- Elevance Health (Dearborn, MI)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** Provider Contract / Cost of Care Consultant**...or any combination of education and experience, which would provide an equivalent background. **Preferred skills, capabilities, and experiences:**… more
- Elevance Health (Dearborn, MI)
- ** Provider Contract / Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). ... miles of one of Elevance's Pulse Point locations. **The Provider Contract / Cost of Care...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Molina Healthcare (Sterling Heights, MI)
- …or other health care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating ... Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with...5-7 years contract -related experience in the health care field including, but not limited to, provider… more
- Molina Healthcare (Sterling Heights, MI)
- …Duties** This role negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and ... of medical group/IPA and hospital contracting. * Identified as contract system lead by developing and maintaining provider...: Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider… more
- Jacobs (Troy, MI)
- …terms of budget, cost , and multiple fund sources * Ability to transfer contract cost tracking and reporting requirements into an established cost ... and administration of a multibillion-dollar Capital Investment Program (CIP) for a large Health Care client in Iowa City, IA. Relocation to the Iowa City area is… more
- Henry Ford Health System (Troy, MI)
- …Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement rates with health plans. PRINCIPLE DUTIES AND ... with industry standards and Henry Ford Health reimbursement guidelines and changes to cost structure. 5. Implement and execute Managed Care Contracting Playbook… more
- Trinity Health (Livonia, MI)
- …forecasting and provider profiling. 3.Develop and continually refine the health care cost analysis process. Oversee the development and organization of ... and pay for performance programs. This includes all analytics pertaining to payer contract modeling and performance for all provider types including acute… more
- ICF (Detroit, MI)
- Description **Program Manager, Customer Care Services** **Location: Remote Michigan or Surrounding States** **Ready to make a difference?** ICF currently seeks a ... across local energy efficiency program implementation teams, the customer care services organization, subcontractors, and client representatives to ensure program… more
- Henry Ford Health System (Troy, MI)
- …Evaluates healthcare data and create segmentation reports that include trend analysis ( cost , price, and utilization); comparisons provider groups and hospital ... demographics, evidence-based measures, Global RVUs, MARA risk scores, ACA markets, provider regions and product segments. Create dashboards, report packages and… more
- Henry Ford Health System (Detroit, MI)
- …to HFH for care . + Influence relationships to choose HFH as provider of healthcare services. + Responsible for marketing strategies that promote the HFH brand ... obtain medical tourist from government and private entities. Will provide direct assistance and support to the entire international...manage and follow through on issues related to patient care , outcomes, cost , policy changes and other… more
- Trinity Health (Livonia, MI)
- …the Strategic Sourcing division of Supply Chain Management. The goal is to provide strategic support to the Sourcing Managers via a variety of essential activities, ... projects involving direct & indirect commodities and/or services; drafting contracts, contract amendments, and RFP/RFQ information; as well as partnering with the… more
- Planate Management Group LLC (Warren, MI)
- …Manages and coordinates OBO CM Project Contractor(s) to ensure work meets quality, schedule, cost , and contract standards. + Interpret and explain contract ... with technical support centers in South East Asia and East Africa, that provide program management and facilities engineering services worldwide. Planate is a small… more
- Elevance Health (Dearborn, MI)
- …of the Elevance Health, Inc. family of companies, we're creating greater access to care for our members, greater value for our customers, and greater health for our ... Join us and together we will drive the future of federal health care . **The Director of Contracts & Procurement** is responsible for Elevance Health's federal… more
- Wayne State University (Detroit, MI)
- …success in a global society. Essential functions (job duties): JOB PURPOSE Provide planning on various university space planning and capital construction projects. ... schedule performance. Coordinate project design activities ensuring compliance with cost , schedule, and quality, while minimizing impact on university teaching… more
- Sedgwick (Detroit, MI)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Sedgwick (Detroit, MI)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Sedgwick (Detroit, MI)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements....not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Lineage Logistics (Novi, MI)
- …the financial management of the IT department, ensuring accurate budgeting, cost control, monthly accounting and financial reporting. Reporting to the Director ... with corporate financial goals, track budget performance, and identify cost -saving opportunities. + **Financial Reporting:** Prepare and deliver detailed financial… more
- Trinity Health (Livonia, MI)
- …as ICD-10, SNOMED CT and LOINC. + Provides subject matter expertise to managed care colleagues to improve contract language to reduce pre- and post-payment ... Clinical Services and the Revenue Excellence department to support quality of care and revenue objectives. This individual works closely with Regional Chief… more
- CDM Smith (Sterling Heights, MI)
- …safety and efficiency of our transportation projects. Comprehensive Documentation: Prepare contract special provisions, cost estimates, and conduct field work ... (MDOT) Plan Development Guide and Design Wiki to prepare detailed contract documents, including construction plans and proposal packages. Advanced 3D Modeling:… more