- 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)
- …+ Microsoft Excel required. Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union Code: Not ... DUTIES AND RESPONSIBILITIES: 1. Responsible for building basic payer/plan-specific contract terms, including common reimbursement methodologies. 2. Achieve… 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 (Southfield, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... managed health care requirements. + 3 to 5 years in a managed care -related or healthcare industry. + Database development techniques and uses for various… 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...#LI-VD1 Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job… more
- Molina Healthcare (Warren, MI)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities involving custom reimbursement . Executes… more
- Molina Healthcare (Troy, 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
- Molina Healthcare (Warren, MI)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... & Operations, oversees development and implementation of provider network and contract strategies, identifying those specialties and geographic locations upon which… more
- Molina Healthcare (Warren, MI)
- …experience in health care field including, but not limited to, provider's office, managed care , or other health care field. **Required Experience** 3 - ... in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **Preferred Education**… more
- Centene Corporation (Detroit, MI)
- …degree with 5+ years of relevant experience. Previous experience in a managed care organization strongly preferred. 3+ of leadership experience. Master's ... regulators for clinical programs*Coordinates quality initiatives (audits, star ratings, contract reviews, etc) and activate enterprise and local policies*Informs and… more