- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting , Reimbursement, or related ... + Five to seven (5-7) years of experience in healthcare finance, managed care contracting , or reimbursement in a professional capacity including experience… more
- Cardinal Health (Lansing, MI)
- …-National Accounts is responsible for regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this ... relationships with national account (regional retail chain pharmacy) customers regarding managed care contracting + Take ownership of customer issues and… more
- Henry Ford Health System (Detroit, MI)
- …effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting / Revenue Cycle. . Collaborates ... or clinically integrated network setting. . Strong understanding of managed care contracting language, value-based terms, and regulatory requirements.… more
- Henry Ford Health System (Detroit, MI)
- …to ensure value-based revenues are accurately modeled and recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement ... team structures, improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic CIN. This leader… 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
- AmeriHealth Caritas (Southfield, MI)
- …+ Master's Degree preferred. + 10 or more years of experience years of managed care provider contracting and reimbursement experience, including in-depth ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- Humana (Lansing, MI)
- …of Associate's Degree + 4 or more years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience ... excellence. The Provider Engagement Executive will work with value based Primary Care Physicians and has the potential to work with value-based Specialty programs… more
- Humana (Lansing, MI)
- … contracting in a healthcare company + Experienced in negotiating managed care contracts + Proficiency in analyzing, understanding, and communicating ... community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Henry Ford Health System (Grand Rapids, MI)
- …of computer systems and personal computers. + Knowledge and experience of a managed care organization's operations are required. + Knowledge of physician ... for focused projects within the department relating to provider contracting . + Perform other related duties as assigned. HAP...preferred. + Minimum of two (2) years of health care experience required. + Minimum of two (2) years… more
- Cardinal Health (Lansing, MI)
- …lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship ... teams. The role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions.… more