We are looking for a Manager Provider Relations, 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 the planning, managing, and organizing Provider Relations functions for all products as designated.

　　Responsible for developing a robust provider network, in conjunction with senior staff, including negotiating and contracting with providers.

　　Responsibility for tracking and managing Provider Relations activity, including staff and performance reviews, provider education, and day-to-day operations of the department.

　　Professionally and effectively markets the advantages of being a Plan network provider to prospective providers.

　　Generates new contracting opportunities through telemarketing, written communications, and other distribution channels.

　　Develop and implement processes to monitor contractual obligations and ensure the Plan’s compliance with such.

　　Responsible for analyzing, development and implementation of education and training programs for contracted providers and their staff.

　　Designs, implements, and adjusts workflows to ensure department efficiencies are maintained.

　　This is a hybrid position with requirements to come onsite as scheduled with leader, Flint, MI.

　　Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

　　#LI-AK1

　　Qualifications:

　　Required:

　　Bachelor’s Degree in business, health care or related field.

　　Five (5) years’ progressive experience in a managed care organization with specific responsibilities in provider relations and contracting; including demonstrated success in leading negotiations. with a minimum of three (3) years in a supervisory role leading a professional staff of five or more members in all phases of effective supervision.

　　Must have a valid driver’s license and use of a personal vehicle for travel.

　　Preferred:

　　Seven (7) years’ experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g.).

　　Five (5) years’ experience in Provider contracting; including demonstrated success in leading negotiations.