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Managed Care Associate Jobs in Michigan (NOW HIRING)

SpartanNash Company

Guest Care Associate

Zeeland, MI · On-site

$13.50 - $16.50/hr

Our braggingly happy team members - ranging from bakery managers to order selectors; from IT ... The associate is required to stand and walk for extended periods of time and may bend, stoop, twist ...

C&S Wholesale Grocers Inc

Guest Care Associate

Zeeland, MI · On-site

$13.50 - $16.50/hr

Our braggingly happy team members - ranging from bakery managers to order selectors; from IT ... The associate is required to stand and walk for extended periods of time and may bend, stoop, twist ...

Hurley Medical Center

Specialty Care Associate

Flint, MI · On-site

$15.25 - $20.50/hr

... management skills. Complies with all safety and infection control standards. Participates in ... Pulls charts for patient care providers in a timely manner. 10. Courteously greets patients ...

TH Medical

Respiratory Care Associate

Detroit, MI · On-site

Performs patient care rounds, and interacts with the Respiratory Case Manager and/or Senior ... OR Associates degree in science. 2. BLS certification required. Facility Description DMC Harper ...

TH Medical

Respiratory Care Associate

Detroit, MI

Performs patient care rounds, and interacts with the Respiratory Case Manager and/or Senior ... OR Associates degree in science. 2. BLS certification required. Facility Description DMC Harper ...

TH Medical

Respiratory Care Associate

Detroit, MI · On-site

Performs patient care rounds, and interacts with the Respiratory Case Manager and/or Senior ... OR Associates degree in science. 2. BLS certification required. Facility Description DMC Harper ...

McLaren

Patient Care Associate Casual

Bay City, MI · On-site

... Nursing Manager/Resource Nurse. 2. Assists in maintaining a safe and orderly patient care ... environment, adhering to established policy. 3. Demonstrates competency and knowledge in performing ...

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Managed Care Associate information

What is a managed care associate?

A Managed Care Associate is a professional who supports the administration and coordination of managed healthcare plans. They typically assist with processing claims, verifying patient eligibility, and ensuring compliance with healthcare regulations and insurance policies. Managed Care Associates often serve as a liaison between healthcare providers, insurance companies, and patients to resolve issues and provide information about coverage and benefits. This role is essential for maintaining efficient operations within managed care organizations and ensuring patient access to necessary healthcare services.

What are the key skills and qualifications needed to thrive as a managed care associate, and why are they important?

To thrive as a Managed Care Associate, you need a solid understanding of healthcare insurance, claims processing, and familiarity with managed care principles, often supported by a bachelor's degree in healthcare administration or a related field. Proficiency with claims management systems, Microsoft Office Suite, and knowledge of HIPAA regulations are typically required. Strong attention to detail, effective communication, and problem-solving skills help you excel in coordinating benefits and resolving issues with providers and members. These skills ensure efficient claims processing, regulatory compliance, and positive stakeholder relationships essential to managed care operations.

What are some common challenges managed care associates face when coordinating between healthcare providers and insurance companies?

Managed Care Associates often encounter challenges such as navigating complex insurance policies, ensuring accurate and timely authorization of services, and resolving discrepancies between providers and payers. They must balance the interests of both parties while maintaining compliance with regulations and ensuring patient care is not delayed. Effective communication and attention to detail are crucial, as associates frequently collaborate with clinical staff, billing departments, and insurance representatives to address issues and streamline processes.

What is the difference between Managed Care Associate vs Insurance Coordinator?

AspectManaged Care AssociateInsurance Coordinator
CredentialsTypically requires a healthcare-related certification or associate degreeOften requires insurance or administrative certifications
Work EnvironmentHealthcare facilities, insurance companies, managed care organizationsMedical offices, hospitals, insurance companies
Job FocusManaging patient care plans, insurance authorizations, and benefitsProcessing insurance claims, verifying coverage, and billing

Managed Care Associates focus on coordinating patient care and insurance authorizations within healthcare settings, while Insurance Coordinators primarily handle insurance claims and billing processes. Both roles require knowledge of insurance policies but differ in daily responsibilities and work environments.

What are the most commonly searched types of Managed Care jobs in Michigan?

The most popular types of Managed Care jobs in Michigan are:

What cities in Michigan are hiring for Managed Care Associate jobs?

