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.
Project Coordinator, Commercial Programs - Michigan
McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Coordinator, Project Commercial Programs to join in leading the organization forward.
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).
MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP, 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.
Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org
Position Summary: Provides project coordination support as assigned by direct leader to meet department and organizational goals. Assists where necessary or through project management those business ventures undertaken by the Company to ensure its profitable future.
Department Specific Requirements:
Commercial Programs
Serves as a subject matter expert supporting commercial program execution, operational performance, and issue resolution.
Participates in operational coordination for the commercial lines of business, including but not limited to ACA Marketplace, Medicare Supplement, and Employ-Sponsored Plans.
Addresses member questions, resolves basic issues and escalates complex concerns or questions to Member Services for appropriate resolution and/or response.
Participates in enrollee and provider outreach and engagement as needed, documenting all interactions as appropriate in Health Rules, Jiva, or other systems as appropriate.
#LI-KH1
Required:
- Associate degree in business, information services or related field or a High School diploma or equivalent (GED) with two years’ of relevant experience and completion of a certification programs such as: APM (Associate in Project Management; CAPM (Certified Associate in Project Management.
- Two (2) years’ experience in process and/or project coordination
Preferred:
- Bachelor’s degree in business, information services or related field
- Two (2) years’ experience and knowledge of HMO, or PPO (e.g. accounting/finance, reinsurance, regulatory compliance, claims processing, membership/eligibility, actuarial precepts).
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.
