- Molina Healthcare (Detroit, MI)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... provider issues that may cross departmental lines and involve Senior Leadership. + Serves as a subject matter expert...and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting… more
- Corewell Health (Southfield, MI)
- …provider contracts and passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership of affiliated network ... you will be the key contact and subject matter expert for all contract related activities - leading negotiations, managing contract lifestyles, and ensuring… 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 ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… 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 ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more
- Oracle (Lansing, MI)
- …advisory, architecture, assessments, and expert services for Oracle Technology, including managed services sales. + The successful candidate will be responsible for ... to forecast accurate numbers + MUST have experience negotiated contract terms & conditions + Must demonstrate experience selling...CSS Fields Sales Rep; you'll be responsible for closing managed service engagements within a defined set of Key… more
- Oracle (Lansing, MI)
- …and maintaining AI models in production environments + Commercial constructs and contract management, including construction of TCO analyses and pricing for complex ... may include data cleaning, transformation, and augmentation. Leverage (and integrate between) managed data services such as AWS RDS, Azure SQL Database, GCP… more
- Oracle (Lansing, MI)
- …and selling AI models to enterprise customers + Commercial constructs and contract management, including construction of TCO analyses and pricing for complex service ... technical and non-technical audiences **Skills** + **Project Management:** Experience managed multiple projects concurrently. Developing a plan, deliverables, and… more
- Highmark Health (Lansing, MI)
- …auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations **Knowledge, Skills and Abilities** + ... Continuously monitors regulatory changes, legislative efforts, industry trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance… more
- Cardinal Health (Lansing, MI)
- …business including Medicare, Medicaid, and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) ... pharmacy accounts from a managed care contracting perspective. The primary purpose of this role is to maintain our managed care relationship with current… more
- Molina Healthcare (Sterling Heights, MI)
- …+ 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in… more
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