- Humana (Lansing, MI)
- …part of our caring community and help us put health first** The Provider Data Management & Contract Load Professional 1 is responsible for administering ... assigned provider accounts. The Provider Data Management & Contract Load...Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your… more
- McLaren Health Care (Grand Blanc, MI)
- …and cost management issues and recommend actions to resolve. 4. Load data , update contract management system, input reimbursement parameters and verify ... of data sources. Analyze and interpret complex data to provide information for management...to include experience working with hospital clinical/claim and financial data within healthcare contract management /reimbursement… more
- Cognizant (Lansing, MI)
- …in **configuration scripting, XML, JSON, REST APIs, and data management ** . + Understanding of ** contract compliance regulations, risk mitigation, ... automation, governance frameworks, and system integrations** , ensuring seamless contract management across business units. **Roles and responsibilities:**… more
- Deloitte (Detroit, MI)
- …operating model evaluation, technology roadmap development for a desired future state, data , document and contract management solutions, automation ... automation, data wrangling and document extraction and data management and analytics that help legal...experience with Agiloft, SirionOne, Icertis or any other CLM ( contract lifecycle management ) software + Experience with… more
- Corewell Health (Grand Rapids, MI)
- …Review and explain alternative payment model performance relative to target. + Provide relationship management and accountable care network oversight to support ... contract success through analysis of monthly reports. + Provide mitigation solutions for gap closure and quality metric...experience + 5 years of relevant experience of either provider network management experience, health care insurance… more
- Molina Healthcare (Grand Rapids, MI)
- …managed care, or other health care field. **Required Experience** 3 - 5 years provider contract negotiation experience in the health care field including, but ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Grand Rapids, MI)
- … databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of ... business rules as they apply to each database. Validate data to be housed on provider databases...Contract Templates. Works with legal and Corporate Network Management on an as needed basis to modify … more
- AmeriHealth Caritas (Southfield, MI)
- …implementation and maintenance. + Manage ongoing projects or programs within the Provider Network Management organization. + Develop and implement provider ... to ensure service accessibility and compliance with mandates. + Provide risk adjustment reporting training to providers. Monitor and...provider groups + 3 to 5 years in Provider Services, including network management and recruitment… more
- GE Aerospace (Detroit, MI)
- …Procurement, Supplier Relationship Management , Sales, Supply Chain or Contract Management roles **Desired Characteristics** + Demonstrated significant ... relationship management . This role is responsible for ownership of contract productivity and overall supplier accountability in the Global Machine & Fabrications… more
- Wayne State University (Detroit, MI)
- …inquiries regarding University or funding agency guidelines, policies and procedures. Provide direct management over research funding. Develop and maintain ... Senior Grant/ Contract Administrator, Division of Research & Innovation Wayne... proposals; review and processing of agreements; and the management and processing of financial transactions. Position duties require… more