Cities in Michigan with the most Managed Care Associate job openings:

Managed Care Associate jobs near you

Guest Care Associate

Zeeland, MI • On-site

SpartanNash Company
Food and Beverage Wholesalers • 10K+ employees
Learn more about SpartanNash Companyexternal

$13.50 - $16.50/hr

Part-time

Re-posted 23 days ago

SpartanNash rating

5.7

Company rating: 5.7 out of 10

Based on 333 frontline employees who took The Breakroom Quiz

Job description

As a member of the C&S Wholesale Grocers family of companies, SpartanNash is a food solutions company that delivers the ingredients for a better life. A distributor, wholesaler and retailer with a global supply chain network, SpartanNash distributes grocery and household goods, including fresh produce and the Our Family® portfolio of products, to locations in all 50 states.
Our braggingly happy team members - ranging from bakery managers to order selectors; from IT developers to vice presidents of finance; from HR Business Partners to export specialists - create braggingly happy customers spanning national accounts, independent and chain grocers, e-commerce retailers, U.S. military commissaries and exchanges, and the Company's own brick-and-mortar grocery stores, pharmacies and fuel centers.
Ready to contribute to the success of our food solutions company? Apply now!
Location:
9479 Riley St Suite 100 - Zeeland, Michigan 49464
Position Summary:
This role is responsible for providing courteous customer service in person or by telephone; answers incoming calls to the retail store and directs incoming calls to the appropriate department and assist with guest questions in store. Also responsible for operating cash register and/or assisting guests with self-checkouts.
Here's what you'll do:
  • Provide courteous guest service in person or by telephone; answer incoming calls to the retail store and direct calls to the appropriate department and assist with guest questions in store.
  • Perform/process guest services transactions such as credits, over-rings, refunds, lottery ticket sales, money orders/transfers (Western Union), media related purchases, etc. in accordance with Company policies.
  • Operate cash register to itemize customer purchases and assist guests with self-checkouts; handles a variety of products which may include dry groceries, frozen foods, dairy products, produce, poultry, fish, beef and pork products.
  • Process financial transactions including, but not limited to; cash, checks, credit cards, food stamps, WIC, loyalty cards, gift certificates, rain checks, voids, and coupons; and bag customer purchases.
  • Maintain understanding of current store programs and product locations.
  • Understand use of check-stand equipment (register, self-checkouts) and its efficient operation.
  • Comply with Company policies regarding security, cash handling/cash drawer accounting procedures, product handling (i.e., damaged/spoiled products), the sale of alcohol and tobacco products, etc.
  • Communicate the Company programs (i.e., loyalty program, scans, etc.), in-store specials and coupons to customers, and models high standards of service to achieve a customer oriented store.
  • Maintain a clean and well-stocked department; ensure the department complies with Company safety and sanitation procedures and standards.
  • Notify the department lead or manager of any issues with pricing, cash registers, etc.
  • Follow all PPE and Safety Guidelines
  • Follow all Food Safety and Cleaning Expectations
  • Follow Guest Experience Guidelines
  • May be assigned tasks in other departments based on customer experience need
  • Additional responsibilities may be assigned as needed

Here's what you'll need:
  • High school diploma or GED (required)
  • One year of prior retail or related experience preferred.
  • Good verbal communication skills; ability to interact politely and effectively with customers.
  • Good customer service and organizational skills; detail-oriented. Good reading, writing and arithmetic skills are required.

Physical Requirements:
The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. May be required to lift and/or move up to 30 pounds frequently, and up to 50 pounds occasionally. The associate is required to stand and walk for extended periods of time and may bend, stoop, twist and turn frequently. While performing the duties of this position, the employee is subject to a typical retail store environment (varied temperatures) and is exposed to outside weather conditions. The noise level in the work environment is usually low to moderate. Travel requirements vary by assignment.
As part of our People First culture, SpartanNash is proud to offer a robust and competitive Total Rewards benefits package.
SpartanNash is an Equal Opportunity Employer that invests in Associate development, recognizes and celebrates success, fosters two-way communication, and promotes a sense of belonging. We are committed to providing equal employment opportunities to all individuals, including those with disabilities and Veterans.
We are not able to sponsor work visas for this position.

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