Sr. Transplant Coordinator (Care Coordination) - Remote
$60,000–$70,000 year
RemoteUnited States
Job Summary
Resolve department escalations by collaborating with internal departments and vendors, and represent the team in cross-functional meetings to provide strategic insights. Lead vendor relationships and drive process improvements while acting as a subject matter expert for transplant claims and contracts. Ensure claims are priced and paid correctly by working with the Claims Team and vendors, then document complex systems and workflows for Case Management, Specialty Rx, and elevated reviews. Provide guidance on all process enhancements and deliver training to internal staff and external clients as needed. Serve as a backup for the Case Management Supervisor, offering support on complex problem-solving and stakeholder communication.
Required Qualifications
- Bachelor's degree in a relevant field
- 3 or more years related experience in healthcare/health insurance
- Comfortable with advanced medical terminology
- Organ transplant specialization and significant experience in contract negotiation
- Strong leadership, communication, and collaboration skills
- Intermediate level work experience with Microsoft Office, Word, and Excel Access and Power Point software applications
- Internet connection through cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload
- Reliable internet service
Desired Qualifications
- Experience as a transplant coordinator
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