Top 45 Senior administrator Jobs in Troy Mi

Senior Provider Services Administrator (Hybrid/Troy, MI) - Health Alliance Plan
Henry Ford Health —Troy, MI
- Day shift
- Microsoft Word
- Microsoft Excel
- Public speaking
- Health insurance
- Dental insurance
12d
Senior Payroll Administrator
Allegiance Staffing of Michigan —Warren, MI
- $80,000.00 - $80,000.25 a year
- Full-time
- 5 years
- Data analysis skills
- Analysis skills
- Health insurance
- 401(k)
Quick Apply
5d
Care Coordinator / Healthcare Office Manager
Senior Helpers – Rochester —Rochester, MI
- $20 - $25 an hour
- Full-time
- Office
- Home Health
- Communication skills
- Health insurance
Quick Apply
Senior Financial System Developer & Administrator
TI Fluid Systems —Auburn Hills, MI
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
7d
Senior Provider Services Administrator (Hybrid/Troy, MI) - Health Alliance Plan
Health Alliance Plan —Troy, MI
- Microsoft Excel
- Public speaking
- Master's degree
12d
Senior System Administrator
Niterra North America Inc —Wixom, MI
- $65,000 - $85,000 a year
- Full-time
- Google Workspace
- Azure
- Computer Science
- Paid parental leave
- Disability insurance
Quick Apply
Senior E-Discovery Application Administrator II
Contact Government Services, LLC —Detroit, MI
- $144,768.00 - $209,109.33 a year
- Full-time
- Hybrid work
- Computer Science
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
Business Office Manager
Parallel —Pontiac, MI
- Weekends as needed
- Current TB test
- Mid-level
- Office
- Health insurance
- Dental insurance
12d
Senior Sever Administrator
Universal Logistics Holdings —Warren, MI
- Full-time
- Research
- SharePoint
- Senior level
Office Support Clerk Senior - Personal Protection Order Office
Oakland County Michigan —Pontiac, MI
- $41,241 - $55,256 a year
- Full-time
- Word processing
- Basic math
- Research
10d
Senior Grant/Contract Administrator, Division of Research & Innovation
Wayne State University —Detroit, MI
- $61,906 - $74,290 a year
- Full-time
- Background check
- Office
- Analysis skills
Senior Administrative Assistant I
Schoolcraft College —Livonia, MI
- $22.58 - $24.12 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Writing skills
17h
Senior Payroll and Benefits Administrator
AD Mortgage —Troy, MI
- Full-time
- 5 years
- Office
- Bachelor's degree
- Paid training
- Health insurance
Quick Apply
Senior Database Administrator
Contact Government Services, LLC —Detroit, MI
- $89,301.33 - $121,194.66 a year
- Extended hours
- Hybrid work
- Azure
- 5 years
- SQL
- Health insurance
- Dental insurance
Quick Apply
Senior Contracts Administrator
Mettle Ops —Madison Heights, MI
- Full-time
- Office
- Business development
- Senior level
Quick Apply
Administrative Assistant
The Avalon of Bloomfield Township —Bloomfield, MI
- Full-time
- High school diploma or GED
- Communication skills
- Entry level
13d
Sr. Network Storage Administrators
Teradyne Infotech —Farmington Hills, MI
- Computer Science
- Mid-level
- Office
Senior Client Service Administrator
Oswald Companies —Bloomfield Hills, MI
- Full-time
- Mid-level
- Office
- Administrative experience
- Profit sharing
- Health insurance
Senior IT & Systems Security Specialist
CTR Electronics —Macomb, MI
- $70,000 - $110,000 a year
- Full-time
- System design
- Office
- AWS
- Health insurance
- Dental insurance
Quick Apply
14d
Sr. Database Administrator
ASR INTERNATIONAL —Selfridge, MI
- $85,000 - $115,000 a year
- Full-time
- Background check
- Computer Science
- Mid-level
- Paid holidays
- Health insurance
5d

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Senior Provider Services Administrator (Hybrid/Troy, MI) - Health Alliance Plan

