Wheeler Staffing Partners Inc Hiring for Managed Care Finance Administration Manager Job at Dallas, TX Full Time

Wheeler Staffing Partners is seeking a Managed Care Finance Administration Manager in Dallas, TX. The Managed Care Finance Administration Manager will compile, analyze, and interpret financial claims level information for the Managed Care team. This is an ON-SITE position, you will be reporting to the Dallas office Mon-Fri. Apply today for ths great opportunity!

Managed Care Finance Administration Manager Responsibilities:

• Identify claims to submit to the IDR (Independent Dispute Resolution component of the NSA).
• Prepare and/or assist with development of IDR package submissions.
• Prepare and/or Assist with the ongoing submission of IDR packages.
• Track the outcomes of the IDR decisions.
• Manage / coordinate the workflow of IDR package submissions with Conifer and Managed Care Legal.
• Maintain and assist with NSA specific database.
• Develop / refine No Surprises Act Out of Network expected reimbursement consistent with new legislation going into effect on 1/1/2022.
• Analyze IDR outcomes and continually fine-tune out of network NSA pricing expectations.
• Perform research and analysis as required.
• Participate in special or ad-hoc projects.

Managed Care Finance Administration Manage Requirements:

• Exceptional Organizational and Communication skills.
• Bachelor’s degree, preferably in business, healthcare management or related field.
• 4-6+ years of relevant business experience.
• 2+ years of supervisory experience.
• Strong Microsoft Office Suite and Adobe Acrobat knowledge.
• Strong Microsoft Access / SQL and other software tools used for data management is a plus!
• Knowledge of Hospital Billing, Claims Adjudication, Managed Care Contracting and Database Analysis.
• Work onsite Monday – Friday in North Dallas

WSP specializes in filling your company’s contract, contract-to-hire, direct hire, contingency, and executive positions with professional candidates. From our Executive Retained Search Teams, Direct Hire and Contract Staffing Professionals, and RPO Service offerings we create models to deliver a world-class service, with a sense of urgency and professionalism. Our connections and our candidates combined with a staff backed by over 20 years of experience, ensure that our clients are seeing the right candidates for their career openings.

WSP is committed to creating a diverse environment and is proud to be an equal opportunity employer.

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