Admin Specialist Inter Health

University of Michigan; Michigan; On-site; USD 65,000 - 90,000; Full time

Job summary

The University of Michigan is seeking a Managed Care Payer Specialist to support day-to-day operations of payer contracts across three health systems. You will help coordinate payer communications, monitor updates, and produce updates and presentations for various functional areas.

The role emphasizes clear communication, collaboration, and adherence to evolving payer policies within a hybrid work setting. Applicants should have an associate degree in a related field and at least three years in

Qualifications

• Associate's degree in healthcare administration, business, or related field.
• Minimum of three years in healthcare or managed care.
• Excellent written and verbal communication.
• Strong interpersonal skills with diverse stakeholders.
• Proficient in Microsoft Office.
• Detail-oriented with strong organization and time management.
• Hybrid work environment experience.
• Payer communications experience.

Responsibilities

• Collect and coordinate communications based on information from external payers.
• Monitor, review for appropriateness, and respond to payer updates via department email.
• Review updates against contractual appropriateness and disseminate by functional areas for all three health sites.
• Collaborate to create and distribute periodic update reports for all functional areas.
• Create newsletters, FAQs, and presentations tailored to applicable areas.
• Communicate changes in payer policies, regulations, and compliance requirements.
• Assist in developing a comprehensive payer communication strategy for updates.
• Collaborate to ensure accurate and timely dissemination of payer-related information.
• Analyze communication strategy effectiveness and gather feedback to measure engagement.
• Assist multiple areas with payer-related issues.
• Participate in payer Joint Operating Committee Meetings.
• Assist in oversight of the department email box by reviewing and responding to inquiries.
• Other duties as needed.

Skills

Written and verbal communication

Interpersonal skills

Payer communications

Time management

Detail-oriented

Hybrid work experience

Independent/team collaboration

Education

Associate's degree in healthcare administration or related field

Bachelor's degree preferred

Tools

Microsoft Excel

PowerPoint

Microsoft Word

Job description

The Managed Care Contracting and Operations Office is responsible for the negotiation, implementation, administration, and operations of managed care agreements on behalf of Michigan Medicine, Sparrow Health System, and UMHWest with all payers. The Managed Care Payer Specialist will report to the Manager, Managed Care Operations and will assist in supporting the department with the day-to-day operations of all payer contracts for all three health systems. The Managed Care Payer Specialist plays a vital role in ensuring transparent and effective communication between the managed care organization and its payers, contributing to positive relationships, and the overall success of the organization's managed care programs.

Responsibilities*

• Collect and coordinate communications based on information received from external payers.
• Monitor, review for appropriateness, and respond to payer updates communicated to the department email inbox in a timely manner.
• Review updates against contractual appropriateness, organize and disseminate information by functional/operational areas for all three health sites.
• Collaborate with the Manager, Managed Care Operations to create and distribute periodic update reports for all functional/operational areas.
• Create succinct and informative content, such as newsletters, FAQs, and presentations tailored to all applicable functional/operational areas.
• Communicate changes in payer policies, regulations, and compliance requirements to impacted departments, ensuring they are informed of appropriate updates.
• Assist Manager, Managed Care Operations with developing a comprehensive and efficient communication strategy for payer update(s) distribution.
• Collaborate with the Manager, Managed Care Operations to ensure accurate and timely dissemination of payer-related information.
• Analyze communication strategy effectiveness, gathering feedback to measure engagement and satisfaction levels.
• Assist multiple areas within Michigan Medicine, Sparrow Health System, and UMHWest on payer related issues.
• Participate in payer Joint Operating Committee Meetings (JOC) to ensure creation/dissemination of pertinent information is achieved.
• Assist in the oversight of the departments email box by reviewing, investigating, and responding to various inquiries.
• Other duties as needed and/or assigned

Required Qualifications*

• Associate's degree in healthcare administration, business, or related field.
• Minimum of three (3) years of experience working in the healthcare industry or managed care organizations.
• Excellent written and verbal communication skills, with the ability to convey complex information clearly and effectively.
• Strong interpersonal skills and ability to build and maintain relationships with diverse stakeholders both internal and external.
• Proven experience in payer communications within the healthcare or managed care industry.
• Proficiency in Microsoft Office Suite, including but not limited to Microsoft Excel, PowerPoint, and Word.
• Detail-oriented with strong organizational, time management, and decision-making skills.
• Ability to work both independently and as part of a team environment in a hybrid environment.
• Ability to manage multi-faceted tasks in a fast- paced work environment while maintaining the level of detail critical to managed care operations.

Desired Qualifications*

• Bachelor's degree in healthcare administration, business, or related field is preferred. Equivalent work experience is acceptable.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes .

U-M EEO Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.