Managed Care Coordinator

LOVE + MEDICINE IS WHO WE ARE, IT'S WHAT WE DO, IT'S WHY PEOPLE WANT TO WORK HERE. IF YOU’RE LOOKING FOR A JOB TO LOVE, APPLY TODAY.

Scheduled Weekly Hours:

40

We are hiring for a Managed Care Coordinator! Emplify Health by Gundersen is seeking a detail-oriented and self-directed individual to support provider Medicare, Medicaid and Payor provider enrollment. This role works closely with internal teams and external payers to ensure accurate enrollment, compliance with regulations, and timely contract support.

WHAT’S AVAILABLE:

* 1.0 FTE (40 hours weekly), Full-time

* Shift: Monday–Friday, 8am-4:30pm

* Remote eligible role (must reside in WI, IA, or MN)

* Department: Managed Care

WHAT YOU WILL DO:

* Coordinate provider and facility enrollment, credentialing, and contracting processes with government and commercial payers

* Collect, maintain, and manage required documentation while ensuring regulatory and compliance standards are met

* Monitor payer policies, scorecards, and payment trends, and report findings to the Managed Care team

* Partner with Contract Specialists, Credentialing, Recruitment, providers, and internal teams to support new and existing contracts

* Maintain accurate electronic records, prepare reports, and communicate issues, progress, and solutions to leadership

WHAT YOU WILL GET:

* Starting wage of $20.31/hr + more for experience!

* Comprehensive healthcare and retirement benefits

* Supportive leadership and collaborative team environment

* Opportunity to work in a complex healthcare system and grow managed care expertise

* Work/life balance in a mission‑driven organization

WHAT YOU NEED:

* Associate degree in Business, Healthcare, or a related field

* 2 years of experience in managed care, business, healthcare, or a related field required

* 1 year of experience in a managed care environment preferred

* Strong accuracy, attention to detail, organization, and computer skills are essential!

* CAH Medicare, Medicaid and payor provider enrollment experience is a plus!

EMPLIFY HEALTH IS COMPRISED OF TWO OF THE MIDWEST’S MOST RESPECTED HEALTHCARE SYSTEMS, BELLIN HEALTH AND GUNDERSEN HEALTH SYSTEM. ONCE NEIGHBORS, WE ARE NOW PARTNERS, UNITED IN OUR MISSION TO PROVIDE EXCEPTIONAL CARE TO OUR COMMUNITIES. AS A NOT-FOR-PROFIT, PATIENT-CENTERED HEALTHCARE NETWORK, WE HAVE HEADQUARTERS IN GREEN BAY AND LA CROSSE, WISCONSIN. OUR EXTENSIVE NETWORK INCLUDES 11 HOSPITALS AND MORE THAN 100 CLINICS, SERVING 67 CITIES AND RURAL COMMUNITIES ACROSS WISCONSIN, IOWA, MINNESOTA AND MICHIGAN’S UPPER PENINSULA. WITH OVER 4,500 DEDICATED NURSES AND PROVIDERS, WE ARE COMMITTED TO DELIVERING PRIMARY, SPECIALTY AND EMERGENCY CARE, ALONG WITH INNOVATIVE MEDICAL EDUCATION PROGRAMS. JOIN US IN MAKING A MEANINGFUL DIFFERENCE IN THE LIVES OF OUR PATIENTS AND COMMUNITIES.

If you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org [HR-Recruitment@gundersenhealth.org] or call 608-775-0267.

We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values — belonging, respect, excellence, accountability, teamwork and humility — our pillars set our foundation and our future.

Equal Opportunity Employer