- University of Michigan (Ann Arbor, MI)
- Managed Care Payer / Operations Analyst Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as ... Payer Analyst will report to the Manager, Managed Care Operations and will... Payer Analyst will report to the Manager, Managed Care Operations , and will… more
- Sevita (Detroit, MI)
- …state government authorities and referral agencies such as counties, regional centers, managed care contractors, and government administrators. + Advocate on ... for infants, children, adolescents, Military Service Members and Veterans. ** Operations Management Executive Director - State of MI** **Compensation:… more
- Henry Ford Health System (Detroit, MI)
- …team structures, improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic CIN. This leader ... ensure value-based revenues are accurately modeled and recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies,… more
- Molina Healthcare (Ann Arbor, MI)
- …+ Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of ... of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based...4 years of experience in previous roles in a managed care organization, health insurance or directly… more
- Boehringer Ingelheim (Detroit, MI)
- …and develop actionable regional plans which will maximize product penetration. + Initiates managed care planning process with stakeholders in proactive way to ... sales and market share objectives. + Collaborates closely with Marketing, Managed Markets, Reimbursement and Access, Associate Director of Patient and Community… more
- Deloitte (Detroit, MI)
- …healthcare integration (HL7, EDI, CSV, XML, etc.) + Experience working in the US health care domain and managed care setup + Demonstrative understanding of ... success. You'll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to businesses. Your contributions… more
- R1 RCM (Detroit, MI)
- …a strategic and operational leader responsible for overseeing site-level consulting operations . This role ensures alignment with enterprise goals, manages P&L, ... **Leadership & Strategy** + Lead site-based consulting teams aligned to the managed software delivery model. + Translate strategic objectives into operational plans… more
- R1 RCM (Detroit, MI)
- …high-impact technology solutions that align with client-specific use case and the managed software delivery model. This role bridges business needs and technical ... provide measurable value creation and performance tracking for steady state operations . **Preferred Qualifications** + 5+ years of experience in enterprise… more