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Provider Contracting Specialist, MI - Remote
$146k-188k (estimate)
Full Time 3 Days Ago
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McLaren Integrated HMO Group is Hiring a Remote Provider Contracting Specialist, MI - Remote

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 Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.

Provider Contracting Specialist, MI - Remote

Michigan, Flint

NEW

Non-Health Professional

McLaren Integrated HMO Group

24003731

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
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

Job Summary

JOB TYPE

Full Time

SALARY

$146k-188k (estimate)

POST DATE

06/08/2024

EXPIRATION DATE

08/07/2024

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