About Us
McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, 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 centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.
Medicare Quality Administrator
Qualifications:
Required:
• Bachelor’s degree in health care, business or a related field, or Associate’s degree and two (2) years’ related experience.
• Two (2) years’ experience performing quality management activities in a Medicare managed care organization, including HEDIS, HOS, and CAHPS.
Preferred:
• Master’s degree in health care related field.
• Four (4) years’ experience with a government regulated health organization or a managed care setting with at least three (3) years’ experience performing complex quality management activities including HEDIS, NCQA etc.
• In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc.
• Experience and knowledge of ICD-10, CPT I, CPT II, LOINC, SNOMED, HCPCS diagnosis.
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.
