- Centene Corporation (Lansing, MI)
- …the state of Michigan. **Position Purpose:** Oversee activities of the provider contracting , network development and/or provider relations functions and aid in ... contracting strategies to meet goals and objectives + Oversee contracting and network development staff and external consultants in the development of… more
- Highmark Health (Lansing, MI)
- …drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health ... to make improvements based on data and market research. Working closely with Contracting and Provider Relation Leaders and others across the enterprise to develop… more
- Hilton (Lansing, MI)
- …receive the combined benefits of scale, access, competence, and experience\. As a Director , Global Airline Partnerships _,_ you will support the team responsible for ... relationships with hotels and management groups and drive hotel need strategies\. + Network with sub account handlers and global leads where relevant\. + Ensure… more
- Molina Healthcare (Detroit, MI)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Traverse City, MI)
- …must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... provider information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy,… more
- Molina Healthcare (Warren, MI)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... combination of education and experience **PREFERRED EXPERIENCE** : 3+ years in Provider Network contracting To all current Molina employees: If you are… more
- Black & Veatch (Ann Arbor, MI)
- …of professionals with a portfolio of multiple proposals with differing revenue, contracting structures, complexities and schedules at a given time. **Black & ... leadership, while gaining exposure to all client types, delivery methods, contracting models and project risk profiles. Professionals in this role interface… more
- CVS Health (Lansing, MI)
- …the Medical Management stakeholders both internally (UM/CM, Pharmacy, Quality, network , compliance, VBS team) and externally (Agency, regulators, providers, ... of members and providers. 3. Coordinate with the Population Health Management Director and provide clinical leadership on population health. 4. Building and… more
- Molina Healthcare (Detroit, MI)
- …receiving BHT treatment. * Provides peer to peer consultation to BHT in- network providers to support treatment planning and maximize member progress * Performs ... to evaluate effectiveness and treatment efficacy. * Collaborates with Provider contracting and Providers Services to support recruitment and provider relations in… more
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