- GCG (Rochester Hills, MI)
- **Overview** **GCG is seeking a Human Resources Director to drive people strategies that deliver business results, foster engagement, and strengthen our inclusive ... + Partner with teams across multiple states, both virtually and in person, to provide strategic HR guidance + Advise the Operations and Supply Chain teams on all… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... operational readiness efforts for new processes, systems, and operational initiatives across provider data and credentialing + Driving launch execution for new… more
- Molina Healthcare (Sterling Heights, MI)
- …Information process functions. + Partner with stakeholders to creatively design solutions utilizing provider data such as the Provider Online Directory, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... with the Health Plan Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record… more
- Molina Healthcare (Sterling Heights, MI)
- …programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs, ... This role focuses on equipping providers with the tools, training, data , and support needed to deliver high-quality, efficient care. Oversees initiatives… more
- Molina Healthcare (Sterling Heights, MI)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Sterling Heights, MI)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Sterling Heights, MI)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more
- Molina Healthcare (Sterling Heights, MI)
- …requiring consistent oversight. May include travel up to 25%. * Defines program scope, establish approach for implementation and maintain program infrastructure ... of Corporate Operations units via establishment of an internal compliance program , including annual, periodic, focal, etc. audits. * Performance Management &… more
- Molina Healthcare (Sterling Heights, MI)
- …and identifies and implements solutions with alignment from key stakeholders. * Uses data to evaluate actual to expected program performance. * Synthesizes and ... to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Under the… more
- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data ... be assist with implementing and managing the in-home assessment program that leads to the overall achievement of improved...by acting as a key business partner to the Director , Prospective Programs, Market & Segment Leaders, health plan… more
- Sunrise Senior Living (Troy, MI)
- …NAME** Sunrise of Troy **Job ID** 2025-226154 **JOB OVERVIEW** The Resident Care Director (RCD) serves as the nursing clinical leader for the community and is ... services for the residents. + Serves as the CLIA Director as applicable for the community and according to...population. + Provides oversight of the community medication management program to promote resident safety in the medication use… more
- BrightSpring Health Services (Sterling Heights, MI)
- …the little things make the biggest difference. Our mission is to provide top-tier treatment rooted in evidence-based ABA principles, celebrating everyday successes. ... thrive. We believe BCBAs should focus on delivering high-quality therapy, so we provide exceptional administrative and clinical support to make your job easier and… more
- Molina Healthcare (Sterling Heights, MI)
- …direction of the SVP of Network Strategy and Services. **Job Duties** + Lead Program Director team, managing all aspects of team's mission and deliverables. + ... **Job Description** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible...drive priorities based on the analysis of available performance data . + Partner with market and segment leaders and… more
- Sunrise Senior Living (Shelby Township, MI)
- …provides an overview of community information to those inquiries in support of the Director of Sales (DOS) and Executive Director (ED). Responsible for assisting ... Business Office Coordinator (BOC)/HR Designee in the community recruitment process, computer data entry, and other assigned general administrative duties as well as… more
- BrightSpring Health Services (Utica, MI)
- …monitors client data and revises plan as indicated + Consults with Program Manager and/or Executive Director when client behaviors present potential risk ... the little things make the biggest difference. Our mission is to provide top-tier treatment rooted in evidence-based ABA principles, celebrating everyday successes.… more
- Presbyterian Villages of Michigan (Chesterfield, MI)
- …of diseases. Report investigation results to the quality assurance committee and medical director . 7. Collect and analyze monthly data on laboratory and ... **Overview** Develops and implements an ongoing infection prevention and control program to prevent, recognize and control the onset and spread of infections in… more
- NS International, Ltd. (Troy, MI)
- …and improve the accuracy of actual program -level cost tracking. Generate and provide costing data as required by NSHQ. Education, Experience and Knowledge ... team environment. This position reports directly to the NSNA Senior Director of Finance, Business Planning, and Business Quality Management. Major… more
- Corewell Health (Sterling Heights, MI)
- …patient history, admissions, care plans, progress, and discharge notes. + Interacts with program assistants and data managers for optimal patient care. + Assists ... Health. GENERAL SUMMARY: Under the general guidance of the medical director , the Nurse Practitioner/Physician Assistant will evaluate, diagnose, and treat patients… more
- Actalent (Troy, MI)
- …and profitable bids. This role provides an opportunity to work directly under the Director of this division, offering the freedom to lead meetings, be the face on ... and advance to become the Chief Estimator, taking estimating responsibilities away from the Director . This is a chance to become the go-to person for the Estimating… more