Henry Ford Health -
Troy, MI

Apply Now

Job Details

12 days ago

Benefits

Health insurance
Dental insurance
Tuition reimbursement

Qualifications

Microsoft Word
Contract management
Microsoft Excel
Customer relationship building
Presentation software
Presentations for conferences or internal meetings
Contract management experience in healthcare
Financial analysis
Bachelor's degree
Contracts
Financial performance measurement
Community relationship building
Healthcare performance metrics analysis

Full Job Description

GENERAL SUMMARY:
The Senior Provider Service Administrator (SPSA) is the plan representative with key providers and PHO/PO groups who participate in value based and fee-for-service contracts with the health plan. The SPSA represents HAP at external forums and various healthcare and community wide coalitions; develops and maintains beneficial relationships with HAP’s provider community such as physicians, hospitals, ancillaries, and network PHO/PO administrators. The SPSA performs analysis, leads discussions with external and internal audiences, coordinates solutions within HAP’s internal departments including risk adjustment, quality, financial and health care management and executes solutions related to containment of medical costs. The SPSA administers value-based contract arrangements and programs with provider groups.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

Develops and presents PHO/PO reports related to risk adjustment, quality including HEDIS/Medicare 5 Star performance, financial and utilization metrics. Analyzes data and makes recommendations to contracted provider groups on improvement opportunities.
Responsible for managing overall activities related to value-based contracts, including analyzing performance, developing strategy and approaches to help maximize performance potential.
Monitors and advises provider performance to ensure achievement for financial and clinical targets and incentives. Implements strategies at a system level and within HAP, as directed by management.
Presents identified provider performance opportunities to provider groups in Joint Operating Committee meetings and other forums.
Works with Quality Management, Health Care Management, and Utilization Management, departments to ensure the provider relationships are enhanced with prompt and accurate resolutions.
Generates and analyzes financial performance of assigned contracted groups to assist in the contracting process with existing and new providers.
Facilitates educational interventions for assigned contracted groups related to financial and quality incentives.
Supports provider contracting initiatives related to new products or network expansion to the provider community including implementation of value-based contract terms and programs.
Represents the company in external large and small group forums by presenting company information relating to Provider Relations, including community wide coalitions.
Represents Provider Relations in internal working committees related to assigned value- based contracted groups.
Assumes responsibility for the overall relationship of assigned provider groups and escalates issues to leadership as appropriate.
Perform additional duties as needed.

EDUCATION/EXPERIENCE REQUIRED:

Bachelor’s degree in Health Care Administration, Business Administration or related field required.
Master’s degree in Health Care Administration, Business Administration or related field preferred.
Minimum of five (5) years relevant professional experience in Provider Relations and Contracting in managed care, pharmaceutical, or other health care setting required.
Minimum of two (2) years interacting with clinical practices, including experience in analyzing and integrating financial and quality performance.
At least two (2) years demonstrated experience in presentation and public speaking.
Minimum of two (2) years training and development experience preferred.
Ability to assess and foster positive relationships.
Excellent interpersonal and relationship-building skills, including the ability to work with a diverse population.
Excellent communication skills: written, verbal and listening.
Strong problem-solving, decision making and analytical skills, with attention to detail.
Ability to handle and prioritize multiple assignments using organization and time-management skills.
Possess a high degree of tact, diplomacy, and empathy.
Strong knowledge of Microsoft applications: Word, Power Point and Excel.
Strong familiarity with the healthcare industry and various product offerings.
Strong knowledge of provider contract language.
Strong knowledge of provider risk arrangements.

Additional Information

Organization: HAP (Health Alliance Plan)
Department: Provider Contracting
Henry Ford Health Location: HAP (Health Alliance Plan)
Shift: Day Job
Union Code: Not Applicable

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

Apply Now

Refine Your Search

senior administrator jobs in troy mi

Senior Provider Services Administrator (Hybrid/Troy, MI) - Health Alliance Plan

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Senior Provider Services Administrator (Hybrid/Troy, MI) - Health Alliance Plan

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