Managed Care Liaison Senior
Managed Care Liaison Senior
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
$ 65520 - 107120
1 Vacancy
Job Description
Ann & Robert H. Lurie Childrens Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology research and familyfriendly design. As the largest pediatric provider in the region with a 140year legacy of excellence kids and their families are at the center of all we do. Ann & Robert H. Lurie Childrens Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
Location
Job Description
#1 For a Reason:
At Lurie Childrens we understand that caring for kids takes more than medicine. From diagnosis through treatment it requires compassion and understanding that kids do best when they get to be kids. With a team of worldrenowned pediatric experts and kidfriendly care theres a reason were ranked the #1 childrens hospital in Illinois.
Managed Care Liaison Senior:
Responsible for the daytoday operations of CIN valuebased contracts and developing and maintaining strong relationships with the CIN provider network. The Senior Managed Care Liaison collaborates with the CIN leadership team payers Lurie Childrens administrators and subspecialists and community physicians (and their practice leadership) to achieve departmental and customer service goals. Reporting to the Manager of Network Operations this role is essential to ensuring compliance with contract requirements supporting CIN network operations and leading business development.
Essential Job Functions:
- Serves as the primary contact for CIN providers acting as a liaison between physicians and payers for investigation and resolution of billing issues network management (i.e. provider rosters) and tracking/distribution of fee schedules.
- Assist in valuebased contract negotiations through financial analysis and contracted rate reviews; facilitate discussions around analysis and implementation of contracts based on existing innetwork agreements; proactively identify outofnetwork opportunities.
- Conduct ad hoc analyses as requested by senior leadership related to contract financial data market assessments and demographic trends.
- Manages the CIN network and payer rosters including auditing enrollment files and provider attribution and reconciling monthly contract revenue in accordance with CIN contracts; maintain provider hierarchy in data aggregation tool to support correct attribution of lives
- Develop and consistently update tools for both marketing the value of CIN participation as well as communication with CIN physician members.
- Cultivate effective working relationships with crossfunctional departments such as Finance Legal Physician Services Medical Staff Office Revenue Cycle and Finance
- Responsible for onboarding new practices updating and maintaining the CIN provider database ensuring completion of required documentation for new practices and maintaining the integrity of the rosters for payer contracts.
- Collaborate with provider practices and credentialing organizations at Lurie Childrens Medical Group CCPA and Lurie Childrens Hospital to ensure that providers are credentialed in accordance with policies and procedures.
Minimum Qualifications:
- Bachelors degree required masters degree preferred.
- Minimum of 4 years experience in health care environment with experience in valuebased care or managed care.
- Understanding of health insurance operations highly preferred.
- Excellent closedloop communication with the ability to consistently maintain efficient follow up with necessary stakeholders regarding ongoing and outstanding subjects.
- Strong interpersonal skills with the ability to effectively collaborate with physicians administrators and external stakeholders; ability to understand and convey key points related to valuebased care models.
- Demonstrated ability to successfully handle multiple projects simultaneously to meet strict deadlines.
- Demonstrated competency and accuracy working with spreadsheets database and mainframe applications.
- Ability to take initiative by identifying problems conceptualizing solutions to the problems and implementing change at all levels throughout the organization.
- Ability to work independently as well as collaboratively with people from all levels of the organization. Selfdirected in developing new knowledge and skills.
- Proficient in the use of MS Office Applications with emphasis on Excel and spreadsheet management.
- Ability to work remotely with minimum oversight.
What we offer you:
In addition to competitive pay and benefits there are numerous opportunities for advancement as well as continuing education grand rounds free elearnings on site masters degree programs scholarship programs BCEN voucher programs conference reimbursement and more! You tell us where you want to be in your career and we will help you get there!
Education
Bachelors Degree (Required) Masters DegreePay Range
$65520.00$107120.00 SalaryAt Lurie Childrens we are committed to competitive and fair compensation aligned with market rates and internal equity reflecting individual contributions experience and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions.In addition to base salary Lurie Childrens offer a comprehensive rewards package that may include differentials for some hourly employees leadership incentivesfor select roles health and retirement benefits and wellbeing programs. For more details on other compensation consult your recruiter or click the followinglink to learn more about our benefits.
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO) Paid Holidays and Paid Parental Leave
403(b) with a 5 employer match
Various voluntary benefits:
Supplemental Life AD&D and Disability
Critical Illness Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Childrens facilities
Discount purchasing program
Theres a Place for You with Us
At Lurie Childrens we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds skills and viewpoints recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly appreciate differences and make meaningful connections that foster belonging and allyship. This is a place where you can be your best so we can give our best to the patients and families who trust us with their care.
Lurie Childrens and its affiliatesare equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race color sex sexual orientation gender identity or expression religion national origin ancestry age disability marital status pregnancy protected veteran status order of protection status protected genetic information or any other characteristic protected by law.
Employment Type
Full-Time
