- 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
- 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
- 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
- Corewell Health (Southfield, MI)
- …through execution, compliance and renewal. Provides support for management of medical cost of care and efficiency initiatives. Additionally, this position ... to less experienced Specialists. Essential Functions + Manage the value-based contract development and negotiations process for provider networks initiatives.… 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
- Trinity Health (Livonia, MI)
- … Cost Management:** + Leverages expert skills in managing physician and provider productivity, cost management, and efficiency. Utilizes benchmarks and key ... tactfully and objectively with full regard for the uniqueness of the health care environment. Shares accountability with other System Office and RHM leaders for… more
- Molina Healthcare (Sterling Heights, MI)
- …to operations, enrollment, and provider contracting. + Support their market Provider Network team with VBP contract pricing negotiation and joint operating ... interpret, and evaluate financial information; generate forecasts and analyze medical cost trends and premium deficiencies. Create financial models for future… more
- Ford Motor Company (Dearborn, MI)
- …do ** + Lead sourcing initiatives for your commodities including sending RFQs, cost analytics, supplier negotiations, and contract execution. + Manage the ... activities for multiple commodities within EV programs. With a focus on best cost and quality, you will utilize various tools, processes, analytics, and systems to… more
- Sedgwick (Southfield, 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 ... technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide … more
- Area Agency On Aging 1-b (Southfield, MI)
- …(SC) uses person-centered principals to perform comprehensive assessments to determine health care , social needs of applicants, and eligibility for the MI Choice ... Coordinates support services to assist participants in developing a person-centered long-term care (LTC) plan. The SC may be expected to cover multiple counties… more
- University of Michigan (Ann Arbor, MI)
- …patients, populations and communities through excellence in education, patient care , community service, research and technology development, and through leadership ... is guided by Strategic Principles and has three critical components; patient care , education and research that together enhance our contribution to society. **Why… more
- Trinity Health (Livonia, MI)
- …This system office position will oversee Linen Distribution and Laundry Contract management for Trinity Health (acute, seniors, and off-site clinics) **POSITION ... and peers at RHMs and within the region. Develops and implements effective cost reduction plans and implementation processes that support Trinity Health and RHM EVS… more
- University of Michigan (Ann Arbor, MI)
- …assigned grant activity; retain files in accordance with university grant and contract records management guidelines. Administrative Duties + Provide cross ... for Environment and Sustainability is seeking a Research Administrator Senior to provide expertise in pre- and post-award administrative support. The SEAS Research… more
- CDM Smith (Sterling Heights, MI)
- …or structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. ... for the use of applicant-owned equipment while performing eligible work. * Develops cost estimates using RS Means software. * May coordinate and complete basic to… 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
- Transdev (Novi, MI)
- …available for the General Ops Fleet. Senior Autonomous Specialists are expected to provide the highest level of detailed feedback for the developers. He/she is ... situational awareness, an understanding of the technology in his/her care , and a willingness to constantly adjust to changes...long periods of time while applying premium concentration; + Provide rides in the self driving car to the… 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
- Black & Veatch (Ann Arbor, MI)
- …memos, completing studies, detailed designs, and specifications, collaborating to complete cost estimates, and preparing contract documents * Participation in ... non-standard design solutions to better serve clients project specifications * Provide leadership, guidance, and mentorship to less experienced engineers *… more
- Utilities Service, LLC (Livonia, MI)
- …Audits, 90% or better. + Safety Inspections, 100% complete, 90% passing or better. + Contract Renewal 95% or better. + Job Cost Reports at appropriate level of ... landscape certifications. Our mission from the beginning has always been to provide exceptional landscape services that build long term relationships. Clippers LLC… more