Managed Care Contractor

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, IL, US
Base: $99,840.00-$164,736.00; bonus/equity: not sp...
Transplant contract negotiation experience
Single case agreement management
Out of state medicaid payer knowledge
The role focuses on negotiating Single Case Agreements for Transplants and managing Out of State Medicaid contracts to prevent financial loss

Job Summary

  • The role focuses on negotiating Single Case Agreements for Transplants and managing Out of State Medicaid contracts to prevent financial loss.
  • Candidates will serve as the primary contact for non-contracted HMO members and collaborate with Patient Financial Services to optimize billing and reimbursement.
  • Lurie Children's Hospital offers a comprehensive rewards package including medical benefits, 403(b) matching, and tuition assistance alongside competitive compensation.

Matching Summary

The role focuses on negotiating Single Case Agreements for Transplants and managing Out of State Medicaid contracts to prevent financial loss.

Salary

Base: $99,840.00-$164,736.00; Bonus/Equity: Not specified; Benefits: Comprehensive rewards package including health insurance and 403(b) match

Skills & Requirements

Must-have

  • Transplant contract negotiation experience
  • Single Case Agreement management
  • Out of State Medicaid payer knowledge
  • Profit and loss validation skills
  • EPIC system familiarity preferred

Nice-to-have

  • Nursing background or clinical experience
  • Strong analytical and communication abilities
  • Experience with Marketplace Exchange payers
  • Knowledge of No Surprise Billing Act

Key Requirements

  • Bachelor's degree required
  • 5 years healthcare managed care experience
  • Required transplant experience and familiarity
  • Masters degree preferred

Work Rights

Not specified

Tailored Resume

Cover Letter