[Hiring] Managed Care Coordinator @Gundersen Health System

Role Description

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.

• 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

Qualifications

• 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!

Requirements

• 1.0 FTE (40 hours weekly), Full-time
• Shift: Monday–Friday, 8am-4:30pm
• Remote eligible role (must reside in WI, IA, or MN)

Benefits

• Starting wage of $19.86/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

Company Description

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.

• Not-for-profit, patient-centered healthcare network
• Headquarters in Green Bay and La Crosse, Wisconsin
• 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
• Over 4,500 dedicated nurses and providers
• Committed to delivering primary, specialty and emergency care, along with innovative medical education programs