Job Description

Location : Flint, MI (Hybrid)

Domain : Hospital and Healthcare

Duration : Full time

Pay Range : $110K annually with benefits

Required:

• Bachelor's degree in business, health care, or related field; or an Associate degree and two years experience in managed care; or a high school diploma or equivalent and four (4) years' experience in managed care.
• An additional five (5) years of experience in contracting or networking in a managed care organization, Health Plan, PHO, PO, or similar organization.

Preferred:

• Master's degree in health care management, finance, or related field.
• Two (2) years experience with plan and provider contracting with both Facility and Professional.

Knowledge, Skills, and Abilities:

• Experience analyzing, understanding, and communicating the financial impact of contract terms, payment structures, and reimbursement rates to providers.
• Negotiation skills, including an in-depth understanding of healthcare reimbursement methodologies.
• Able to establish relationships with Health Plans, and other Industry Professionals.
• Proficient in identifying and solving problems with minimal direction.
• Influential and persuasive in interacting with medical providers, medical office staff, hospital/facility medical and administrative staff, and payors/health plans.
• Able to organize and prioritize workload.
• Demonstrated proficiency in MS Office applications.
• Communications: communicates verbally and in writing in a positive, consistent, enthusiastic, and open-minded approach with all internal and external customers.
• Exhibits skill in communicating complex information at a level of understanding for the appropriate intended recipients.
• Decision Making : uses independent judgment by keeping the organization's mission, vision, and values at the forefront. Works independently in a self-directed, non-confrontational, collaborative manner.
• Planning/Organization : shows organizational skills through effective planning and delegating.
• Constantly seeks opportunities to improve processes to support more efficient and effective work outcomes.
• Customer Focus : promotes positive internal and external relations by actively seeking and responding to customer feedback. Ability to support and participate in continuous quality improvement projects.
• Financial Management : manages assigned departments and budgets within specified parameters.
• Consistently contributes to sound financial practices.
• Translates the Vision, Mission, and Leadership traits into daily interactions with staff and internal and external clients. Demonstrates drive, initiative and ownership in all endeavors undertaken for the benefit of the Plan.

Benefits:

• 401(k)
• 401(k) matching
• Dental Insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8-hour shift
• Monday to Friday

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