- Molina Healthcare (Grand Rapids, MI)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Grand Rapids, MI)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Corewell Health (Grand Rapids, MI)
- …experience people management of consulting leadership. Required + Experience in provider network development and management . Required + Proven track ... these efforts. Essential Functions + Participates with the Vice President of Provider Network developing and implementing Priority Health's philosophy, mission,… more
- Molina Healthcare (Grand Rapids, MI)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Molina Healthcare (Grand Rapids, MI)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Molina Healthcare (Grand Rapids, MI)
- …must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting (Long Term Support Services, LTSS) jobs are ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role negotiates assigned… more
- Nexstar Media Group (Grand Rapids, MI)
- …is seeking an experienced, hardworking, and aggressive leader to serve as Director of Sales for the Grand Rapids-Kalamazoo-Battle Creek (DMA #43) market leading ... and social assets associated with woodtv.com and Nexstar Digital Media. The Director of Sales oversees all aspects of Local, National, Political, Digital video… more
- Molina Healthcare (Grand Rapids, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- Molina Healthcare (Grand Rapids, MI)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Grand Rapids, MI)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- ASM Global (Grand Rapids, MI)
- …+ Assist in the preparation of ad hoc financial analysis for senior management including business forecasting. + Provide strategic advice based on analyzing ... POSITION: Director of Finance (DOF) DEPARTMENT: Finance REPORTS TO:...partners front and center through our white-label approach. Our network of 450 venues worldwide, hosting 20,000 events and… more
- SpartanNash (Grand Rapids, MI)
- …Center headquarters._ This role is responsible to provide support to the Store Director while learning and becoming skilled in management of all areas of the ... store. Under direction of the Store Director : ensure all departments are fully staffed, trained, and...and supervision of others. + Greet all customers and provide them with prompt and courteous service or assistance.… more
- Molina Healthcare (Grand Rapids, MI)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more
- Sanofi Group (Grand Rapids, MI)
- **Job Title:** Regional Business Director , Mideast **Location:** US Remote **About the Job** Regional Business Directors (RBDs) are key members of the national sales ... serve as strategic leaders and collaborate closely with partners across Account Management , CPE, Marketing, Medical, and Patient Support Services to ensure the… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, ... Strategy and Services. **Job Duties** + Lead Program Director team, managing all aspects of team's mission and...Responsible for the continued development and enhancement of the Provider Network Management and Operations… more
- SpartanNash (Byron Center, MI)
- … on business initiatives and execution of strategies. **Here's what you'll do:** + Provide leadership and guidance to management , and ensure consistency with the ... associate engagement survey, work with corporate human resources where appropriate. + Provide leadership to retail operations management to proactively address… more
- Molina Healthcare (Grand Rapids, MI)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- SpartanNash (Grand Rapids, MI)
- …communicating and executing the corporate plans. **Here's what you'll do:** + Provide focused and effective leadership to store associates that develops a positive, ... high performing, customer focused store culture. + Responsible for department management including staffing, training, performance management and career… more
- Corewell Health (Grand Rapids, MI)
- …They will set key priorities across the value stream, as well as provide oversight and guidance to their Product Manager(s) and Product Owner(s).This position will ... The person will be a thought leader in product management , strategy, execution and communication of the value stream's...E Beltline - Grand Rapids Department Name PH - Network Strategies Executive Employment Type Full time Shift Day… more
- Sevita (Grand Rapids, MI)
- …in accessing medical and health-related services for individuals receiving services; provide on-call coverage for caseload and participate in rotational emergency ... standards. Coordinate and evaluate the plan implementation. + May assist manager/ director with direction and supervision of assigned staff, including input on… more