- Molina Healthcare (Detroit, MI)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina… more
- Trinity Health (Livonia, MI)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... **This position will require 25% to 45% travel.** **POSITION PURPOSE** The Pharmacy Director Long Term Care Operations is a licensed registered pharmacist… more
- Bausch + Lomb (Detroit, MI)
- …sound business practices to effect appropriate changes to issues affecting Managed Markets including contracting , formulary access, product distribution, ... **Overview** Through depth and breadth of customer and industry knowledge, the ** Director , National Accounts** will be responsible for aiding in the development of… more
- McLaren Health Care (Flint, MI)
- …a Director , Accounting to join in leading the organization forward. MHP is a Managed Care Organization dedicated to meeting the health care needs of each ... field. + Experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (eg accounting/finance, reinsurance, EDI, marketing, administration, medical… more
- Molina Healthcare (Ann Arbor, MI)
- …including clinical practice in behavioral health and at least 3 years as a medical director in a managed care setting supporting utilization management and ... multi-state licensure. 5 years in behavioral health-specific managed care leadership. + Experience with value-based contracting , fraud/waste/abuse… 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
- Corewell Health (Grand Rapids, MI)
- …Preferred + 5 years of relevant experience Strong contextual knowledge related to managed care , provider reimbursement models, national health care trends ... Health - 1239 E Beltline - Grand Rapids Department Name Value Based and Affiliate Contracting - PH Managed Benefits Employment Type Full time Shift Day (United… more
- Molina Healthcare (St. Clair Shores, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated delivery… more
- Molina Healthcare (Sterling Heights, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy...large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider… more
- Corewell Health (Grand Rapids, MI)
- …advancement while maintaining seniority and benefits. About the RoleAs Manager of Provider Network Contracting , you will partner with the Director to lead a team ... emphasis on improving quality and the patients' experience of care , while reducing the cost of care ....Ave NE - Grand Rapids Department Name Provider Network Contracting - PH Managed Benefits Employment Type… more