Provider Contracting Manager jobs in Michigan

Provider Contracting Manager manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Provider Contracting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (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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Healthcare Contracting Regional Manager
  • Clinical Management Consultants
  • Niles, MI FULL_TIME
  • A vast healthcare network in dynamic Michigan is actively looking for a Healthcare Contracting Regional Manager to join their Finance leadership team. If you are a Hospital Financial Contract Regional...
  • 13 Days Ago

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Business Development Manager
  • Lee Contracting
  • Walker, 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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Project Manager/Estimator
  • Morreys Contracting
  • Detroit, MI FULL_TIME
  • Overview Morrey’s Contracting is seeking a Project Manager/Estimator to join our team! GET READY TO FRAME YOUR FUTURE We are a full-service carpentry company, recognized as one of the Best & Brightest...
  • 1 Month Ago

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Excavation Estimator-Project Manager
  • Lee Contracting
  • Midland, MI FULL_TIME
  • As employee-owners, we all strive to demonstrate the core values of Safety, Teamwork, Integrity, and Dedication each and every day. As a team, our mission is to provide our customers with the finest p...
  • 20 Days Ago

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Manager - Contract Management and Payer Variance
  • ChristianaCare
  • Wilmington, DE
  • Are you looking for a career opportunity with growth potential at a healthcare organization that is based on excellence ...
  • 6/11/2024 12:00:00 AM

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Contracts Manager
  • The Trade Desk
  • Irvine, CA
  • The Trade Desk is changing the way global brands and their agencies advertise to audiences around the world. How? With a...
  • 6/11/2024 12:00:00 AM

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Provider Contract Management Specialist
  • Naphcare, Inc.
  • Birmingham, AL
  • Overview: NaphCare has an excellent opportunity for a Provider Contracting Specialist to join our Regional Office in Pho...
  • 6/10/2024 12:00:00 AM

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Manager Contract Management
  • McDermott
  • Houston, TX
  • Job Description Company Overview: People power our future. That is why advancing a dynamic, inclusive environment, where...
  • 6/10/2024 12:00:00 AM

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Federal Contracts Manager
  • Sparks Group
  • Herndon, VA
  • Sparks Group in collaboration with a Fortune 500 consulting company is searching for a skilled Contract Manager. The Man...
  • 6/10/2024 12:00:00 AM

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Contract Manager
  • Perikin Enterprises LLC
  • Tullahoma, TN
  • Job Description Job Description Perikin Enterprises is looking for a talented contract manager to join our professional ...
  • 6/9/2024 12:00:00 AM

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Senior Provider Contract Manager
  • Kaiser Permanente
  • Oakland, CA
  • Description: Job Summary:Manages and conducts specific functions of the contracting and provider relations process. This...
  • 6/7/2024 12:00:00 AM

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Senior Manager-Contract Management, Americas
  • Idaho State Job Bank
  • Boise, ID
  • Senior Manager-Contract Management, Americas at Marriott in Boise, Idaho, United States Job Description Job Number 24034...
  • 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 Manager jobs
$108,252 to $143,761

Provider Contracting Manager in Gastonia, NC
By simplifying and automating the provider contracting lifecycle, we help make it easier for health plans to identify and implement savings opportunities to obtain maximum value from provider relationships.
January 09, 2020
Provider Contracting Manager in Springfield, IL
Responsible for the oversight of their assigned networks to ensure network provider deficiencies are being met and working closely with their assigned Network Support staff and Medical Management counterparts to ensure network needs/changes are being effectively addressed and communicated both internally and externally.
January 19, 2020
Provider Contracting Manager in Cedar Rapids, IA
New care delivery models, complex regulations and narrowing provider networks have significantly altered the provider contract management process.
February 03, 2020