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Job Information

McLaren Health Care Program Mgr Payer Initiatives in Auburn Hills, Michigan

Description

Position Summary:

This position is responsible for the daily management of payer operations and initiatives within MCLaren Physician Partners. Under the supervision of the Vice President of Operations, the Program Manager of Payer Initiatives will develop and support a sound infrastructure and policies and procedures consistent with payer initiatives, guidelines and regulations. The Program Manager of Payer Initiatives will also be responsible for managing activities, such as membership, compliance, education, provider communications, and reporting. The Program Manager of Payer Initiatives will also be responsible for identifying oppurtunities with payers on clinical outcomes, increase revenue, and reduce expenses, thus maximizing the bottom line. This position works heavily with the Director of Quality and Director of Analytics in payer related management deliverables for managed care success.

Qualifications

Required Qualifications:

  • Bachelor’s Degree in Healthcare, Business, or related field.

  • 5 years of progressive responsibility in quality, compliance or an equivalent field, or in a position of direct responsibility for operations within a healthcare setting.

  • 2 years experience working in the managed care industry.

Preferred Qualifications:

  • Master’s Degree in Healthcare, Public Health, Business, or related field.

  • Experience in supervisory role within managed care industry.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Job: Non-Health Professional

Primary Location: Michigan-Auburn Hills-MHP Auburn Hills

Organization MHC00-McLaren Health Care

Employee Status Regular

Shift Day Job

Job Type Standard

Schedule Full-time

Req ID: 20009911

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