- AmeriHealth Caritas (Detroit, MI)
- **Role Overview:** The Provider Network Operations Data Analyst plays a key role in maintaining accurate provider data and fostering strong ... procedures, and regulatory updates clearly and professionally. + Maintain and monitor provider data to ensure accuracy across all systems. + Review and process … more
- Humana (Lansing, MI)
- …support duties that require independent initiative and judgment. The Network Operations Coordinator 4 manages provider data for health plans ... caring community and help us put health first** The Network Operations Coordinator 4 maintains provider...through data integrity management needed for service operations . The Network Operations Coordinator… more
- AmeriHealth Caritas (Southfield, MI)
- …Management team. + Provide strategic leadership and oversight for teams managing Provider Network Operations , Community Engagement & Outreach, and ... **Role Overview:** The Vice President of Plan Operations & Administration leads operational strategy and execution for the Michigan Blue Cross Complete Medicaid… more
- Molina Healthcare (Warren, MI)
- …management standards and processes for all line of business. * Oversees national network management and operations provider contracting strategies - ... network management and operations activities including network development, network adequacy, and provider...providers have issues or complaints (eg claims and encounter data , eligibility, reimbursement, and provider website). *… more
- Datavant (Lansing, MI)
- …time, in the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and ... Datavant is a data platform company and the world's leader in...closing. + **Cross-Functional Collaboration** + Partner closely with Payer Operations , Provider Commercial, Product, Commercial Operations… more
- Humana (Lansing, MI)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams… more
- Humana (Lansing, MI)
- …role is within the Integrated Pricing Solutions (IPS) department which falls under the Provider Process and Network Organization (PPNO). **The Sr. Provider ... help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part...with IT, the pricing software vendor, CIS BSS, claims operations , and other business teams involved in the administration… more
- Humana (Lansing, MI)
- …years of experience in healthcare operations , finance, medical economics and/or provider network management + 3+ years of experience HEDIS/Stars experience, ... our caring community and help us put health first** The Director, Provider Engagement develops and grows positive, long-term relationships with physicians, providers… more
- Rubrik (Lansing, MI)
- …other US offices/remote) Pay Range $210,000-$228,000 USD **Join Us in Securing the World's Data ** Rubrik (RBRK), the Security and AI Operations Company, leads at ... sales teams to identify and recruit new partnerships + Provide overview of partnership program to the field and...You:** + 10+ years of direct MSP (managed service provider ) sales experience + 5+ years of leadership experience… more
- Oracle (Lansing, MI)
- …and understanding of Overlay network concepts. + Experience working in a network operations role. + Strong knowledge of protocols such as MPLS, ... **Job Description** This role is for a Principal Network Development Engineer (NDE) in the FastConnect ...advantage. + Extensive experience with scripting or automation and data center design - Python preferred but must demonstrate… more