Managed Care Coordinator
Morrisville, Wake County, North Carolina, 27560, USA
Listed on 2025-12-22
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Healthcare
Healthcare Administration, Healthcare Management, Healthcare Consultant
Description
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well‑being of the unique communities we serve.
Summary:
The Managed Care Coordinator assists in the day‑to‑day activities of the Payer Policy Analytics function. This position will help coordinate and organize functions related to any Commercial, Medicare Advantage and Managed Medicaid policies that could potentially affect reimbursement across UNC Health, whether Hospital based billing or Physician based billing. Assists with sustaining relationship with members of managed care service providers. Assists with being a resource, answering questions and providing information about Reimbursement Policies that currently, or will in the future, affect UNC Health.
Responsibilities:
- Research, coordinate and analyze Payer Reimbursement Policies and associated updates on a regular basis. Provides summarized and necessary information to senior Analytic team members, including Contract Management leadership when required. Analyzes financial, contractual, and operational issues related to contracted payers. Organizes the analysis of payer reimbursement programs, and deciphers the potential revenue impacts to any affected UNC Health location, including Physicians.
- Provide assistance to the process of entering into Single Case Agreements within UNC Health, when necessary. Ensures that SCA terms meet guidelines established by Contract Managers and the UNC Health Legal department.
Other information:
Education Requirements:
- Bachelor's degree in relevant field
Licensure/Certification Requirements:
- No licensure or certification required.
Professional Experience Requirements:
- If Bachelor's degree, requires two (2) years of experience with managed care contracts and provider relations.
- If Associate's degree, requires six (6) years of experience with managed care contracts and provider relations.
- If High School diploma or GED, requires ten (10) years of experience with managed care contracts and provider relations.
- If Master's degree, requires zero (0) year of experience
Knowledge/Skills/and Abilities Requirements:
Job Details
Legal
Employer:
NCHEALTH
Entity:
Shared Services
Organization Unit:
Managed Care
Work Type:
Full Time
Standard Hours Per Week: 40.00
Salary Range: $28.59 - $41.09 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type:
Remote
Work Schedule:
Day Job
Location of Job: US:
NC:
Morrisville
Exempt From Overtime:
Exempt:
Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully‑owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
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