- University of Michigan (Ann Arbor, MI)
- …Presidents of Finance (VPF), Chief of Revenue Cycle, Chief of Contracting and Managed Care , and the Senior Director of Reimbursement.Reporting to the ... forecasts using different scenarios.Working with the Chief of Contracting and Managed Care and Senior Director of Reimbursement to update the model and… more
- Molina Healthcare (MI)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- University of Michigan (Ann Arbor, MI)
- …Vice Presidents of Finance, Chief of Revenue Cycle, Chief of Contracting and Managed Care , Senior Director of Reimbursement, and others). + Serving as ... Senior Director of Accounting Apply Now **Job Summary** The...patients, populations and communities through excellence in education, patient care , community service, research and technology development, and through… more
- Molina Healthcare (MI)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Highmark Health (Lansing, MI)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
- Molina Healthcare (Grand Rapids, MI)
- …+ 10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization decisions are...Director + Demonstrated experience in Utilization/Quality Program management +… more
- Molina Healthcare (Grand Rapids, MI)
- …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
- Evolent (Lansing, MI)
- …professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care , or related healthcare consulting entity + Extensive ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Molina Healthcare (Ann Arbor, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Henry Ford Health System (Troy, MI)
- …in Microsoft Word and Excel. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union Code: ... Reporting to Director or Manager, assist in the development of...provider relations or provider reimbursement experience. + Knowledge of managed care organizations and integrated health systems.… more