- Jobleads-US (Grand Rapids, MI)
- …in Challenge's success! Challenge is #QualityDriven and #PeoplePowered! Who We Want: The Director of Talent Management should have a people focused mentality ... role will serve as a strategic leader in all aspects of talent management , including the acquisition, development, and internal mobility of employees. They will… more
- Cordis (Grand Rapids, MI)
- …Come be a vital member of the Sales team at Cordis! The Regional Sales Director is a leadership opportunity that allows you to directly impact the trajectory of our ... **Responsibilities** + Short-term and long-range business planning + Leveraging data analytics to inform targeting and resource allocation + Territory… more
- Molina Healthcare (Grand Rapids, MI)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **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 (Grand Rapids, MI)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Grand Rapids, MI)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- Sunrise Senior Living (Grand Rapids, MI)
- …needed in accordance with state/provincial regulations and nurse practice acts. **Medication Management ** + Provide strategic leadership for resident care in the ... Cascade **Job ID** 2025-235166 **JOB OVERVIEW** The Resident Care Director (RCD) serves as the nursing clinical leader for...the health and wellness of the resident population. + Provide oversight of the community medication management … more
- Molina Healthcare (Grand Rapids, MI)
- …or Contact Center technology leadership. + 5+ years in a senior management or director -level role overseeing **large-scale, cloud-based UCaaS/CCaaS environments ... **Job Description** **Job Summary** The Director of IT (Telecom) provides strategic and operational...and simplify secure access across channels. + Collaborate with data and analytics teams to leverage AI-driven insights for… more
- Bath Planet (Grand Rapids, MI)
- Marketing Director Bath Planet of West Michigan Full-Time | Grand Rapids, MICompany Overview Bath Planet of West Michigan is a premier provider of high-quality, ... we are a fast-growing company seeking an accomplished and strategic Marketing Director to lead our marketing operations and drive sustained business growth through… more
- Molina Healthcare (Grand Rapids, MI)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Grand Rapids, MI)
- …of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and ... programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs,… more
- Molina Healthcare (Grand Rapids, MI)
- …timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when applicable, ... business rules as they apply to each database. Validate data to be housed on provider databases...Identified as contract system lead by developing and maintaining provider contracts in contract management software. *… more
- Molina Healthcare (Grand Rapids, MI)
- …and problem-solving capabilities. + **Preferred Experience** 10 years + of IT Data Center Operations, Project Management , Cyber Recovery, Business Continuity ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for… 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
- Molina Healthcare (Grand Rapids, MI)
- …practice. * Deep understanding of clinical operations: utilization management , care management , etc. * Ability to provide hands-on, immersive and directed ... to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Under the… more
- Sunrise Senior Living (Grand Rapids, MI)
- …NAME** Sunrise of Cascade **Job ID** 2025-226156 **JOB OVERVIEW** The Resident Care Director (RCD) serves as the nursing clinical leader for the community and is ... of all Care programs, regulatory compliance, recruiting, and performance management . **RESPONSIBILITIES & QUALIFICATIONS** **Responsibilities:** As a part of the… more
- CenterWell (Grand Rapids, MI)
- …of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations. + Participates in the interviewing, hiring,… more
- Corewell Health (Grand Rapids, MI)
- …jargon to ensure understanding + Process refill requests through pharmacy or provider + Assist with correcting pharmacy billing errors, obtaining alternate member ... phone numbers, and performing data analysis to ensure accuracy and compliance + Assist...health benefits and refer to appropriate teams (eg, Care Management , mail order) when necessary + Assist with the… more
- HarperCollins Publishers (Grand Rapids, MI)
- …internally motivated to serve, equip, and care for details well. Familiarity with data management systems. **Work Experience:** 5+years of direct executive level ... awareness of new and emerging technologies + Ability to learn and use internal data management systems + Excellent interpersonal skills + Must be able to… more
- Molina Healthcare (Grand Rapids, MI)
- …our innovative Risk Adjustment department to assist our diverse team of data leaders, risk adjustment experts, and developers in the development and implementation ... of business strategies, operations and vendor management related to in-home assessment activities in all government...by acting as a key business partner to the Director , Prospective Programs, Market & Segment Leaders, health plan… more
