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Managed Care Coordinator

Gundersen Health System · US

Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, apply today. Scheduled Weekly Hours:...

Job description

Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, apply today. Scheduled Weekly Hours: 40 We are hiring for a Managed Care Coordinator ! Emplify Health by Gundersen is seeking a detail-oriented and self-directed individual to support provider Medicare, Medicaid and Payor provider enrollment. This role works closely with internal teams and external payers to ensure accurate enrollment, compliance with regulations, and timely contract support. What’s Available: 1.0 FTE (40 hours weekly), Full-time Shift: Monday–Friday, 8am-4:30pm: Remote eligible role (must reside in WI, IA, or MN) Department: Managed Care: What You Will Do: Coordinate provider and facility enrollment, credentialing, and contracting processes with government and commercial payers Collect, maintain, and manage required documentation while ensuring regulatory and compliance standards are met Monitor payer policies, scorecards, and payment trends, and report findings to the Managed Care team Partner with Contract Specialists, Credentialing, Recruitment, providers, and internal teams to support new and existing contracts Maintain accurate electronic re...