Managed Care jobs in Detroit, MI

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Director, Provider Network Operations
AmeriHealth Caritas 59 reviews - Southfield, MI
Minimum 8 years progressive business management experience, preferably in Healthcare Minimum 5 years management experience, in a managed care setting, managing...
Sponsored by AmeriHealth Caritas - 30+ days ago
Gov Contracts Spc
Molina Healthcare 142 reviews - Troy, MI
1 year experience in Managed Care required. Coordinate and help lead Molina Healthcare Government Contracts department’s activities including but not limited to...
Sponsored by Molina Healthcare - 9 days ago
Manager Network Operations
AmeriHealth Caritas 59 reviews - Southfield, MI
Minimum of five (5) years of experience in managed care or related healthcare setting including claims management, service and procedural coding and claims...
Sponsored by AmeriHealth Caritas - 30+ days ago

Manager Healthcare Services II

Molina Healthcare 142 reviews - Troy, MI
Five or more years in a management role in a Managed Care Environment. Oversees, coordinates and monitors all team activities to facilitate integrated proactive...

Credentialing Analyst

Wayne State University Physician Group 9 reviews - Detroit, MI
Knowledge of managed care. The Credentialing Department for the Wayne State University Physician Group is currently seeking qualified candidates for the...

Panel Management Associate Job

Henry Ford Health System 446 reviews - Detroit, MI
Health care systems, is a national leader in clinical care, research and education. In 2013, Henry Ford provided $314 million in uncompensated care....

MI DUALS Clinical Care Mgr

Aetna 485 reviews - Southfield, MI 48034
Managed Care experience preferred. 3-5 years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory...

HAP Midwest Health Plan - Waiver Specialist Job

Henry Ford Health System 446 reviews - Dearborn, MI
Health care systems, is a national leader in clinical care, research and education. Experience in health care case management....

Provider Services Rep II - Saginaw/Thumb Counties

Molina Healthcare 142 reviews - Troy, MI
2 - 3 years customer service, provider service, or claims experience in a managed care setting. Knowledge of health care information terminology....

Operations Specialist

Wayne State University Physician Group 9 reviews - Detroit, MI
Must have an understanding Medicaid, Medicare, commercial/managed care and blue cross payer billing and reimbursement processes....

Credentialing Sr Analyst-Medicare-Medicaid

Aetna 485 reviews - Detroit, MI
Knowledge of NCQA and Managed Care a plus. We care about each other, our customers and our communities. Responsible for credentialing and recredentialing...

Director of Medicare Star Ratings

Meridian Health Plan 40 reviews - Detroit, MI
In-depth experience with Medicare operations within a managed care organization. Broad knowledge of Medicare regulations and guidance including, but not limited...

Senior Project Manager

Meridian Health Plan 40 reviews - Detroit, MI
Knowledge of managed care principles. 3-5 years experience in a managed care organization is required. 3-5 years project management experience, preferably in a...
Claims Processing Coordinator
Confidential Company in Southfield, Mi - Southfield, MI
Understanding of Medicare / Medicaid laws, managed care, and commercial health insurance is a plus. Education & Experience:....
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Sponsored by Confidential Company in Southfield, Mi - 30+ days ago
Provider Account Executive II
AmeriHealth Caritas 59 reviews - Southfield, MI
1-2 years managed care or related experience. This position is responsible for research and analysis related to provider claims issues....
Sponsored by AmeriHealth Caritas - 30+ days ago

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Company with Managed Care jobs
59 reviews
AmeriHealth Caritas is the nation's leader in health care solutions for the underserved and chronically ill for over 30 years.