- Unknown (Detroit, MI)
- …& Clinics Insurance Specialties clinical and quality outcomes claims and payment integrity healthcare data insights predictive analytics data-driven intervention ... of experience, with a proven track record in senior program management, and a strong understanding of healthcare and...innovation and strategic guidance to enhance customer relationships. Hiring Manager Title BU President & GM Travel Percent Less… more
- Molina Healthcare (Detroit, MI)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… more
- Molina Healthcare (Detroit, MI)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Detroit, MI)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Payment Variance and Resolution, the RI Analyst, Payment Variance and Resolution is responsible for maintenance of ... for HFHS hospitals, provider, and ambulatory revenue cycle operations. Revenue Integrity (RI) is a distinct function that drives proactive charge capture… more
- Molina Healthcare (Detroit, MI)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- BASF (Wyandotte, MI)
- **Now hiring! Maintenance Manager ** We are looking for a Maintenance Manager to join our Dispersions & Resins (ED) team in Wyandotte, Michigan. (Onsite) **Come ... create chemistry with us!** We are seeking a Maintenance Manager who will be responsible for direct management of...of presence in Maintenance activities; sets the example for integrity and priorities; utilizes Mindset & Behaviors tools and… more
- BASF (Wyandotte, MI)
- …site-wide safety behaviors + Overseeing compliance by effectively managing the Asset Integrity Program + Managing compliance and contractor safety, cost, and ... **Now hiring! TES Manager ** **Wyandotte, MI** We are looking for a...PSVs, etc. + Have knowledge of OSHA, EPA, Mechanical Integrity and other applicable codes, regulations, and standards. +… more
- Signet Jewelers (Dearborn, MI)
- …rewarding opportunities to impact the lives of others and inspire love. Join us! STORE MANAGER Title: Store Manager Reports To: District Manager Reporting to ... and Inventory Control Position Summary: Reporting to the District Manager (DM), the Store Manager (SM) will...of professionalism to customers and team members by displaying integrity and honesty at all times, and by conducting… more
- Molina Healthcare (Detroit, MI)
- …level of care, inpatient readmission, and any opportunity identified by the payment Integrity analytical team; makes decisions and recommendations pertinent to ... for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit… more
- Molina Healthcare (Detroit, MI)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
- Wayne State University (Detroit, MI)
- …and other database systems. Monitor and track patient supportive services. Create required program reports. Works with patients on addressing payment concerns or ... rich, high-quality education. Our deep-rooted commitment to excellence, collaboration, integrity , diversity and inclusion creates exceptional educational opportunities which… more
- Ryder System (Highland Park, MI)
- …HAS A FUTURE At Ryder, our most important competitive advantage is our people. _CULTURE- INTEGRITY - FAMILY_ . As a Rental Manager Trainee, you'll be part of a ... you like what you read _** **Job Summary** This program is fast-paced and touches every aspect of the...interview, Ryder will never ask for any form of payment or banking details and will never solicit personal… more
- Ryder System (Roseville, MI)
- …A FUTURE At Ryder, our most important competitive advantage is our people. _CULTURE- INTEGRITY - FAMILY_ . As an Operations Trainee, you'll be part of a dynamic team, ... cost savings, customer retention, and metric-based initiatives. This requires the Manager Trainee to work cross functionally across Operations, Asset Management,… more
- Huntington National Bank (Detroit, MI)
- …Mainframe teams to complete application installs/decommissions + Work with Portfolio Manager deliver IAM projects and key milestones. + Consult with business ... (AD), public key infrastructure (PKI), privileged accounts and integration application program interface (API) capabilities. + Track record acting with integrity… more
- Wayne State University (Detroit, MI)
- …high-quality education. Our deep-rooted commitment to excellence, collaboration, integrity , diversity and inclusion creates exceptional educational opportunities ... expenditures to identify cost-saving opportunities. + Reviews for accuracy, arranges for payment of outside counsel. + Manages receipt of and response to subpoenas.… more
- TD Bank (Southfield, MI)
- …to simplify, problem solve, multitask and work effectively against deadlines + Integrity and high moral standards + Strong negotiation and conflict resolution skills ... service agreements, procurement contracts or RFPs + Experience with business payment networks (eg, ACH/Nacha rules, wires), cash management, deposits or other… more
