- Humana (Lansing, MI)
- …impact** **Required Qualifications** + 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts ... for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and frequently...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Molina Healthcare (Grand Rapids, MI)
- …equivalent combination of education and experience **Required Experience** * 5-7 years managed care experience, including min. 2 years of supervisory experience ... Association** N/A **Preferred Education** Bachelor's Degree **Preferred Experience** * 7+ years managed care experience * QNXT; SQL experience * Crystal Reports… more
- Molina Healthcare (Warren, MI)
- …or equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... level (or higher) **Preferred Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports… more
- Henry Ford Health System (Bingham Farms, MI)
- …to seven (7) years of leadership experience within integrated health systems and/or managed care organizations. + Exemplary oral and written communication skills ... innovative pharmacy solutions with clinical excellence, affordability, and patient-centered care . The Vice President is accountable for transforming pharmacy benefit… more
- Evolent (Lansing, MI)
- …professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care , or related healthcare consulting entity + Extensive ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Trinity Health (Livonia, MI)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... people, processes and / or programs that support direct or indirect patient care . The Pharmacy Manager - Operations promotes and advocates for patients, pharmacists… more
- University of Michigan (Ann Arbor, MI)
- …coding questions, responding to billing inquiries, and assisting with insurance authorizations and managed care related issues. + Work in basket messages. + Send ... patients, populations and communities through excellence in education, patient care , community service, research and technology development, and through leadership… more
- Prime Therapeutics (Lansing, MI)
- …account management, and strategy development experience in PBM, pharmacy, health plan and/or managed care + 10 years of leadership/people management experience + ... Develop a recurring process to solicit product, financial and contracting feedback from the market and establish a framework...& Experience** + Bachelor's degree in Finance, Business, Health Care Administration, or related area of study + 15… more
- Datavant (Lansing, MI)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... equipment procurement, repair, and installation, ensuring all assets are properly managed and maintained. + Conducts quality inspections, analyzes vendor scorecards… more
- Molina Healthcare (Troy, MI)
- …EXPERIENCE** : + 5-7 years of Program and/or Project management experience. + Managed Care experience. + Ability to independently manage multiple tasks or ... liaison between vendors, health plan and MHI national delegation oversight and contracting teams. + Manage department processes to monitor the performance of… more