- 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 (Detroit, MI)
- …recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies, and modeling tools align with net revenue ... The Associate Vice President (AVP), Reimbursement & Net Revenue Optimization provides strategic leadership...improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic… more
- Tenet Healthcare (Commerce Township, MI)
- …charges (eg, ABN not signed, denials, disputes, bad debt). 4. Reviews proposed managed care contracts and identify any issues or concerns with implementation ... loaded correctly into IMaCs and claims properly adjudicated during and after managed care negotiations. 6. Monitors/reviews billing, A/R and reconciliation for… more
- Bausch + Lomb (Detroit, MI)
- …have worked with a pharmaceutical, biotech, or device manufacturer sales team in a reimbursement capacity or as a contract position through a reimbursement ... to Bausch + Lomb products across relevant sites of care . + Educate office staff and Providers on the...reimbursement activities are required to be conducted and managed within all appropriate legal and regulatory guidelines and… more
- AmeriHealth Caritas (Southfield, MI)
- …+ Master's Degree preferred. + 10 or more years of experience years of managed care provider contracting and reimbursement experience, including in-depth ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- AmeriHealth Caritas (Detroit, MI)
- …working with healthcare providers and provider relations + 3 years of experience in managed care or health insurance preferred. + Proficiency in Microsoft Excel ... + Escalate discrepancies or requests that conflict with business processes or contract terms. + Ensure timely and accurate management of provider contracts,… more