- Henry Ford Health System (Troy, MI)
- …skills. + Strong organizational and interpersonal skills. + Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology. ... EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement , or related… more
- Henry Ford Health System (Troy, MI)
- …Experience in reimbursement and/or data analytics preferred. * Knowledge of managed care organizations and integrated health systems. * Comprehensive project ... GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is...Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement rates with health… more
- Henry Ford Health System (Detroit, MI)
- …units. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Under supervision of Director or Managed Care Contracting, works directly with Payors to negotiate contractual ... years in the healthcare industry in a professional capacity. + Knowledge of managed care organizations and integrated health systems. + Previous contracting,… more
- AmeriHealth Caritas (Southfield, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... managed health care requirements. + 3 to 5 years in a managed care -related or healthcare industry. + Database development techniques and uses for various… more
- Henry Ford Health System (Troy, MI)
- …provider relations or provider reimbursement experience. + Knowledge of managed care organizations and integrated health systems. + Comprehensive project ... to Director or Manager, assist in the development of Contract Strategy and work directly with Payors to lead...Excel. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job… more
- Henry Ford Health System (Detroit, MI)
- …+ Microsoft Excel required. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union Code: Not ... DUTIES AND RESPONSIBILITIES: 1. Responsible for building basic payer/plan-specific contract terms, including common reimbursement methodologies. 2. Achieve… more
- Molina Healthcare (Detroit, MI)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... & Operations, oversees development and implementation of provider network and contract strategies, identifying those specialties and geographic locations upon which… more
- Molina Healthcare (Detroit, MI)
- …experience in health care field including, but not limited to, provider's office, managed care , or other health care field. **Required Experience** 3 - ... in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **Preferred Education**… more
- R1 RCM (Detroit, MI)
- …will represent healthcare providers in their disputes with medical insurance carriers and managed care organizations at all stages of the administrative appeals ... process. Every day, you will handle contract review and appeal template development based on contractual...you must maintain a foundational understanding of Commercial, Governmental, Managed Care , and ERISA regulations regarding payment,… more
- AmeriHealth Caritas (Southfield, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... providers to join the Plan, maintaining financial integrity and contract requirements. + Use plan reports and metrics to...management and recruitment + 5 to 10 years of managed care /health insurance and Medicaid experience. +… more
- R1 RCM (Detroit, MI)
- …the areas of underpayment identification and revenue recovery, managed care contracting, negotiation strategy and contract compliance and the implementation ... reimbursement methodologies. Here's What You Can Expect Review hospital- managed care contracts to determine expected reimbursement . Analyzing hospital… more
- Molina Healthcare (Detroit, MI)
- …Knowledge and experience with value-based contracting. * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy ... relationships and communications. Manages a team of employees who develop, negotiate, contract and enhance provider networks that are high quality, cost efficient… more