- Bachelor's Degree in business, health care or related field.
- Two years' experience in a Managed Care organization, Health Plan, PHO, PO or similar organization.
- Experience with standard and innovative contract and reimbursement methodologies, including but not limited to fee for service, value-based payments, risk contracting, capitation and bundled payments.
- Master's degree in health care management, Finance or related field.
- Five+ (5) years' experience in provider contracting and servicing.
- Established relationships with Health Plans, other Industry Professionals.
-
Case Manager Foster Care
2 weeks ago
Sevita Warren, United States Full timeDISCOVER CAREERS, WELL LIVED. Our mission at Sevita is to create a world where every person has the right to live well. Each day, the connections you make and the compassion you bring make a difference in the lives of our participants. You'll work alongside a dedicated team of c ...
-
LPN Care Manager
2 weeks ago
AdvisaCare Warren, United StatesJob Description · Job DescriptionAdvisaCare Strives to be YOUR first choice for employment · Great Opportunity for a Strong Licensed Practical Nurse · AdvisaCare is seeking an experienced, motivated, and reliable Licensed Practical Nurse to be a Care Manager at our beautiful In ...
-
Case Manager Foster Care
1 week ago
Sevita Warren, United StatesDISCOVER CAREERS, WELL LIVED. Our mission at Sevita is to create a world where every person has the right to live well. Each day, the connections you make and the compassion you bring make a difference in the lives of our participants. You'll work alongside a dedicated team of cl ...
-
LPN Care Manager
2 weeks ago
AdvisaCare Pontiac, United StatesJob Description · Job DescriptionAdvisaCare Strives to be YOUR first choice for employment · Great Opportunity for a Strong Licensed Practical Nurse · AdvisaCare is seeking an experienced, motivated, and reliable Licensed Practical Nurse to be a Care Manager at our beautiful In ...
-
Clinical Care Manager
2 days ago
Cedarbrook Senior Living Rochester, United StatesClinical Care Manager · At Cedarbrook Senior Living, we work hard every day to find out what"Celebrating Life Every Day" means to our residents and their families, thenwe help them achieve these goals. We are seeking a dynamic Clinical Care Manager for our Rochester community. ...
-
Clinical Care Manager
3 days ago
Cedarbrook Senior Living Rochester, United StatesClinical Care ManagerAt Cedarbrook Senior Living, we work hard every day to find out what"Celebrating Life Every Day" means to our residents and their families, thenwe help them achieve these goals. We are seeking a dynamic Clinical Care Manager for our Rochester community.Respon ...
-
registered nurse care manager
4 weeks ago
McLaren Health Care , MI, United StatesPosition Summary: Accountable for proactive coordination and timely transition of assigned patients to the most appropriate level of care along the continuum. Impacts key results such as achieving top decile performance in length of stay, cost efficient resource utilization, prev ...
-
Case Manager Foster Care
2 weeks ago
Sevita Warren, United StatesDISCOVER CAREERS, WELL LIVED. Our mission at Sevita is to create a world where every person has the right to live well. Each day, the connections you make and the compassion you bring make a difference in the lives of our participants. You'll work alongside a dedicated team of cl ...
-
LPN Care Manager
1 week ago
AdvisaCare Pontiac, United States Full timeAdvisaCare Strives to be YOUR first choice for employment · Great Opportunity for a Strong Licensed Practical Nurse · AdvisaCare is seeking an experienced, motivated, and reliable Licensed Practical Nurse to be a Care Manager at our beautiful Independent Living Community in Pon ...
-
Client Care Manager/marketer
2 weeks ago
Comfort Keepers Warren, United States**WILL TRAIN THE RIGHT CANDIDATE** · **JOB SUMMARY**: · Reporting to the Director of Operations, the Client Care Manager is responsible for ensuring overall achievement of revenue objectives for an assigned territory as well as managing operations within the territory of Bridgewa ...
-
Registered Nurse
3 weeks ago
St. Anthony Healthcare Center Warren, United States Full timeAre you a critical thinker, a skilled communicator and passionate about caring for seniors? Are you seeking career advancement? As a Registered Nurse (RN) at St. Anthony Healthcare Center, you have the opportunity to use your nursing skills and become a leader. · At Ciena Healthc ...
