- 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
- Henry Ford Health System (Detroit, MI)
- …recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies, and modeling tools align with net revenue ... The Associate Vice President (AVP), Reimbursement & Net Revenue Optimization provides strategic leadership...improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic… more
- Intermountain Health (Lansing, MI)
- …revenue cycle insurance follow up or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate's Degree, ... **Job Description:** The Reimbursement Specialist is responsible for performing a variety...duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility… more
- Highmark Health (Lansing, MI)
- …Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value-based reimbursement , through managed care contracting, provider reimbursement ... This job supports the matrixed strategic design and analytical approach to reimbursement . To be successful, the incumbent will work closely with stakeholders across… more
- Bausch + Lomb (Grand Rapids, MI)
- …have worked with a pharmaceutical, biotech, or device manufacturer sales team in a reimbursement capacity or as a contract position through a reimbursement ... to Bausch + Lomb products across relevant sites of care . + Educate office staff and Providers on the...reimbursement activities are required to be conducted and managed within all appropriate legal and regulatory guidelines and… more
- Tenet Healthcare (Commerce Township, MI)
- …charges (eg, ABN not signed, denials, disputes, bad debt). 4. Reviews proposed managed care contracts and identify any issues or concerns with implementation ... loaded correctly into IMaCs and claims properly adjudicated during and after managed care negotiations. 6. Monitors/reviews billing, A/R and reconciliation for… more
- AmeriHealth Caritas (Southfield, MI)
- …+ Master's Degree preferred. + 10 or more years of experience years of managed care provider contracting and reimbursement experience, including in-depth ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- Henry Ford Health System (Grand Rapids, MI)
- …of computer systems and personal computers. + Knowledge and experience of a managed care organization's operations are required. + Knowledge of physician ... information including new contracts, terminations and modifications, and configuration of Contract Manager, Facets or its successor systems. As a team member,… more
- Aegon Asset Management (MI)
- …Solutions, and 3) Financial Assets, which includes legacy blocks of long term care , universal life, and variable and fixed annuities. These are supported by ... document progress towards goals. + Promote, educate and enroll participants into Managed Advice; provide on-going financial and planning support to participants in… more
- Humana (Lansing, MI)
- …impact** **Required Qualifications** + 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. ... courses of action. The Dental Network Field Contractor communicates contract terms, payment structures, and reimbursement rates...serve to achieve their best health - delivering the care and service they need, when they need it.… more