- CVS Health (Lansing, MI)
- …large physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the ... each and every day. **Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high… more
- Molina Healthcare (Grand Rapids, MI)
- …on the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through financial and ... **Job Description** **Job Summary** Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation… more
- Molina Healthcare (Detroit, MI)
- …on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial and ... **Job Description** **Job Summary** Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation… more
- Integra Partners (Troy, MI)
- The Senior Medical Director ( Senior MD) serves as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. This is ... business hours, with additional availability as operational needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director(s),… more
- Molina Healthcare (Ann Arbor, MI)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the provider training, network management… more
- Cardinal Health (Lansing, MI)
- …Pharmacy Benefit Management (PBM) companies and Health Plans. Responsibilities include contracting activities, network and performance participation for Cardinal ... **_What Network and Payor Relations contributes to Cardinal Health_**...strategic opportunities for all lines of business including Medicare, Medicaid , and various commercial markets. The Advisor of Managed… more
- AmeriHealth Caritas (Southfield, MI)
- … senior leadership and strategic direction to the market network management teams in developing and maintaining effective, high-performing market networks. ... AmeriHealth Caritas's executive leadership. **Responsibilities:** + Leads comprehensive provider contracting strategy to achieve cost-efficient and high-performing network… more
- Molina Healthcare (Saginaw, MI)
- …* Resolves complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. * ... strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates strategic planning and documentation… more
- Molina Healthcare (Ann Arbor, MI)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the provider training, network management… more
- Molina Healthcare (Warren, MI)
- …manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care ... services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support,… more