- Molina Healthcare (Ann Arbor, 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 (Ann Arbor, 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
- Molina Healthcare (Ann Arbor, 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
- Starfish Family Services, Inc. (Inkster, MI)
- Purchasing, Accounting & Budgeting Manager Job Details Level Management Job Location Hiveley Corp - Inkster, MI Position Type Full Time Education Level 4 Year Degree ... Day Description POSITION SUMMARY: The Purchasing, Accounting & Budgeting Manager leads the organization's procurement and contracting activities while providing… more
- TD Bank (Southfield, MI)
- …lending. + Many of the ad-hoc analytical support on age of the book, payment rate, and others was leveraged to support important forum of discussion such as ... from reading large data such as identification of potential data integrity issues, basic data cleansing capability, and identification relevant patterns and… more
- Molina Healthcare (Ann Arbor, MI)
- …level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to ... + Supplies criteria supporting all recommendations for denial or modification of payment decisions. + Serves as a clinical resource for utilization management, CMOs,… 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