- Centene Corporation (Lansing, MI)
- …years of Provider Contracting or Provider Affairs in a healthcare and/or managed care environment. Knowledge of contracting language and the principles ... markets. + Initiate and manage provider data process improvements including contracting models, provider reimbursement, and risk modeling. Collect, track, prepare,… more
- Cardinal Health (Lansing, MI)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... teams. The role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions.… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting , Reimbursement, or related ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting , or reimbursement… more
- Corewell Health (Grand Rapids, MI)
- …career growth and advancement while maintaining seniority and benefits. About the RoleAs Manager of Provider Network Contracting , you will partner with the ... emphasis on improving quality and the patients' experience of care , while reducing the cost of care ....Ave NE - Grand Rapids Department Name Provider Network Contracting - PH Managed Benefits Employment Type… more
- Molina Healthcare (Jackson, MI)
- …position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage complex providers, including ... Resolves complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. * Responsible… more
- Sedgwick (Lansing, MI)
- …: To negotiate and/or renegotiate medical contracts for multiple lines of business in managed care markets. Grow the network by recruiting new medical groups and ... Negotiates hospital and medical group contracts for multiple lines of business in the managed care markets. + Analyzes market data and financial models. +… more
- Molina Healthcare (St. Clair Shores, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated delivery… more
- Molina Healthcare (Sterling Heights, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more
- University of Michigan (Ann Arbor, MI)
- …for Quality Assurance (NCQA), URAC, state and federal regulators, and all managed care payers. Manages and coordinates all appointment/reappointment, and ... permanent staff that include credentialing specialists, database administrator, project manager , and administrative assistant + Makes decisions on hiring,… more