Provider Contracting Manager jobs in Michigan
Provider Contracting Manager manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Provider Contracting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Recently Added Provider Contracting Manager jobs
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 - 13 Days Ago
Contracting Project Manager
- Buist Electric
-
Center, MI
FULL_TIME
- Location: Byron Center Job Purpose Using our mission statement as a guide, the Contracting project manager is directly responsible for the supervision of individuals or teams to accomplish assigned pr...
- 20 Days Ago
Healthcare Contracting Regional Manager
- Clinical Management Consultants
-
Niles, MI
FULL_TIME
- A vast healthcare network in dynamic Michigan is actively looking for a Healthcare Contracting Regional Manager to join their Finance leadership team. If you are a Hospital Financial Contract Regional...
- 23 Days Ago
Project Manager/Estimator
- Morreys Contracting
-
Detroit, MI
FULL_TIME
- Overview Morrey’s Contracting is seeking a Project Manager/Estimator to join our team! GET READY TO FRAME YOUR FUTURE We are a full-service carpentry company, recognized as one of the Best & Brightest...
- 1 Month Ago
Electrical Estimator/ Project Manager
- Lee Contracting
-
Pontiac, MI
FULL_TIME
- Founded in 1989, Lee Industrial Contracting is a 100% employee-owned company based in Pontiac, Michigan. We are the premier industrial contractor of choice for a broad variety of equipment installatio...
- 1 Month Ago
Senior Project Manager
- Commercial Contracting Corporation
-
Auburn, MI
FULL_TIME
- COMMERCIAL CONTRACTING CORPORATION Commercial Contracting Corporation (CCC) is an employee-owned, full-service general building and process equipment installation contractor. Headquartered in Auburn H...
- 18 Days Ago
Provider Contracting Manager jobs at Popular Companies
Provider Contracting Manager
- Health New England
-
- SUMMARY: The Provider Contracting Manager is responsible for leading or assisting with network development activities of...
- 4/23/2024 12:00:00 AM
Provider Contract Management Specialist
- Cambia Health Solutions Inc
-
Portland, OR
- Provider Contract Management Specialist Remote opportunity for residents of OR, WA, ID and UT Primary Job Purpose The Pr...
- 4/23/2024 12:00:00 AM
Provider Contract Manager *REMOTE Seattle Area*
- Dexian
-
Chicago, IL
- Position: Provider Contract Manager *REMOTE Seattle Area* Location: Remote - Everett, Seattle, Tacoma, Washington State ...
- 4/22/2024 12:00:00 AM
Provider Contract Management Specialist
- Cambia Health Solutions, Inc
-
Portland, OR
- Provider Contract Management Specialist Remote opportunity for residents of OR, WA, ID and UT Primary Job Purpose The Pr...
- 4/22/2024 12:00:00 AM
Provider Contracts Manager
- Molina Healthcare
-
New York, NY
- ***Remote and must live in New York*** Job Description Job Summary Molina Health Plan Provider Network Contracting jobs ...
- 4/22/2024 12:00:00 AM
Provider Contract Manager *REMOTE Seattle Area*
- Dexian
-
Phoenix, AZ
- Position: Provider Contract Manager *REMOTE Seattle Area* Location: Remote - Everett, Seattle, Tacoma, Washington State ...
- 4/22/2024 12:00:00 AM
Provider Contract Manager *REMOTE Seattle Area*
- Dexian
-
Kansas City, MO
- Position: Provider Contract Manager *REMOTE Seattle Area* Location: Remote - Everett, Seattle, Tacoma, Washington State ...
- 4/22/2024 12:00:00 AM
Provider Contract Manager *REMOTE Seattle Area*
- Dexian
-
San Francisco, TX
- Position: Provider Contract Manager *REMOTE Seattle Area* Location: Remote - Everett, Seattle, Tacoma, Washington State ...
- 4/22/2024 12:00:00 AM
About Michigan
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 Manager jobs
$107,757 to $143,101
Most Popular Cities in Michigan for Provider Contracting Manager Jobs
What does a Provider Contracting Manager do?
Provider Contracting Manager in Gastonia, NC
By simplifying and automating the provider contracting lifecycle, we help make it easier for health plans to identify and implement savings opportunities to obtain maximum value from provider relationships.
January 09, 2020
Provider Contracting Manager in Springfield, IL
Responsible for the oversight of their assigned networks to ensure network provider deficiencies are being met and working closely with their assigned Network Support staff and Medical Management counterparts to ensure network needs/changes are being effectively addressed and communicated both internally and externally.
January 19, 2020
Provider Contracting Manager in Cedar Rapids, IA
New care delivery models, complex regulations and narrowing provider networks have significantly altered the provider contract management process.
February 03, 2020