contract management coordinator - Wausau, United States - Aspirus

Description

Compassion. Accountability. Collaboration. Foresight. Joy.

These are the Aspirus Core Values ; and we are looking for the BEST around to join us as we demonstrate those values Every.

Single. Day.
Aspirus Health in Wausau, WI, is seeking a Contract Management Coordinator to join our team
Monitors and supports all ANI contracting efforts for implementation, compliance, and reimbursement.

Establishes positive working relationships with all ANI member organizations and contracted payors to effectively serve as a liaison between ANI and its respective ANI member administrators and providers and ANI contracted payors.

Continuously provides recommendations on policies, practices, and procedures to effectively and efficiently achieve ANI strategic objectives, as aligned with value-based contracting and clinical practices.

Hours:
Full Time or 1.0 FTE, 80 hours every 2 weeks, day shift
Attains detailed knowledge of all ANI contracted payor contract language terms, including reimbursement arrangements.
Monitors all ANI contracted payors' policies, programs, and procedures to assure compliance with contract terms.

Attains detailed knowledge of changing trends in healthcare regarding reimbursement methodologies, value-based / pay-for-performance strategies and benefit plan design (e.g., high deductible consumer directed plans).

Manages contract document execution and archival function, ensuring document integrity, confidentiality, and security.
Coordinates and manages scheduling and assists with preparation of work product for the ANI network strategy function including preparation of draft documents at the direction of ANI contracting staff
Serves as internal contact for all ANI member inquiries related to payor contracts, including general questions and reimbursement.

Establishes positive relationships with all ANI members to assure reimbursement is accurate and satisfaction with payor interpretation of contract terms.

Establishes positive relationships with all ANI contracted payors to assure ANI member needs and issues are resolved.
Communicates ANI contracted payor policies, programs, and procedures in a timely manner to ANI members.
Collaborates with ANI credentialing specialist on provider credentialing matters
Triage the provider change request forms.

Experience/Qualifications
Bachelors degree in business management, accounting, finance, or mathematics.

• 3 years of related experience

Proficiency in Microsoft Word, Outlook, and PowerPoint, as well as database management, e.g., Microsoft Excel and Access preferred.
Contracting management experience is preferred.
Health insurance plan or managed care experience beneficial.

Requires an individual who is self-motivated, self-directed and assumes responsibility over assigned work functions, accuracy, and ability to prioritize work to meet specified timeframes.

Basic group presentation skills beneficial, with the ability to communicate with administrators and physicians and different levels of management important.

Possesses good oral and written communication skills.
Strong customer service skills.
Is detail-oriented.
Employee Benefits

Full benefits packages available for part- and full-time status.
PTO accrual from day one
Generous retirement plan with match available.
Wellness program for employees and their families.
Aspirus Wausau Hospital

is the flagship of the Aspirus system that serves patients in 14 counties across northern and central Wisconsin, as well as the Upper Peninsula of Michigan.

It is a licensed private/not-for-profit facility with 325 beds and staffed by 350 physicians in 35 specialties.

Aspirus Wausau Hospital is a Level II trauma center that provides primary, secondary and tertiary care services as a regional referral center.

Specialty referral service emphasis exists in cardiology and cardiothoracic surgery, orthopedics and cancer. The hospital has an average daily inpatient census of 220 with approximately 15,000 admissions per year. Outpatient visits exceed 50,000 and there are also more than 24,000 annual emergency department visits.

To learn more about Wausau click the following link:

Wausau, Wisconsin

Best known for its world-class cardiovascular program, Aspirus Wausau Hospital also provides leading edge cancer, trauma, women's health, and spine and neurological care.

Our Mission :
We heal people, promote health and strengthen communities.

Our Vision :
Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.

As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.

Aspirus Health

is a non-profit, community-directed health system based in Wausau, Wisconsin. Its 11,000 employees are focused on improving the health and well-being of people throughout Wisconsin and Upper Michigan.

Aspirus serves communities through four hospitals in Michigan and 13 hospitals in Wisconsin, 75 clinics, home health and hospice care, pharmacies, critical care and air-medical transport, medical goods, nursing homes, and a broad network of physicians.

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Credentials:
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