Payor Contract Specialist

Location
Marshfield, Wisconsin
Posted
Nov 18, 2020
Closes
Dec 18, 2020
Ref
R-0005811
Job Type
Employee
Employment Status
Full Time

Marshfield Clinic Health System (MCHS) is an integrated health system serving Wisconsin with about 10,000 employees and over 1,200 providers comprising 86 specialties, health plan, and research and education programs. MCHS primary operations include Marshfield Clinic; Marshfield Medical Centers in Marshfield, Eau Claire, Ladysmith, Minocqua, Beaver Dam, Rice Lake, Park Falls, and Neillsville; Marshfield Children's Hospital; Marshfield Clinic Research Institute; Security Health Plan; and Marshfield Clinic Health System Foundation.

The Payor Contract Specialist works in cooperation with Payor Strategy and Network Contracting staff to monitor and support Marshfield Clinic Health System (MCHS) payor contracting to include implementation, compliance, and reimbursement. This individual will develop positive working relationships with contracted payors and serve as a liaison to the payor and a resource to internal MCHS staff.

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.

Requires:

  • Four years of experience in a medical group practice or health insurance/HMO environment
  • Experience with healthcare claims and insurance reimbursement methods, and understanding of contract terminology
  • Working knowledge of health care delivery systems and concepts of managed care
  • Demonstrated knowledge in Microsoft Office Suite to include excel and Access

Preferred/Optional:

  • Experience in payer and/or provider contracting, including professional services, facility, lab, Federally Qualified Health Centers, dental services, and financial analysis
  • Experience in value based contracting methodology

Working at Marshfield Clinic Health System, you will enjoy the following benefits:

  • Low cost of living within clean, safe environments
  • Stable communities and short commutes
  • Outstanding schools and affordable housing
  • Plenty of recreational activities for all four seasons
  • Easy access to Chicago, Madison, Milwaukee or Minneapolis/St. Paul
  • Comprehensive benefits package

Questions can be directed to Beth Westlund at westlund.bethany@marshfieldclinic.org

Apply directly through:

https://marshfieldclinichealthsystems.wd5.myworkdayjobs.com/en-US/External/job/Marshfield-WI/Payor-Contract-Specialist_R-0005811

Visit our the career center at:

https://www.marshfieldclinic.org/careers

Reference: Payor Contract Specialist

Marshfield Clinic Health System, 1000 North Oak Avenue, Marshfield, WI 54449

Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

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