Managed Care Coordinator jobs in Fresno, CA

Overview

*All positions are located in Fresno/Clovis CA*

We're looking for a Manager of Contracts for Managed Care to join our growing team! In your role, you will be integral to overseeing and supporting contracting activities and contract management functions for Community Health System and clients. We're looking for a team leader with exceptional communication skills who will provide direction and guidance to assigned staff. From interdepartmental relations and personnel management, to budget support, to fiscal control, you will be a key resource at various levels of our contracting activities. 

Community Health System is a locally owned, not-for-profit, public-benefit organization based in Fresno, California. Community is the region's largest healthcare provider and private employer. We operate a physician residency program with one of the nation's top medical schools – the University of California, San Francisco.

We are home to the only Level 1 Trauma Center and comprehensive burn center between Los Angeles and Sacramento and also serve as the area's "safety net provider." In fiscal year 2020, Community provided nearly $175 million in uncompensated services and programs.

Because we know our ability to provide the highest level of care begins with our incredible staff, we provide excellent benefits. On top of competitive pay, hearty retirement plans, and other core benefits, we provide extras like free concierge services to run your errands while you work, on-demand well-being, a free employee gym with free personal training, and more. 

Your Career at Community | Opportunity. Challenge. Growth.

Responsibilities

In your role, you will:

• Provide direction and supervision to assigned department staff in areas of contracting, contract management and provider relations.
• Be responsible for evaluating and negotiating contracts with health plans and other payors on behalf of the Community Health System and practice management clients.
• Act as a liaison with Patient Financial Services, physician offices and health plans to resolve contractual issues and ensure compliance with negotiated contractual terms.
• Be responsible for building and maintaining productive and positive relationships with physicians, office staff, facilities, brokers and health plans.
• Assign, direct and review the work of subordinates, manage staffing and scheduling functions to achieve department objectives.

Qualifications

Education

• Bachelor's Degree in Healthcare Administration, Business or related field required
• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate and 7 years of relevant experience may be substituted for Bachelor's Degree requirement

Experience

• 3 years of experience in managed care, physician office or health plan environments required

Click HERE to learn more about our awesome benefits offerings as well!

Disclaimers

• Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.