- 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)
- …units. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Under supervision of Director or Managed Care Contracting, works directly with Payors to negotiate contractual ... years in the healthcare industry in a professional capacity. + Knowledge of managed care organizations and integrated health systems. + Previous contracting,… more
- AmeriHealth Caritas (Detroit, MI)
- … managed health care requirements + 3 to 5 years in a managed care -related or healthcare industry + Proven experience with contract management tools ... Contract Manager, Emptpros) + Proficiency in researching regulatory requirements and managed care industry best practices **Skills & Abilities;** + Database… 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 (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
- Cardinal Health (Lansing, MI)
- …interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and ... **_What Managed Care contributes to Cardinal Health_**...contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Molina Healthcare (Traverse City, 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
- Grifols Shared Services North America, Inc (Flint, 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
- AmeriHealth Caritas (Detroit, MI)
- …with healthcare providers; provider relations experience preferred. + Strong knowledge of managed care concepts and provider reimbursement methodologies. + ... + Ensure provider network adequacy and compliance with state contract requirements. + Oversee provider data accuracy and timeliness...preferred. + 5 to 10 years of experience in managed care or the healthcare industry. +… more
- Humana (Lansing, MI)
- …and value, while also ensuring compliance with network requirements in the Michigan Managed Care Contract . The Principal will analyze provider network ... 10 years + 6+ years' experience working with a managed care organization or as a consultant...analysis. + Proficiency with a wide range of physician/facility/ancillary contract reimbursement methodologies. + Prior leadership and… more
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