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2 Managed care coordinator Jobs in Auburn, MI

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McLaren Health Care
Auburn, MI | Full Time
$49k-82k (estimate)
3 Months Ago
McLaren Health Care
Auburn, MI | Full Time
$49k-82k (estimate)
3 Months Ago
Managed care coordinator
$49k-82k (estimate)
Full Time | Ambulatory Healthcare Services 3 Months Ago
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McLaren Health Care is Hiring a Managed care coordinator Near Auburn, MI

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 theoperational, 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 :

Required :

  • 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.

Preferred :

  • 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.
  • Established relationships with Health Plans, other Industry Professionals.
  • Last updated : 2024-06-18

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$49k-82k (estimate)

POST DATE

04/29/2024

EXPIRATION DATE

09/18/2024

WEBSITE

mclaren.org

HEADQUARTERS

DEWITT, MI

SIZE

7,500 - 15,000

FOUNDED

1914

REVENUE

$200M - $500M

INDUSTRY

Ambulatory Healthcare Services

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About McLaren Health Care

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $6 billion (budget FY21), fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 15 hospitals in Michigan and Ohio, ambulatory surgery centers, imaging centers, a 490-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering approximately 640,000 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malp...ractice insurance company. McLaren operates Michigans largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 51 National Cancer Institute-designated comprehensive cancer centers in the U.S. As part of its Graduate Medical Education (GME) program, McLaren maintains academic affiliations with medical schools at Wayne State University, Michigan State University and Central Medical University. McLarens six (6) GME campuses offer 27 residencies and eight (8) fellowship programs that train over 650 future physicians annually. All GME programs at McLaren are overseen and managed centrally by the Department of Academic Affairs. More
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