- Molina Healthcare (Battle Creek, MI)
- …oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider ... Behavioral Health arrangements. **Job Duties** This role negotiates contracts with the Complex Provider Community that...Based Relationship Contracts . * Develops and maintains provider contracts in contract management… more
- Humana (Lansing, MI)
- …our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, providing a ... case management throughout the continuum of care. The case manager will offer guidance, support, and coordination of the...the beneficiary's care as directed by the beneficiary, the provider (s) or other members of the healthcare team and… more
- Centene Corporation (Lansing, MI)
- …assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective ... facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs + May perform telephonic, digital, home… more
- Highmark Health (Lansing, MI)
- …sales and customer service to respond to client/broker/member inquiries regarding provider contract , claim/member issues or provider file/record/directory ... territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement.… more
- CenterWell (Lansing, MI)
- …CMS requirements, Humana policies, clinical standards, and (in some cases) contracts . The ideal candidate supports and collaborates with other team members, ... go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients'...put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest… more