- Molina Healthcare (Grand Rapids, MI)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Grand Rapids, MI)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Corewell Health (Grand Rapids, MI)
- …experience people management of consulting leadership. Required + Experience in provider network development and management . Required + Proven track ... these efforts. Essential Functions + Participates with the Vice President of Provider Network developing and implementing Priority Health's philosophy, mission,… more
- Molina Healthcare (Grand Rapids, MI)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Molina Healthcare (Grand Rapids, MI)
- …must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting (Long Term Support Services, LTSS) jobs are ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role negotiates assigned… more
- Molina Healthcare (Grand Rapids, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- Nexstar Media Group (Grand Rapids, MI)
- …is seeking an experienced, hardworking, and aggressive leader to serve as Director of Sales for the Grand Rapids-Kalamazoo-Battle Creek (DMA #43) market leading ... and social assets associated with woodtv.com and Nexstar Digital Media. The Director of Sales oversees all aspects of Local, National, Political, Digital video… more
- Molina Healthcare (Grand Rapids, MI)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Grand Rapids, MI)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- ASM Global (Grand Rapids, MI)
- …+ Assist in the preparation of ad hoc financial analysis for senior management including business forecasting. + Provide strategic advice based on analyzing ... POSITION: Director of Finance (DOF) DEPARTMENT: Finance REPORTS TO:...partners front and center through our white-label approach. Our network of 450 venues worldwide, hosting 20,000 events and… more
- Molina Healthcare (Grand Rapids, MI)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more
- Molina Healthcare (Grand Rapids, MI)
- …the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...Cloud, disaster recovery, business continuity, team leadership, and project management . + Strong knowledge of application, network ,… more
- SpartanNash (Grand Rapids, MI)
- …**Position Summary:** This role is responsible to provide support to the Store Director while learning and becoming skilled in management of all areas of the ... store. Under direction of the Store Director : ensure all departments are fully staffed, trained, and...and supervision of others. + Greet all customers and provide them with prompt and courteous service or assistance.… more
- SpartanNash (Byron Center, MI)
- … on business initiatives and execution of strategies. **Here's what you'll do:** + Provide leadership and guidance to management , and ensure consistency with the ... associate engagement survey, work with corporate human resources where appropriate. + Provide leadership to retail operations management to proactively address… more
- Molina Healthcare (Grand Rapids, MI)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- SpartanNash (Sparta, MI)
- …communicating and executing the corporate plans. **Here's what you'll do:** + Provide focused and effective leadership to store associates that develops a positive, ... high performing, customer focused store culture. + Responsible for department management including staffing, training, performance management and career… more
- Corewell Health (Grand Rapids, MI)
- …They will set key priorities across the value stream, as well as provide oversight and guidance to their Product Manager(s) and Product Owner(s).This position will ... The person will be a thought leader in product management , strategy, execution and communication of the value stream's...E Beltline - Grand Rapids Department Name PH - Network Strategies Executive Employment Type Full time Shift Day… more
- Nexstar Media Group (Grand Rapids, MI)
- …As a lead digital specialist, you will coordinate with our Sales Managers and Director of Sales to meet our overall digital revenue goals. We're looking for someone ... door. + Conducts client discovery meetings and detailed data analysis to provide actionable insights and recommendations for both short-term and long-term digital… more
- Trinity Health (Grand Rapids, MI)
- …**Description:** Trinity Health Grand Rapids Hospital is an integrated health care network offering a unique combination of capabilities to deliver a health care ... the Wege Center for Health and Learning and the area's premier primary care network - Trinity Health Medical Group. Trinity Health Grand Rapids Hospital is a member… more
- SpartanNash (Byron Center, MI)
- …environment; plan and schedule activities to control costs on labor and supplies; and provide training to team on changes in processes and procedures. + Ensure the ... to safety and environmental laws (ie, OSHA, EPA, Risk Management Plan Rule (RMP)/Clean Air Act, etc.) standards are...are achieved/maintained. + May work with manager or distribution director on expansion or construction projects. + Meet with… more