Provider Contracting Director jobs in Michigan

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Provider Contracting Specialist
  • McLaren Health Care
  • Michigan, MI FULL_TIME
  • Position Summary:

    Supports the day-to day functions and operations of the provider contracting team.  Facilitates consistency, efficiency, compliance with applicable laws, rules and regulations, and adherence to McLaren health system policies and procedures throughout the provider contracting process.   

    Essential Functions and Responsibilities As Assigned:

    • Prepare legal documents and correspondence pertaining to employed providers, including contracts, addendums, renewals, emails, formal letters, and memoranda.
    • Work in coordination and cooperation with provider recruitment, operations, compensation, finance, human resources, hospital administration, and other stakeholders to ensure timely preparation and execution of agreements and other legal documents in accordance with applicable policies and procedures. 
    • Maintain an electronic database with all current contract templates and other approved contract language and standard documents.
    • Maintain a thorough understanding of all McLaren health system and policies and processes and key legal and compliance requirements related to provider contracting.  
    • Maintain a current and complete electronic file for each provider, containing all contracts (including amendments, renewals, assignments, etc.), formal correspondence, and other documents and information throughout the contract lifecycle in accordance with applicable policies and processes.
    • Recommend and implement improvements in department and interdepartmental workflows and daily department operations related to provider contract creation and management.
    • Maintain knowledge and a general understanding of the legal and compliance regulations and standards related to provider contracting.
    • Assume responsibility for coordinating and/or participating in special projects as assigned.
    • Perform other related duties as assigned or required.

    Qualifications:

    Required:

    • Highschool diploma or GED
    • Three years’ administrative experience in a legal or other professional office or a corporate environment.
    • Three years’ contract management/administration experience in a corporate environment.

    Preferred:  

    • Associate’s or Bachelor’s degree in a legal, business, or healthcare or related field.
    Additional Information
  • 8 Days Ago

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Medical Director
  • LTC Provider Care
  • Howell, MI FULL_TIME
  • LTC Physician Care, PC is a new and emerging medical group dedicated to serving patients by providing Primary Care Physician (PCP) services to Skilled Nursing and Long-Term Care facilities across Mich...
  • 1 Month Ago

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Medical Director
  • LTC Provider Care
  • Detroit, MI FULL_TIME
  • LTC Physician Care, PC is a new and emerging medical group dedicated to serving patients in Skilled Nursing and Long-Term Care facility settings. Our goal is to improve the overall quality of care, pa...
  • 1 Month Ago

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Medical Director
  • LTC Provider Care
  • Grand Rapids, MI FULL_TIME
  • LTC Physician Care, PC is a new and emerging medical group dedicated to serving patients in Skilled Nursing and Long-Term Care facility settings. Our goal is to improve the overall quality of care, pa...
  • 1 Month Ago

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Medical Director
  • LTC Provider Care
  • Flint, MI FULL_TIME
  • LTC Physician Care, PC is a new and emerging medical group dedicated to serving patients in Skilled Nursing and Long-Term Care facility settings. Our goal is to improve the overall quality of care, pa...
  • 1 Month Ago

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DIRECTOR / CONTRACTING & PURCHASING SERVICES
  • Central Michigan University
  • Mount Pleasant, MI FULL_TIME
  • Responsible for the administration, operation and direction of activities associated with Contracting and Purchasing Services, University Stores, and Central Mailroom. Plans, develops and implements p...
  • 24 Days Ago

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Licensed Psychotherapist ( Provisionals Accepted)
  • Clinical Counseling and Consulting Services, PLLC
  • Fayetteville, NC
  • Job Description Job Description Job Summary Provides professional psychotherapy/counseling services to clients, families...
  • 4/19/2024 12:00:00 AM

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Construction plans Examiner - Provisional
  • Palm Beach County, FL
  • Palm Beach, FL
  • Examines construction plans for compliance with Florida Building Code, Florida Statutes and County regulations. Reviews ...
  • 4/19/2024 12:00:00 AM

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Stock Clerk (Provisional)
  • City of Buffalo, NY
  • Buffalo, NY
  • Salary: $41,887.00 - $46,336.00 Annually Location : Buffalo Fire Department- 195 Court Street, NY Job Type: Full-Time Jo...
  • 4/18/2024 12:00:00 AM

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Provisional Licensed Counselor
  • Christian Wellness Center Of NJ LLC
  • Somerset, NJ
  • Job Description Job Description Duties/Responsibilities: • Provide counseling for clients and patients, individually and...
  • 4/18/2024 12:00:00 AM

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Licensed Psychotherapist ( Provisional or Fully Licensed)
  • Clinical Counseling and Consulting
  • Fayetteville, NC
  • Job Description Job Description We are seeking a Licensed Psychotherapist ( Provisional Or Fully Licensed) to join our t...
  • 4/18/2024 12:00:00 AM

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Licensed/Provisionally Licensed Therapist
  • Lutheran Family and Children's Services of Missouri
  • Saint Louis, MO
  • Lutheran Family and Children's Services of Missouri is expanding our Behavioral Health services into Springfield, MO! Be...
  • 4/17/2024 12:00:00 AM

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Logistics Provisioner Army Project
  • Conley & Associates, Inc
  • Harvey, LA
  • Job Description Job Description Job Description: Work in Powerlog creating a database as directed. Screen parts and comp...
  • 4/17/2024 12:00:00 AM

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Provisionally Licensed / Associate Level Therapist
  • Destination Therapy
  • Houston, TX
  • Destination Therapy is an Equal Opportunity Employer.We are committed to a diverse workforce that reflects the populatio...
  • 4/16/2024 12:00:00 AM

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$170,273 to $245,920

Provider Contracting Director in New Suffolk, NY
The partners expect that their efforts toward greater collaboration between mutuelles and private providers will contribute to greater financial risk protection of covered citizens and support access to universal health coverage.
January 02, 2020
Provider Contracting Director in Vincennes, IN
The provider of services can choose how to perform the service.
January 27, 2020
Provider Contracting Director in Wichita Falls, TX
The Credentialing Committee is chaired by our Medical Director and they give the final determination if a provider meets our credentialing criteria.
December 05, 2019