- 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
- 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
- Highmark Health (Lansing, MI)
- …Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value-based reimbursement , through managed care contracting, provider reimbursement ... **JOB SUMMARY** This job owns the strategic design and analytical approach to reimbursement . In order to be successful, the incumbent will work closely with… more
- Molina Healthcare (Sterling Heights, MI)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different ... that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities involving custom reimbursement . Executes… more
- Grifols Shared Services North America, Inc (Flint, MI)
- … strategy, and represent needs of the customer + Remain cognizant of managed care coverage throughout the business territory including major accounts and ... to respond to business customers, business and environmental needs of Marketing, Managed Markets, Operations, CL&D, and Medical Affairs. The SSR will also be… more
- Molina Healthcare (Ann Arbor, 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 (Grand Rapids, 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
- 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)
- …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
- Black & Veatch (Ann Arbor, MI)
- …sales and contracting process, close the deal and lead the contract signing using a consultative selling approach. **Key Responsibilities** **Solution ... understand client needs and provide relevant solutions. **Sales Process** + Own contract execution process and ensure all sales documentation is completed accurately… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance ... to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)… more
- R1 RCM (Detroit, MI)
- …the areas of underpayment identification and revenue recovery, managed care contracting, negotiation strategy and contract compliance and the implementation ... What You Can Expect:** + Review hospital- managed care contracts to determine expected reimbursement . +...managed care contracts to determine expected reimbursement . + Analyzing hospital claims data to identify contractual… more
- BrightSpring Health Services (Saginaw, MI)
- …company offering services for people with intellectual and developmental disabilities, home care for seniors, as well as education, vocational training, and job ... with a comprehensive range of programs and services, including host home and foster care . ResCare partners with people in the community who open their homes to… more
- Molina Healthcare (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
- Black & Veatch (Ann Arbor, MI)
- …transition proposal basis information to the project execution team upon contract signature. + Establish solution execution platforms (processes, tools, templates) + ... 15+ years in a business/consulting environment + Has successfully managed multiple engagements simultaneously + Contributor or leader to...of this commitment and offers an array of health care benefits including but not limited to medical, dental… more
- Black & Veatch (Ann Arbor, MI)
- …or relevant work experience.Master's degree preferred. + Has successfully managed multiple engagements simultaneously.Contributor or leader to acquire new ... lead from start to finish including opportunity development and contract negotiation; client mgmt) + Strategic development/implementation **Certifications** Certifications… more
- CVS Health (Lansing, MI)
- …to travel nationally as needed (up to 25% travel) * In-depth knowledge of the managed care industry and practices, as well as a strong understanding of ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more