- CenterWell (Lansing, MI)
- …+ A minimum of three years Medical Coding experience or similar (including IPA and Offshore coding management) + RHIA, RHIT, CCS, or CPC Certification + ... Ability to travel both locally and overnight. **Preferred Qualifications:** + Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint + Ability to communicate effectively and sensitively with clinicians and team… more
- Molina Healthcare (Detroit, MI)
- …with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/ IPA practice, capitation, HMO regulations, managed healthcare systems, quality ... improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE, CERTIFICATION,… more
- Marathon Petroleum Corporation (Detroit, MI)
- …tools such as Acumen Fuse, perform detailed logic audits, and benchmark against IPA standards. Ensure all schedules comply with MPC Standards & Procedures and ... readiness checklists. + Continuous Improvement and Standardization - Drive ongoing enhancements in scheduling practices through the implementation and reinforcement of MPC standards, systems, standard templates, and schedule readiness tools. + Coaching and… more
- CenterWell (Lansing, MI)
- …closely with Finance and Data teams * Coordinate with ACO Lead overseeing the IPA / Affiliate business segment * Adept at forming strong relationships with diverse ... teams and personalities through effective trust building and collaboration; highly organized, demonstrated ability to show meticulous attention to detail STANDARD REQUIREMENTS: 1. Supports the Mission, Value and Vision of CenterWell 2. Exhibits excellent… more
- University of Michigan (Ann Arbor, MI)
- …and deadlines + Prepare and process Intergovernmental Personnel Act ( IPA ) agreements + Coordinate with other collaborating institutions, departments, schools, ... Medical School Office of Research and U-M Office of Research and Sponsored Projects to ensure timely submission to sponsors + PAF submission via eResearch + Maintain documents for proposals + Prepare all types of Unfunded Agreements (UFAs) in eResearch +… more
- University of Michigan (Ann Arbor, MI)
- …and deadlines + Prepare and process Intergovernmental Personnel Act ( IPA ) agreements + Coordinate with other collaborating institutions, departments, schools, ... Medical School Office of Research and U-M Office of Research and Sponsored Projects to ensure timely submission to sponsors + PAF submission via eResearch + Maintain documents for proposals + Prepare all types of Unfunded Agreements (UFAs) in eResearch +… more
- Molina Healthcare (Detroit, MI)
- …Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing), and IPA . + 2 years supervisory/management experience with appeals/grievance and/or claims ... processing within a managed care setting. **Preferred Education** Bachelor's degree Previous Director experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina… more
- Molina Healthcare (Traverse City, MI)
- …Performance. * Assists Manager and/or Director in the negotiation of medical group/ IPA and hospital contracting. * Identified as contract system lead by developing ... and maintaining provider contracts in contract management software. * Supports network development throughout state to including researching, recruiting and negotiating with providers. * Participates in the evaluation of provider network and implementation of… more
- Cardinal Health (Lansing, MI)
- …new Payor contracts with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA , etc). Reporting to the Director of Managed Care, the Manager of Contracting ... is responsible for managing legal review, policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and aligns negotiation with strategy. **Essential Functions:** + In collaboration… more