- 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
- Elevance Health (Dearborn, MI)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **We are...capabilities, and experiences:** * Master's degree. * Healthcare facility contract / reimbursement experience. * Advanced Microsoft Excel knowledge/experience.… more
- Molina Healthcare (Detroit, 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
- 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 ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- Trinity Health (Livonia, MI)
- …will be considered. In-depth knowledge and experience of analysis and reporting regarding health care costs within a managed care organization. This should ... pay for performance programs. This includes all analytics pertaining to payer contract modeling and performance for all provider types including acute inpatient and… more
- Trinity Health (Livonia, MI)
- …systems such as ICD-10, SNOMED CT and LOINC. + Provides subject matter expertise to managed care colleagues to improve contract language to reduce pre- and ... deed. Strong understanding of the Catholic health ministry in an evolving health care delivery system and changing reimbursement market. Strong analytical skills… more