- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership role responsible for the development, implementation, ... evolution of value-based care (VBC) programs across all lines of business-Medicaid, Medicare , and Marketplace. This role is critical in driving clinical and… more
- Molina Healthcare (Grand Rapids, MI)
- …* Develops and maintains a standard provider reimbursement strategy consistent with reimbursement tolerance parameters (across multiple specialties/geographies). ... and/or regulatory requirements. * Monitors and reports network adequacy for Medicare and Medicaid services. * Develops strategies to improve EDI/MASS rates.… more
- Corewell Health (Grand Rapids, MI)
- …System government relations and public policy team reporting to the Senior Director , Public Policy. Performs research, develops public policy materials (eg talking ... expertise with policy and regulations affecting health insurance, including Medicare Advantage, Medicaid, Qualified Health Plans, and commercial products. Preference… more
- Molina Healthcare (Grand Rapids, MI)
- …Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational ... knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates and analyzes, Complex Provider contracts including… more