- Banner Health (MI)
- …Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find many options for contributing to our award-winning patient ... its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized… more
- CVS Health (Lansing, MI)
- …an impact by: + Leading and developing the overall network and provider relations strategy for given area of responsibility (ie. defined geographic area) and drives ... and negotiating at the C-Suite level externally and internally in the payer arenas. + Developing, directing, and maintaining relationships with external and internal… more
- CVS Health (Lansing, MI)
- …with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with regulatory and contractual obligations. The Lead ... key liaison between Compliance, Legal, Network Contracting, and Provider Relations teams. **Required Qualifications** + A minimum of 7...Qualifications** + A minimum of 7 years of healthcare payer experience, with at least 5 years in provider… more
- St Croix Hospice (Troy, MI)
- …comprehensive working knowledge of markets including government agencies, major payer groups, key referral sources, and competitor's market positioning7. Enhances ... clients.3. Demonstrates good communications skills, negotiation skills, and public relations skills.4. Demonstrates autonomy, organization, assertiveness, flexibility and cooperation… more
- Evolent (Lansing, MI)
- …client and organizational objectives. **What You Will Be Doing:** **Account/ Relations Management** - provide corporate, executive and overall account management for ... initiatives, strategies, and developing/managing performance scorecards and action plans ( payer , provider, initiative, etc.). + Ability to travel as needed… more
- Integra Partners (Troy, MI)
- …and workflow changes. + Collaborate with internal partners (eg, Provider Relations , Quality) to resolve escalations and address utilization management issues. + ... setting. + Minimum 2 years of utilization management experience in a payer or managed care environment. + Strong understanding of utilization review, authorizations,… more
- Highmark Health (Lansing, MI)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to… more
- St Croix Hospice (Livonia, MI)
- …Maintains comprehensive working knowledge of markets including government agencies, major payer groups, key referral sources, and competitor's market positioning + ... + Demonstrates good communications skills, negotiation skills, and public relations skills. + Demonstrates autonomy, organization, assertiveness, flexibility and… more