- Corewell Health (Grand Rapids, MI)
- …through execution, compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally, this position ... and training to less experienced Specialists. Essential Functions + Manages the contract development and negotiations process for provider networks initiatives.… more
- Henry Ford Health System (Troy, MI)
- …improvement initiatives (eg leakage avoidance) and member growth. The Senior Provider Contract Administrator (SPCA) will be responsible for supporting ... or APMEs) which reward providers for managing the total cost of care (TCOC), quality (eg MA...includes the Director, the SPCA and one or more Provider Services Administrators. Contract support will include… more
- Elevance Health (Wixom, MI)
- The Cost of Care Mgr leads and manages...acumen. + 2 years experience in broad-based analytical, managed care payor or provider environment as well as ... multiple cost of care initiatives enterprise wide (eg local, within each state,... improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual… more
- Trinity Health (Grand Rapids, MI)
- …support for key departments with an emphasis on delivering high quality, low cost care . Drives contract compliance and significantly contributes to ... services. + Coordinates opportunities to standardize products and equipment to drive contract compliance and reduce variation in patient care . + Facilitates… more
- Sedgwick (Lansing, MI)
- …negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Humana (Lansing, MI)
- …caring community and help us put health first** The Senior Contract Management Professional negotiates and maintains complex Subcontract Agreements, Teaming ... and applicable file documentation in support of a US Government Prime Contract in accordance Company Policy and Contractors' Purchasing Systems Review (CPSR)… more
- Corewell Health (Grand Rapids, MI)
- …sector, provider credentialing, etc. This role will focus on third parties who provide patient care services directly to our patients. Some examples of this ... position would benefit from having clinical knowledge. This could be through direct patient care , healthcare compliance, someone involved in healthcare regulatory… more
- Sharecare, Inc. (Lansing, MI)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Option Care Health (Lansing, MI)
- …alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly ... resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than...treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through… more
- Corewell Health (Grand Rapids, MI)
- …are initiated, executed, and reported. These efforts will support the organization's cost containment efforts specific to medical claims payment and drive payment ... Organization strategy will be supported by coordinating with Medical Policy and Provider Relations teams to effectively plan and execute program tactics. Manage the… more
- McLaren Health Care (Grand Blanc, MI)
- …of management decisions and proposals. **Essential Functions and Responsibilities:** 1. Provide analytical operations support using a variety of data sources. ... Analyze and interpret data to provide information for management decisions. 2. Analyze data to...program development and revisions to existing programs. 3. Identify cost control and cost management issues and… more
- IMSolutions, LLC (Lansing, MI)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Corewell Health (Grand Rapids, MI)
- …relationships. As the leader of a talented group of sourcing and contract specialists, you will craft and execute robust category sourcing strategies, ensuring ... us on this exciting journey towards procurement excellence! Job Summary Provide leadership of strategic sourcing team and corresponding activities. Leverage supply… more
- State of Michigan (Lansing, MI)
- …programs. This position is responsible for the interpretation and administration of private provider contracts for foster care , adoption, and foster care ... Description + Benefits + Questions Job Description The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable… more
- BAE Systems (Sterling Heights, MI)
- …to prepare contract summaries to assure proper interpretation of the contract (s), perform cost or price analysis and resolution of moderately complex ... to recruit and retain the best and brightest. Taking care of the Contracts team is a priority, we...organizational and follow through skills. + Detail oriented. + Cost Type / Cost -Plus Contract … more
- Prime Therapeutics (Lansing, MI)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Corewell Health (MI)
- …for approval and as directed by senior management. + Act as the principle contract negotiator for major real estate transactions. Leads contract review meetings ... to ensure delivery against objectives and contract budgets; develops regular reports on contract ...budgets for all buildings in region to optimize fixed cost . Administers commercial and financial arrangements with landlords, tenants… more
- Republic Services (Livonia, MI)
- …treatment options and develop and implement subsequent programs. + Complete and provide business reviews considering both cost and environmental impacts as ... Inc. (NYSE: RSG) is a leader in the environmental services industry. We provide customers with the most complete set of products and services, including recycling,… more
- Sedgwick (Lansing, MI)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... To analyze complex or technically difficult surety and surety bond claims; to provide resolution of highly complex nature and/or high exposure surety claims; to… more
- Black & Veatch (Ann Arbor, MI)
- …passionate professionals. Our vision is to be the greatest infrastructure solutions provider delivering top tier and high-quality design and engineering services to ... is expanding our Federal A/E areas of focus** using a variety of contract vehicles, including Architecture/Engineering (A/E) IDIQ, MATOC, SATOC and MACC (D/B) for… more