- 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
- Molina Healthcare (Grand Rapids, 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
- 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
- Highmark Health (Lansing, MI)
- …Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value-based reimbursement , through managed care contracting, provider reimbursement ... This job supports the matrixed strategic design and analytical approach to reimbursement . To be successful, the incumbent will work closely with stakeholders across… more
- Molina Healthcare (Detroit, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... to meet Molina's network adequacy standards. * Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician,… more
- Cardinal Health (Lansing, MI)
- …necessary to ensure contract compliance. Has the ability to understand managed care trends and competitive positioning. + Exhibits strong financial acumen ... and logical decision-making skills in the general business environment. Validates managed care contracts through review and understands and demonstrate sound… 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
- Merck (Lansing, MI)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... Sales, Identifying Sales Opportunities, Immunizations, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Marketing, Medical Affairs,… more
- Cardinal Health (Lansing, MI)
- …research and problem/dispute resolution **_Responsibilities_** + Analyzes and monitors payer trends, managed care contract compliance, contract and ... policies and procedures + Works closely with all Revenue Cycle Departments and Managed Care + Coordinates with departments and insurance companies to correct… more
- State of Michigan (Lansing, MI)
- …questions: a. Please describe your knowledge/understanding/experience with Michigan Medicaid and Managed Care including knowledge of Medicaid policies, Medicaid ... Serves as a liaison to facilitate and monitor the contract compliance of these and network health care...develop your career, programs are available to apply for reimbursement of up to $2,000 a year for 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
- Veterans Affairs, Veterans Health Administration (Iron Mountain, MI)
- …to develop data-driven solutions to improve decisions, workflows and outcomes for health care . VA medical facility HI personnel are responsible for: (1) Applying HI ... medical facility goals pertaining to the quality, safety, efficiency of health care and population health while improving end user satisfaction with informatics-… more
- Prime Therapeutics (Lansing, MI)
- …Management (PBM), healthcare or other highly regulated industry; including 3 years of managed care experience in medical or pharmacy network contracting + Must ... care /PBM industry, Medicaid, Medicare and health plans + Familiarity with contract language and pharmacy reimbursement methodologies Every employee must… more
- Ford Motor Company (Dearborn, MI)
- …+ Ensure Engineering Services contracts, including annual renewals, are managed appropriately and promptly. + Implement appropriate contractual safeguards, SLAs/ ... negotiation skills in the Engineering Services category underpinned by detailed contract knowledge. + Proficient in managing multiple concurrent projects and… more
- Black & Veatch (Ann Arbor, MI)
- …+ Bachelor's degree or relevant work experience + 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
- Western Digital (Lansing, MI)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... stakeholder relationship management * Deep knowledge of legal systems ( contract management, e-discovery, compliance platforms) * Legal industry process expertise… more