Join the team at Chorus Community Health Plans: Where passion meets purpose

Are you ready to make a difference? Do you believe in the power of health insurance to change lives? At Chorus Community Health Plans, we don't just offer jobs, we offer opportunities to be part of something bigger, something that matters. By Joining our team, you'll become a vital force in improving access to healthcare, promoting health equity and strengthening communities. Join us in our mission to make quality healthcare accessible to all.

About us

Chorus Community Health Plans (CCHP) is not just another health insurance company; we are a community committed to transforming lives. Founded in 2005, CCHP is a trusted health maintenance organization (HMO) based in Wisconsin. We are a part of Children's Wisconsin, one of the state's most respected healthcare organizations. At CCHP, our core values - Purpose, Collaboration, Health, Innovation, and Integrity - drive us to provide exceptional service to the individuals, children, and families we serve.

Our programs

• BadgerCare Plus: CCHP, the second largest BadgerCare health plan in Wisconsin serves over 130,000 adults and children in 27 counties in eastern Wisconsin.

• Care4Kids: We're the pioneers of Wisconsin's Foster Care Medical Home initiative, providing vital health care coordination services to 2,800 children in out-of-home care in Southeastern Wisconsin. Through our "medical home" model, we strengthen care quality, access, and timeliness, shaping healthier futures for these children.

• Individual and Family Plans: Tailored to meet the diverse needs of individuals and families in a 15-county service area, our plans serve more than 13,000 members. Our extensive network, including renowned institutions like Ascension, Froedtert, and Medical College of Wisconsin, ensures comprehensive coverage both on and off the exchange.

What we offer

• Thriving work environment: Immerse yourself in a vibrant, inclusive, and collaborative workplace that fosters creativity and innovation.

• Competitive compensation: Enjoy a competitive salary and benefits package that values your skills and dedication.

• Exceptional team dynamics: Join a team recognized for its top-notch employee engagement scores, making every day a rewarding experience.

• Impactful contribution: Seize the chance to create a positive impact in the lives of others, turning your passion into a meaningful difference.

Your opportunity

We invite dedicated individuals to join our mission-driven organization. Be a part of something where your skills and enthusiasm translate into meaningful change. Discover a career where your passion meets purpose. Apply today and help us shape a healthier tomorrow.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/

Location: Remote but must be local to Milwaukee to attend training and meetings

This position ensures the accuracy and integrity of the provider database and monitors network compliance with State requirements. Ensures accuracy of high volume data and maintenance of provider demographic and contract files. Interprets provider contractual language and interprets guidelines independently. Maintains proper record keeping of all system support files. Acts as a liaison between health plan and providers and vendors.

Education

• Associates degree or equivalent experience in related field

Experience

• Data base experience/education

• 2 years claims processing and/or managed care experience

• 1+ years of related experience (provider relations, network management, customer service)

Knowledge / Skills / Abilities

• Exhibits guiding behaviors that reflect Children's values and support our mission and vision.

• Requires strong Excel knowledge, ability to analyze statistical data, and the ability to work on a variety of projects in an organized fashion.

• Strong critical thinking skills, attention to detail, and proven ability to effectively problem solve while utilizing all-encompassing customer service skill sets

• Must possess a strong knowledge of business and/or healthcare as normally obtained through provider relations experience or healthcare provider file maintenance experience

• Must have an understanding of managed care reimbursement strategies and methodologies for physicians, hospitals and ancillary providers.

• Ability to demonstrate an appropriate level of assertiveness in performing work responsibilities and in making work related experience

• Ability to work independently in a fast-paced environment, flexible and adaptable to changing situations

• Must be able to communicate effectively with others by speaking, reading, and writing

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.