- Molina Healthcare (MI)
- **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina ... caring manner.' **Knowledge/Skills/Abilities** * Under the leadership of the AVP, Provider Network Management & Operations, oversees development and… more
- Corewell Health (Grand Rapids, MI)
- …Master's Degree (MBA, MHA, MHP) + 5 years of relevant experience within provider network management, health care insurance or other health care delivery ... costs, cost-savings opportunities, best practices, provider performance issues, provider compensation and network expansion. + Support market specific… more
- Humana (Lansing, MI)
- …+ 5+ years of experience in healthcare operations, finance, medical economics and/or provider network management + 3+ years of experience HEDIS/Stars experience, ... improving consumer experiences **Preferred Qualifications** + Master's Degree + Provider Contracting experience **Additional Information** At minimum, a… more
- Rubrik (Lansing, MI)
- The MSP business is one of Rubrik's fastest growing segments. The Director of Americas MSP will be a highly visible and strategic role within the MSP organization. ... sales teams to identify and recruit new partnerships + Provide overview of partnership program to the field and...MSP specific pricing models + Onboard new partners with contracting through Rubrik and Distribution partners. + Enable MSP's… more
- Corewell Health (Grand Rapids, MI)
- …seniority and benefits. About the RoleAs Manager of Provider Network Contracting , you will partner with the Director to lead a team of professionals ... providers to ensure annual goals are achieved. + Provide advice/guidance/recommendations to corporate and regional executives and business...E Beltline Ave NE - Grand Rapids Department Name Provider Network Contracting - PH… more
- Molina Healthcare (St. Clair Shores, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- Prep Network (Grand Rapids, MI)
- …that create long-lasting memories for prep athletes What You'll Do As an Event Director with Prep Network , you'll take the lead in delivering high-quality, ... both on-site and behind the scenes. As the Event Director , you'll be the driving force that brings together...Why Contract with Prep Network At Prep Network , we take pride in contracting talented… more
- Molina Healthcare (Sterling Heights, MI)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial ... and system requirements of customers as it pertains to contracting and network management. **Job Duties** This...provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers… more
- Highmark Health (Lansing, MI)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Integra Partners (Troy, MI)
- The Senior Medical Director (Senior MD) serves as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. This is a ... Senior MD provides clinical oversight to the Utilization Review Medical Director (s), ensures consistent application of criteria, leads medical policy development,… more