-
Assistant Customer Care Manager
2 weeks ago
PulteGroup Troy, United StatesWE KNOW THAT BUILDING HOMES & COMMUNITIES BEGINS WITH BUILDING THE BEST TEAM · How would you like to be a part of team that has been providing the American Dream of homeownership to families for more than 60 years? PulteGroup is a FORTUNE 500 company and one of America's top res ...
-
Care Manager I
1 week ago
Centene Corporation Detroit, United States Full timeYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...
-
Foster Care Case Manager
3 weeks ago
Ennis Center Pontiac, United StatesEOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by la ...
-
Training for Specialist in Gastronomy
1 week ago
BlueWave Solutions Warren, United StatesTraining Specialist for Gastronomy - Focus: System Gastronomy (m/f/d) · Start your career with our training program. Learn from the biggest restaurant brand and the best, diverse teams. - Top training at the No. 1 in system gastronomy. - Good training salary according to collecti ...
-
Seller closing function
1 week ago
Apex Ventures Warren, United StatesLocation: 53545 Linz am Rhein | Contract type: Full-time/Part-time, permanent | Job ID: 823090 · What you'll be doing with us: · Do you love it when your guests feel right at home and you can give them your full attention? With ease, you convey to our customers every day at the c ...
-
Manager, Care Management
3 weeks ago
DMC Sinai-Grace Hospital Detroit, MI, United States Full timeDMC Sinai-Grace Hospital is DMC's largest hospital, offering a comprehensive heart center, cancer care, gerontology, emergency medicine, obstetrics/gynecology and cosmetic services. Sinai-Grace's joint replacement program features a revolutionary minimally invasive knee and hip r ...
-
Registered Nurse Care Manager
4 weeks ago
McLaren Macomb Mount Clemens, United States Full timePosition Summary · : Accountable for proactive coordination and timely transition of assigned patients to the most appropriate level of care along the continuum. Impacts key results such as achieving top decile performance in length of stay, cost efficient resource utilization, p ...
-
LPN Care Manager
2 weeks ago
AdvisaCare Southfield, United StatesJob Description · Job DescriptionAdvisaCare Strives to be YOUR first choice for employment · AdvisaCare is seeking an experienced, motivated, and reliable Licensed Practical Nurse to be a Care Manager at our beautiful Independent Living Community in Southfield MI. · Full Time S ...
-
Care Management Program Manager
3 weeks ago
Corktown Health Center Detroit, United StatesJob DescriptionJob Description · ABOUT US: Corktown Health's mission is to advance health and well-being for all with a focus on the LGBTQ+ community. Our culture is inclusive, affirming and accountable, and our vision is health equity for all · POSITION SUMMARY: The Program Ma ...
Coordinator Managed Care - Auburn Hills, United States - McLaren USA
Description
We are looking for a Managed Care Coordinator to join us in leading our organization forward.
McLaren Health Care is one of Michigan's fastest growing health systems. With 15 hospitals, annual revenues of over $6 billion, and a service area that covers 75% of the state of Michigan, McLaren is committed to the highest levels of patient care.
McLaren Physician Partners is a joint venture partnership between the McLaren healthcare System and our Physician members. Our focus is to support physician offices in all aspects of care delivery and operations including clinical integration, contracting, quality, care coordination and care management, across all settings.
Position Summary:
Responsible for implementing, operationalizing and administration of third-party payor/Managed Care agreements within all market segments for McLaren Physician Partners (MPP), McLaren Health Care Corporation (MHCC), McLaren High Performance Network (MHPN) and its subsidiaries. Assist and support of the relationships with Health Plans and third-party payors. Coordinate and facilitate education of hospitals, physicians and staff relative to the operational, payment, quality programs and initiatives specific to each third-party payor, leads JOCs and resolution of issues as they may develop. Conducts contract modeling and analysis with an understanding of population health and value-based contracting. Professionally and effectively communicates the advantages of contracting with McLaren, provides ongoing support to the contract management team.
This is a fully remote position.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
#LI-AK1
QUALIFICATIONS:
Required:
