About Us
The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 93,000 network providers throughout Michigan.
Health Plan Operations Analyst, Michigan Residency Required
Qualifications:
Required:
Associate Degree in Business Administration, Healthcare Administration, or other administrative support area; or High School diploma and two (2) years’ experience in a related field.
Two years’ experience in an office environment related to customer service.
Proficiency with computer applications, MS-Office, automation tools, and other software applications associated with Operations department functions.
Preferred:
Bachelor’s Degree in Business Administration, Healthcare Administration, or related field.
Experience and knowledge of HMO, PPO, TPA, and Managed Care functions (e.g. quality improvement, regulatory compliance, utilization management, care management, claims processing, payment integrity, enrollment/eligibility, EDI, provider contracting, and risk arrangements).
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
