McLaren USA
Provider Contracting Specialist, MI - Remote
McLaren USA, Flint, Michigan, United States, 48567
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 target
This position is fully remote.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
#LI-AK1
Qualifications:
Required:
Bachelor's degree in health care, management or related field or Associate's degree with two (2) years of related experience; or High School diploma with four (4) years of related experience.Three (3) years' experience in provider servicing role with hospitals, large physician groups and ancillary providers, including contract implementation.Must have valid Driver's License and use of a personal vehicle for travel.Preferred:
Experience in contract negotiation.Five (5) years' experience in provider contracting and servicing.Established relationships with providers in the Plan's service areas.
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 target
This position is fully remote.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
#LI-AK1
Qualifications:
Required:
Bachelor's degree in health care, management or related field or Associate's degree with two (2) years of related experience; or High School diploma with four (4) years of related experience.Three (3) years' experience in provider servicing role with hospitals, large physician groups and ancillary providers, including contract implementation.Must have valid Driver's License and use of a personal vehicle for travel.Preferred:
Experience in contract negotiation.Five (5) years' experience in provider contracting and servicing.Established relationships with providers in the Plan's service areas.