- 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
- AmeriHealth Caritas (Detroit, MI)
- … managed health care requirements + 3 to 5 years in a managed care -related or healthcare industry + Proven experience with contract management tools ... Contract Manager, Emptpros) + Proficiency in researching regulatory requirements and managed care industry best practices **Skills & Abilities;** + Database… 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
- 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
- AmeriHealth Caritas (Detroit, MI)
- …with healthcare providers; provider relations experience preferred. + Strong knowledge of managed care concepts and provider reimbursement methodologies. + ... + Ensure provider network adequacy and compliance with state contract requirements. + Oversee provider data accuracy and timeliness...preferred. + 5 to 10 years of experience in managed care or the healthcare industry. +… more
- Grifols Shared Services North America, Inc (Detroit, MI)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- Molina Healthcare (Sterling Heights, 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
- Trinity Health (Livonia, MI)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... people, processes and / or programs that support direct or indirect patient care . The Pharmacy Manager - Operations promotes and advocates for patients, pharmacists… 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