, paid life insurance, generous 401(k) match, adoption assistance, back-up daycare, free onsite parking, and recognition rewards.

You can take your career to the next level by participating in either a fully paid tuition program or our generous tuition assistance program. Learn more about our benefits by visiting our site at Saint Peter's.