- Corewell Health (Grand Rapids, MI)
- …an understanding of contracts and passion for problem solving? Priority Health is seeking a Provider Contract Specialist to take ownership of provider ... guidance in others. Essential Functions + Contributes to the contract development and negotiation process for provider ...contracts and contract information in the system contract database. + Provide effective oversight of… more
- Molina Healthcare (Grand Rapids, MI)
- …ensure effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other VBC related special projects ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the...and supporting JOC's. * Clearly and professionally communicates VBC contract terms to VBC providers. * Coordinates preparation and… more
- Molina Healthcare (Grand Rapids, MI)
- …in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and ... efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates with the management... provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Corewell Health (Grand Rapids, MI)
- …Functions + Responsible for contributing to the development and execution of provider strategy and solutions for assigned Accountable Care Networks. Responsible for ... of care through utilization and medical expense trend oversight. + Manage contract success through analysis of monthly reporting Qualifications Required + Bachelor's… more
- CDM Smith (Grand Rapids, MI)
- …This is a pipeline requisition for future projects. The Engineering Specialist applies broad professional knowledge of engineering principles to solve complex ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- Molina Healthcare (Grand Rapids, MI)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving ** Provider No Surprises Act** cases in accordance with the standards and ... * Responsible for the comprehensive research and resolution of ** Provider No Surprises Act** cases to ensure that internal...claims production standards set by the department. * Applies contract language, benefits and review of covered services to… more
- Robert Half Accountemps (Rockford, MI)
- …looking for a dedicated Accounting Specialist to join our team on a contract basis in Rockford, Michigan. This role is integral to maintaining the accuracy and ... job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and...put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits,… more
- Robert Half Accountemps (Wyoming, MI)
- Description We're seeking a detail-oriented Accounts Payable Specialist to join a growing finance team in the Grand Rapids area. The ideal candidate will have strong ... job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and...put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits,… more
- Deloitte (Grand Rapids, MI)
- …to execute and review logs + Experience with Convergent Invoicing (BITs) including Provider Contract , Billable Item management, and Consumption Item management + ... solutions. Recruiting for this role ends on 1/30/2026 Work you'll do As a Specialist Master you will: + Manage client relationships with excellent written and oral… more
- CDM Smith (Grand Rapids, MI)
- …FSU **Job Description:** CDM Smith is looking for Inspectors to provide independent, professional construction inspection and oversight of Federal Construction ... is a pipeline requisition for future projects. The Construction Inspection Specialist documents inspection findings and communicates issues to project leadership.… more
- Molina Healthcare (Grand Rapids, MI)
- **JOB DESCRIPTION** **Job Summary** Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider ... Responsible for meeting production standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting… more
- CDM Smith (Grand Rapids, MI)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... Public Trust position. \#LI-LP2 **Job Title:** FEMA - Program Delivery Specialist **Group:** WAF Field Mod Fringe **Employment Type:** Temporary **Minimum… more
- CDM Smith (Grand Rapids, MI)
- …ID:** 40480BR **Business Unit:** FSU **Job Description:** The Disaster Engineering Specialist : * Conducts site inspections to validate and record infrastructure ... Other duties as assigned. \#LI-LP2 **Job Title:** FEMA - Engineering Specialist **Group:** WAF Field Mod Fringe **Employment Type:** Temporary **Minimum… more
- Molina Healthcare (Grand Rapids, MI)
- …**Job Duties** * Reviews documentation regarding updates/changes to member enrollment, provider contract , provider demographic information, and/or claim ... requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing, prior authorizations, fee schedules, and other… more
- Molina Healthcare (Grand Rapids, MI)
- …support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives ... guidelines. * Meets claims production standards set by the department. * Applies contract language, benefits and review of covered services to claims review process.… more
- GE Aerospace (Grand Rapids, MI)
- …Consistent with the role of the ITC team, the primary tasks of Senior Specialist - ITC include: + Prepare applications for submission to the US Department of ... Government regulatory requirements and internal policies + Track, status, and provide reports and metrics associated with trade compliance activities + Coordination… more
- Corewell Health (Grand Rapids, MI)
- …issues that results from the entire PH eco system, ie, medical authorization, provider contract setup, claims payment, finance, etc. + Manages the repricing ... databases, Business Objects Report Writer, and/or comparable reporting tools + CRT- Provider Credentialing Specialist , Certified (CPCS) - NAMSS National… more
- Molina Healthcare (Grand Rapids, MI)
- …policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties* Collaboratively ... (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical… more
- Robert Half Finance & Accounting (Grand Rapids, MI)
- …+ Strategic Collaboration: Works hand-in-hand with project managers to provide meaningful cost insights, resolve challenges, and enhance decision-making. + ... Compliance Champion: Protects assets and ensures adherence to contract terms, regulatory requirements, and best practices documentation. + Month-End Specialist :… more
- Robert Half Office Team (Grand Rapids, MI)
- Description The Career Service Specialist is responsible for helping homeless veterans gain meaningful employment through individualized career counseling, job ... employment readiness, strengths, and barriers. + Develop personalized employment plans and provide ongoing career coaching to support progress toward job goals. +… more