Managed Care Contract Specialist job – NorthShore University HealthSystem – Skokie, IL

Managed Care Contract Specialist

NorthShore University HealthSystem

79 reviews


Skokie, IL

Full-time, Contract

We are currently seeking a Managed Care Contract Specialist for our Business Services Department located in Skokie, IL. This is a full-time position and is benefits eligible. Hours will be scheduled Monday-Friday.

This position provides analytical and systematic support as part of the Managed Care Department. This includes leading the contract modeling, account receivable net down initiatives for Hospital Billing, departmental data needs, resolution of contract compliance issues, develop and maintenance of contract information resources and other communication mechanisms for distribution to key internal constituencies: provide clarification in regard to contract terms; establish strong working relationships with key contacts at payor organizations. Identify internal system limitations, issues, etc and partner with Information Systems for resolution.

Responsibilities

In this role, you will:

  • Contract Modeling Data Forecasting for hospitals and Employed Physician Groups
  • Maintain the Hospital Contract Management System for current contracts
  • Extract data, reporting and analysis
  • Manage Care Negotiations
  • Update and develop contracting decision making tools
  • Monitor, track and communicate health plans

Qualifications

Our ideal candidate will have:

  • Associates Degree with 4 years of managed care experience/Bachelor’s degree preferred
  • 2-3 years of business and/or healthcare experience required
  • Familiarity with managed care terms
  • Strong analytical ability
  • Strong Systems and Data Management skills
  • Strong interpersonal and business writing skills
  • Proficiency in Word, Excel and some Access

    #LI-DK1

Primary Location
:
USA-IL-Skokie

Work Locations
:
4901 Searle Parkway-Corporate : SKOK-1000

60077

Job
:
NorthShore Jobs

Organization
:
Corporate

Full-time

79 reviews

NorthShore University HealthSystem provides care to residents of Chicago’s north side and its suburbs. The health system operates hospitals,…

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