- Molina Healthcare (Warren, MI)
- …of strategic and operational project portfolios, with a focus on Network Cost of Care initiatives. Drive structure, organization, and decision-making across ... to C-level executives and manage key relationships with Corporate EPMO, IT, and Cost of Care stakeholders including COEs, Operating Domains, Med Econ, and… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …creative approaches to complex patient care management.The HBPC Registered Nurse Program Director /Manager is an expert nurse who demonstrates expertise in ... the interdisciplinary health care team. The HBPC Registered Nurse Program Director /Manager recognizes and utilizes the skills, knowledge, and contributions… more
- ChenMed (Warren, MI)
- …net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary care provider (PCP) will have ... oversight for outcomes** : The CMD demonstrates accountability for outcomes, strong clinical care , and cost -effectiveness for each patient in their panel of at… more
- Publicis Groupe (Birmingham, MI)
- …that enrich lives. Join us at razorfish.com. **Overview** The Associate Director , Program Management position is responsible for steering increasingly ... of projects across multiple clients. They help direct the Program Management team to ensure that assignments are completed...to ensure accuracy of effort and commitment. The Associate Director also consults with the leadership team on decisions… more
- Elevance Health (Dearborn, MI)
- …appeals for physical health medical services, to ensure the appropriate and most cost -effective medical care is received. May be responsible for developing and ... **Medical Director -Dermatology Appeals** **Location:** This role enables associates to...as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Director of Financial Clearance is responsible for the effective functioning of pre-service insurance and patient financial clearance processes ... services performed by Henry Ford Health System hospitals and facilities. The Director of Financial Clearance identifies and executes strategic initiatives to achieve… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Director of Contact Center is a senior leader responsible for delivering operational excellence across patient/customer access contact centers. ... scheduling contact centers and financial customer service operations. The Director transforms enterprise access strategy into high-performing operations by… more
- Sunrise Senior Living (Grosse Pointe Woods, MI)
- …monthly proactive communication with resident's family members or responsible parties via calls, care plan meetings, letters from the Executive Director , etc. + ... NAME** Sunrise on Vernier **Job ID** 2025-233094 **JOB OVERVIEW** The Executive Director is responsible for overall leadership, management, and success of the… more
- Henry Ford Health System (Troy, MI)
- …to meet urgent Part D and pharmacy analysis needs. This new Director role establishes dedicated, in-house pharmacy actuarial expertise to strengthen financial ... position HAP for competitive advantage in 2026 and beyond. Position Summary The Director , Actuarial Services - Pharmacy / Part D is responsible for leading all… more
- Molina Healthcare (Warren, MI)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- Henry Ford Health System (Detroit, MI)
- …the nation's premier academic and integrated health systems, is seeking a Director of Corporate Reimbursement to lead critical financial functions that directly ... and overseeing reimbursement strategies across Henry Ford Health's hospitals and post-acute care facilities. This is a highly visible position that plays a central… more
- Compass Group, North America (Detroit, MI)
- …CCL Hospitality Group has a philosophy rooted in caring for the individuals who care for our guests. Our most significant competitive advantage is our team members. ... success that leaves lasting impressions. **Executive Chef - Account Director ** **Job Summary** The Executive Chef - Account ...the heart and the helm of the community's dining program - a hands-on culinary professional who leads from… more
- Molina Healthcare (Warren, MI)
- …specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral ... ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review… more
- Molina Healthcare (Warren, MI)
- … Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation… more
- Molina Healthcare (Warren, MI)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation and negotiations ... with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving… more
- Molina Healthcare (Warren, MI)
- …plans and objectives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Responsible for collaborating ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Corewell Health (Royal Oak, MI)
- …of care . Uses defined resources to guide decisions, including Medical Director Care Management, Physician Advisors, and management staff. 5. Routinely ... the quality of patient care and engagement, to promote continuity of care and cost effectiveness through the integration and functions of utilization… more
- Corewell Health (Dearborn, MI)
- …of care . Uses defined resources to guide decisions, including Medical Director Care Management, Physician Advisors, and management staff. + Routinely ... the quality of patient care and engagement, to promote continuity of care and cost effectiveness through the integration and functions of utilization… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The POST-ACUTE NETWORK (PAN) Program Manager (PM) reflects the mission, vision, and values of Henry Ford Health, adheres to the organization's Code ... of Ethics and Corporate Compliance Program , and complies with all relevant policies, procedures, guidelines,...for providers such as skilled nursing facilities, home health care , and hospice. The PAN PM will lead various… more
- McLaren Health Care (Shelby Township, MI)
- …supervision of a Registered Nurse, contributes to the delivery of patient-centered care through: Performance of selected day-to-day patient care activities. ... **Essential Functions and Responsibilities:** + Always introduce self and explains care role. + Receives report from appropriate RN.Performs specific patient … more