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We got a new job details in McLaren Health Care Corp & they are Hiring Candidates for Payor Contracting Coordinator
Company Name : McLaren Health Care Corp
Company Location : Auburn Hills, MI 48326
Job Position : Payor Contracting Coordinator
Job Category : Jobs in Michigan
Job Description :
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 the operational, 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.
Associate Degree in business, health care or related field.
Two years’ experience in a Managed Care, Health Plan, PHO, PPO or similar organization.
Bachelor’s Degree in business, health care or related field.
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.
Five (5) years’ experience in provider contracting and servicing.
Established relationships with Health Plans, other Industry Professionals.
This position is a hybrid, remote/in office position.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
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