Provider Contracting Director jobs in Michigan

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Provider Contracting Specialist, MI - Remote
  • McLaren Health Care
  • Flint, MI CONTRACTOR
  • We are looking for a Provider Contracting Specialist to join us in leading our organization forward.

    McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.

    McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee MIG,you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

    McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

    MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs.Learn more about MDwise, Inc. at https://www.mdwise.org/

    Position Summary:

    Responsible for generating new provider contracting activities within assigned market segments for assigned Plan(s) with a statewide focus on facilities, PHO and PO. Initiates, negotiates, and executes Value Based physician and/or other provider contracts and agreements the Plans . Generates new contracting opportunities through telemarketing, written communications, and other distribution channels.Responsible for meeting established provider contracting targets.

    This position is fully remote.

    Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

    Qualifications:

    Required:

    • Bachelor’s Degree in business, health care or related field.
    • Three (3) years’ experience in provider servicing role with hospitals, large physician groups and ancillary providers, including contract negotiation and implementation.
    • Must have valid Driver’s License and use of a personal vehicle for travel

    Preferred:

    • Five (5) years’ experience in provider contracting and servicing
    • Established relationships with providers in the Plan’s service areas

    Additional Information

    • Schedule: Full-time
    • Requisition ID: 24003731
    • Daily Work Times: 8:00 am - 5:00 pm
    • Hours Per Pay Period: 80
    • On Call: No
    • Weekends: No
  • 2 Days Ago

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Provider Contracting Specialist, MI - Remote
  • McLaren Integrated HMO Group
  • Flint, MI FULL_TIME
  • About Us McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in ...
  • 3 Days Ago

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DIRECTOR / CONTRACTING & PURCHASING SERVICES
  • Central Michigan University
  • Mount Pleasant, MI FULL_TIME
  • Responsible for the administration, operation and direction of activities associated with Contracting and Purchasing Services, University Stores, and Central Mailroom. Plans, develops and implements p...
  • 18 Days Ago

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Director of Sales
  • Lee Contracting
  • Pontiac, MI FULL_TIME
  • Founded in 1989, Lee Industrial Contracting is a 100% employee-owned company based in Pontiac, Michigan. We are the premier industrial contractor of choice for a broad variety of equipment installatio...
  • 9 Days Ago

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Medical Director
  • LTC Provider Care
  • Detroit, MI FULL_TIME
  • LTC Physician Care, PC is a new and emerging medical group dedicated to serving patients in Skilled Nursing and Long-Term Care facility settings. Our goal is to improve the overall quality of care, pa...
  • 2 Days Ago

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Medical Director
  • LTC Provider Care
  • Grand Rapids, MI FULL_TIME
  • LTC Physician Care, PC is a new and emerging medical group dedicated to serving patients in Skilled Nursing and Long-Term Care facility settings. Our goal is to improve the overall quality of care, pa...
  • 3 Days Ago

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Provisional Employee
  • WK Kellogg Co
  • Omaha, NE
  • At WK Kellogg Co, we exist to create joy and connection to inspire Gr-r-reat days. We believe that doing good is always ...
  • 6/11/2024 12:00:00 AM

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Personnel Clerk - Provisional
  • Nassau BOCES
  • Garden City, NY
  • Personnel Clerk - Provisional JobID: 1661 Position Type: Classified Staff/PERSONNEL CLERK Date Posted: 5/30/2024 Locatio...
  • 6/11/2024 12:00:00 AM

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RTE Provisioner SC
  • E.A. Sween
  • Hodges, SC
  • We are always looking for talented, hardworking people to join the E.A. Sween family. We are a third-generation family-o...
  • 6/10/2024 12:00:00 AM

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Investigator (Provisional/Classified)
  • New Jersey Courts
  • New Brunswick, NJ
  • When you come to work for New Jersey Judiciary you will join an 8500-member strong TEAM that operates with the highest s...
  • 6/10/2024 12:00:00 AM

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VoIP Provisioner
  • Edge Communications
  • Plano, TX
  • Job Description Job Description Title: VoIP Provisioner Reports to: Manager – Carrier Services Location: Plano Date: 05/...
  • 6/9/2024 12:00:00 AM

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Provisional Case Manager
  • San Andreas Regional Center
  • Salinas, CA
  • Job Summary: While maintaining good public relations and implementing the goals and vision of the regional center, this ...
  • 6/8/2024 12:00:00 AM

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Typist-Provisional MS
  • Canandaigua City School District
  • Canandaigua, NY
  • TYPIST-PROVISIONAL* Needed at the Middle School Full-time, 12-month position Starting as soon as possible Benefits provi...
  • 6/7/2024 12:00:00 AM

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Provisional Licensed Counselor
  • Christian Wellness Center Of NJ LLC
  • Somerset, NJ
  • Job Description Job Description Duties/Responsibilities: • Provide counseling for clients and patients, individually and...
  • 6/7/2024 12:00:00 AM

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$171,055 to $247,050

Provider Contracting Director in New Suffolk, NY
The partners expect that their efforts toward greater collaboration between mutuelles and private providers will contribute to greater financial risk protection of covered citizens and support access to universal health coverage.
January 02, 2020
Provider Contracting Director in Vincennes, IN
The provider of services can choose how to perform the service.
January 27, 2020
Provider Contracting Director in Wichita Falls, TX
The Credentialing Committee is chaired by our Medical Director and they give the final determination if a provider meets our credentialing criteria.
December 05, 2019