- Corewell Health (Southfield, MI)
- …within an assigned geographic area. May be requested to present and represent Provider Network Contracting at meeting with external constituencies. + ... passion for problem solving? Priority Health is seeking a Senior Provider Contract Specialist to take ownership...Provider Contract Specialist to take ownership of affiliated network contracting . In this high-impact role, you… more
- Humana (Lansing, MI)
- …knowledge and functional areas across multiple departments. 10% 4. The Provider Contracting Executive communicates contract terms, payment structures, and ... field in terms of which systems to partner with, provide sound contracting strategy as well as... Contracting + 3 years of experience with provider contracting skills including contractpreparation and implementation,… more
- Deloitte (Detroit, MI)
- …is comprised of professionals with various areas of focus that collectively provide mission critical services to support Deloitte's overall success. Whether focused ... are described in detail below. + Deal Desk Support, Contracting , and Negotiations + Assist with deal desk and...working most closely with the Business and legal. + Provide authoritative guidance to align business arrangements with Firm… more
- Molina Healthcare (Detroit, 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 ... equivalent education and experience + 5 years of relevant experience of either provider network management experience, health care insurance or other health care… more
- Molina Healthcare (Sterling Heights, MI)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial ... and system requirements of customers as it pertains to contracting and network management. **Job Duties** This...provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise.… more
- AmeriHealth Caritas (Southfield, MI)
- …executive leadership. **Responsibilities:** + Leads comprehensive provider contracting strategy to achieve cost-efficient and high-performing network ... provider related aspects of state contract. + Leads and manages provider network team to ensure high performance, accountability, empowerment & engagement.… more
- Humana (Lansing, MI)
- …our caring community and help us put health first** The Senior Network Optimization Professional oversees various efforts involving provider network ... to support state specific network adequacy requirements. The Senior Network Optimization Professional works assignments involving moderately complex… more
- Molina Healthcare (MI)
- …health plans on the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through ... **Job Description** **Job Summary** Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment...required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint) *… more