What are the responsibilities and job description for the Managed Care Consultant - REMOTE position at Mercy?
We’re a Little Different
Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.
At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”
Overview:
The Managed Care Consultant has knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis. Managed Care Consultant should have strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail. Must be knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO and POS. Experience in successful operationalizing managed care contracts.
Qualifications:
- Experience: A minimum of 3 years' experience in Managed Care where organizational and interpersonal skills involving physicians, administration, and other healthcare professionals required.
- Required Education: Bachelor's Degree in Business Administration, management or healthcare-related field.
- Other: Strong working knowledge of health plan business functions and activities.- Strong analytical and problem-solving skills.- Demonstrated ability to work independently and manage multiple projects simultaneously.- Strong oral and written communication skills; ability to interact within all levels of the organization.- Ability to structure and visualize information to drive decision-making and execution. Familiarity with healthcare, particularly Medicaid, Commercial and/or Medicare managed care.
We Offer Great Benefits:
Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!
We’re bringing to life a healing ministry through compassionate care.
At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.
What Makes You a Good Match for Mercy?
Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.
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