- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as ...Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). +… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Drive provider network strategies and solutions to improve outcomes and decrease medical expense trends. Develop and implement network engagement ... experience + 5 years of relevant experience of either provider network management experience, health care insurance...Rapids Department Name PH - Value Based and Affiliate Contracting Employment Type Full time Shift Day (United States… more
- Molina Healthcare (Ann Arbor, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider ...business results. * Trains and monitors newly hired Contract Specialist (s). * Participates with the management team and other… more
- Cognizant (Lansing, MI)
- …lead to improved process and end-user experiences for everyone. The CIS Service Line Specialist will provide deep expertise in one or more of hyperscale and ... Solutions is currently seeking a highly skilled **Service Line Specialist - CIS** who will be a part of...digital strategies to drive business growth and innovation. . Provide technical expertise in Cloud, Infrastructure areas to ensure… more
- Huntington National Bank (Traverse City, MI)
- Description Summary: As an Area Customer Experience Specialist (ACES), you will provide a best-in-class experience to both customers and colleagues, supporting ... to help progress colleagues in their career. An Area Customer Experience Specialist is a financial concierge for our walk-in customers. You are responsible… more
- Deloitte (Detroit, MI)
- …deploy, and operate integrated/verticalized sector solutions in software, data, AI, network , and hybrid cloud infrastructure. These solutions are powered by ... unique requirements. Recruiting for this role ends on 11/30/2025 Work You'll Do A Specialist Master at Deloitte has deep expertise in a subject area and works within… more
- Molina Healthcare (Sterling Heights, MI)
- …adherence to business and system requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing, prior ... business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage amount and benefit interpretation within the audit… more
- Henry Ford Health System (Troy, MI)
- …preferred. Additional Information + Organization: HAP (Health Alliance Plan) + Department: Provider Network Operations + Shift: Day Job + Union Code: ... contracting and interaction with practitioners, office staff and network representatives. PRINCIPLE DUTIES AND RESPONSIBILITIES: + Responsible for all aspects… more