- 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 (Detroit, MI)
- …recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies, and modeling tools align with net revenue ... The Associate Vice President (AVP), Reimbursement & Net Revenue Optimization provides strategic leadership...improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic… more
- Molina Healthcare (Warren, MI)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- Centene Corporation (Detroit, MI)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... **Position Purpose:** Develops, assesses, plans, implements, and coordinates complex care management activities based on member needs primarily focused on… more
- AmeriHealth Caritas (Southfield, MI)
- …+ Master's Degree preferred. + 10 or more years of experience years of managed care provider contracting and reimbursement experience, including in-depth ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- R1 RCM (Detroit, MI)
- …and seek path to resolutions. **Required Qualifications:** Ability to comprehend managed care contracts and payment methodologies. Experience analyzing data ... fee schedules, amendments, and any other documentation that drives Expected Reimbursement Evaluate contract documentation to identify payment methodologies,… more
- AmeriHealth Caritas (Detroit, MI)
- …working with healthcare providers and provider relations + 3 years of experience in managed care or health insurance preferred. + Proficiency in Microsoft Excel ... + Escalate discrepancies or requests that conflict with business processes or contract terms. + Ensure timely and accurate management of provider contracts,… more