- 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 (Grand Rapids, 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
- 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
- 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
- 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
- Cardinal Health (Lansing, MI)
- …necessary to ensure contract compliance. Has the ability to understand managed care trends and competitive positioning. + Exhibits strong financial acumen ... and logical decision-making skills in the general business environment. Validates managed care contracts through review and understands and demonstrate sound… more
- Molina Healthcare (Sterling Heights, MI)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different ... that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities involving custom reimbursement . Executes… more
- Molina Healthcare (MI)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities involving custom reimbursement . Executes… more
- Merck (Lansing, MI)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... Sales, Identifying Sales Opportunities, Immunizations, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Marketing, Medical Affairs,… more
- Cardinal Health (Lansing, MI)
- …research and problem/dispute resolution **_Responsibilities_** + Analyzes and monitors payer trends, managed care contract compliance, contract and ... policies and procedures + Works closely with all Revenue Cycle Departments and Managed Care + Coordinates with departments and insurance companies to correct… more