- Henry Ford Health System (Troy, MI)
- …skills. + Strong organizational and interpersonal skills. + Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology. ... EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement , or related… more
- Molina Healthcare (Detroit, MI)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- AmeriHealth Caritas (Southfield, MI)
- …five (5) to ten (10 ) years experience in operational and regulatory policy updates, managed care , and contract compliance. + Ability to build relationships ... now. We're looking for the next generation of health care leaders. Responsibilities: The Director of Contract ...minimum of five (5) years of government experience with managed care knowledge. ; At AmeriHealth Caritas,… more
- Henry Ford Health System (Troy, MI)
- …provider relations or provider reimbursement experience. + Knowledge of managed care organizations and integrated health systems. + Comprehensive project ... to Director or Manager, assist in the development of Contract Strategy and work directly with Payors to lead...Excel. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job… more
- Molina Healthcare (Detroit, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... to meet Molina's network adequacy standards. * Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician,… more
- Henry Ford Health System (Troy, MI)
- …of four (4) years in the Healthcare industry in Managed Care Contracting, Provider Relations, Provider Reimbursement or related professional capacity. + ... supervision of Manager and / or Director, support the managed care contracting function by performing necessary...necessary financial analysis to evaluate payor (or health plan) contract performance and payor rate proposals during contract… more
- Henry Ford Health System (Detroit, MI)
- …opportunities. + Maintains comprehensive files of contractual relationships and works with Managed Care Contracting to maintain contract information in ... to support margin growth. Assists in the development of contract strategy and work directly with payors to lead.../ exposer to payor contracting, provider relations and/or provider reimbursement . + Knowledge of managed care… more
- Grifols Shared Services North America, Inc (Detroit, MI)
- … strategy, and represent needs of the customer + Remain cognizant of managed care coverage throughout the business territory including major accounts and ... to respond to business customers, business and environmental needs of Marketing, Managed Markets, Operations, CL&D, and Medical Affairs. The SSR will also be… more
- Molina Healthcare (Detroit, MI)
- …**Required Experience** + 10+ years progressive experience in Healthcare Administration, Managed Care and/or Provider Services. + Experience managing employees. ... Administration, or related field. **Preferred Experience** Experience with Medicaid and Medicare managed care plans. To all current Molina employees: If you… more
- Trinity Health (Livonia, MI)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... people, processes and / or programs that support direct or indirect patient care . The Pharmacy Manager - Operations promotes and advocates for patients, pharmacists… more