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Managed Care Contracting Jobs in Wisconsin (NOW HIRING)

integratedliving Australia Ltd

WI · On-site

$86 - $100/hr

The Network Contracting & Compliance Manager directs and supervises the provider network contracting and compliance function, ensuring that Integral Care's contracted external provider network meets ...

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Quartz

Senior Legal & Compliance Coordinator

Madison, WI · On-site

$72K - $90K/yr

Bachelor's degree and 4 years of experience in legal administration, compliance, contracting, vendor management, or grant writing in the managed care, health insurance industry, or legal field

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Managed Care Contracting information

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How much do managed care contracting jobs pay per year?

As of Sep 3, 2026, the average yearly pay for managed care contracting in Wisconsin is $89,580.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,200.00 and $104,500.00 per year, depending on experience, location, and employer.

What is managed care contracting?

A Managed Care Contracting job involves negotiating, developing, and managing agreements between healthcare providers and insurance companies or payers. Professionals in this role ensure that contracts align with regulatory requirements, financial goals, and patient care standards. They analyze reimbursement structures, fee schedules, and payment terms to optimize provider revenue while maintaining cost-effective care delivery. Strong negotiation skills, industry knowledge, and an understanding of healthcare regulations are essential for success in this field.

What does a managed care contracting professional do?

Managed Care Contracting professionals are primarily responsible for negotiating and managing agreements between healthcare providers and insurance companies or other payers. On a daily basis, you may analyze contract terms, review utilization data, prepare proposals, and collaborate with internal teams such as legal, finance, and operations. You'll also frequently communicate with external representatives to resolve contract disputes or clarify terms. This role requires a blend of strategic thinking and attention to detail to ensure contracts meet organizational goals and comply with regulatory requirements.

What skills and qualifications are needed for managed care contracting?

To thrive in Managed Care Contracting, you need strong analytical abilities, a solid understanding of healthcare reimbursement models, and experience with contract negotiation—often supported by a degree in healthcare administration, business, or a related field. Familiarity with contract management systems, claims processing software, and knowledge of government and commercial payer regulations is typically required. Excellent communication, relationship building, and problem-solving skills distinguish top performers in this field. These competencies are crucial for securing favorable terms, ensuring regulatory compliance, and maintaining productive partnerships between healthcare providers and payers.

What are the most commonly searched types of Managed Care Contracting jobs in Wisconsin?

The most popular types of Managed Care Contracting jobs in Wisconsin are:

What are popular job titles related to Managed Care Contracting jobs in Wisconsin?

For Managed Care Contracting jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Managed Care Contracting jobs in Wisconsin look for?

The top searched job categories for Managed Care Contracting jobs in Wisconsin are:

What cities in Wisconsin are hiring for Managed Care Contracting jobs?

Cities in Wisconsin with the most Managed Care Contracting job openings:

Managed Care Contracting jobs near you
Infographic showing various Managed Care Contracting job openings in Wisconsin as of August 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 100% In-person job distribution, with an average salary of $89,580 per year, or $43.1 per hour.

Contracting and Revenue Integrity Specialist

Mile Bluff Medical Center

Mauston, WI • On-site

Full-time

Re-posted 11 days ago

Mile Bluff Medical Center rating

6.7

Company rating: 6.7 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

638th of 1,064 rated hospitals

Job description

General Information:
Job title: Contracting and Revenue Integrity Specialist
Schedule: 80 hours per pay period; Monday - Friday - 8:00am to 4:30pm
Weekend Requirement: No weekends
Holiday Requirement: Paid holidays
Position Summary:
The Contracting and Revenue Integrity Specialist supports the Chief Financial Officer in managing payer contracting activities, reimbursement analysis, and revenue optimization initiatives for the hospital and affiliated clinics, nursing homes, and retail pharmacies. The position is responsible for maintaining the organization's Charge Description Master (CDM), monitoring reimbursement performance, supporting contract negotiations, and ensuring compliance with applicable billing and regulatory requirements.
This role serves as a key liaison between Administration, Finance, Patient Financial Services, Clinic Operations, Compliance, and Clinical Departments to promote accurate charging, maximize reimbursement, and maintain the financial integrity of Mile Bluff Medical Center services.
Position Responsibilities:
  • Assist the CFO by coordinating negotiation, renewal, and implementation of managed care contracts with commercial insurers, Medicare Advantage plans, Medicaid Managed Care Organizations, and other payers.
  • Review care agreements and analyze reimbursement methodologies, fee schedules, and payment policies.
  • Perform financial analyses to assess the impact of proposed contract terms and reimbursement changes.
  • Maintain payer contract files, renewal schedules, and reimbursement documentation.
  • Develop reimbursement and contract performance reports. Prepare reports and recommendations for CFO regarding contract performance and reimbursement trends.
  • Maintain and update the medical center Charge Description Master (CDM).
  • Coordinate annual and ongoing reviews of charge structures, HCPCS, CPT, revenue codes, and pricing. Ensure compliance with Medicare, Medicaid, commercial payer, and regulatory billing requirements.
  • Collaborate with department leaders to establish charges for new services, procedures, equipment, and supplies. Monitor coding and billing changes impacting charge capture and reimbursement.
  • Identify opportunities to improve charge capture and reimbursement accuracy.
  • Monitor compliance with billing regulations and payer requirements.
  • Analyze reimbursement impacts related to new services and programs.
  • Support regulatory audits and documentation requests.
  • Coordinate enrollment, revalidation, and maintenance activities for hospital and clinic providers with Medicare, Medicaid, commercial payers, and managed care organizations.
  • Add newly hired providers to managed care contracts and payer networks in a timely manner to prevent reimbursement delays.
  • Serve as the organization's primary administrator for Medicare Provider Enrollment, Chain, and Ownership System (PECOS) activities. Maintain hospital, clinic, and provider enrollment records within PECOS.
  • Maintain organizational and provider enrollment records within Wisconsin Forward Health.
  • Coordinate Medicare, Medicaid, and Commercial payer revalidations, ownership updates, provider additions and deletions, practice location changes, and other enrollment actions.
  • Perform other duties as requested.

Position Requirements:
  • Associate degree in Business Administration, Accounting, Healthcare Administration preferred.
  • Minimum three years of experience in healthcare finance, reimbursement, managed care contracting, chargemaster management, revenue integrity, revenue cycle, or related healthcare operations required.
  • Experience with Rural Health Clinics or rural healthcare organizations preferred.

Knowledge, Skills, & Abilities
  • Knowledge of hospital and clinic reimbursement methodologies.
  • Understanding of Medicare, Medicaid, commercial insurance, and managed care contracts.
  • Knowledge of chargemaster maintenance, charge capture, CPT/HCPCS coding, and revenue codes.
  • Strong analytical and financial modeling skills.
  • Advanced proficiency in Microsoft Excel and healthcare financial reporting tools.
  • Ability to interpret contractual language and reimbursement methodologies.
  • Strong organizational, communication, and project management skills.
  • Ability to manage multiple priorities and work independently.

Why Mile Bluff Medical Center?
Mile Bluff Medical Center is a place where people come first. Our team is comprised of caring, patient-centered professionals serving pediatric through geriatric populations in our rural community. Our not-for-profit organization prides itself on providing state-of-the-art healthcare services, a positive work environment, and a team where employees feel valued and supported. Mile Bluff is an independent organization that offers competitive wages, great benefits and the opportunity for growth. Mile Bluff makes decisions for its employees and patients locally without relying on a large health system in another community.

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