- Molina Healthcare (Detroit, 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
- 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
- Elara Caring (Clinton Township, MI)
- …healthcare providers. To continue to be an industry pioneer in delivering unparalleled care , we need a Branch Director with commitment and compassion. Are ... huge role in the growth of an entire home care industry. Here, each employee has the chance to...experience in supervisory or administrative home health or related program required. To the extent a Branch Director… 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
- Henry Ford Health System (Troy, MI)
- General Summary: Henry Ford Health is recruiting the Director , Hospital Patient Access. This leader is responsible for the effective functioning of hospital patient ... performance to meet the needs of internal customers and patients. The Director , Hospital Patient Access identifies and executes strategic initiatives to achieve… more
- Molina Healthcare (Detroit, 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
- Molina Healthcare (Detroit, 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 (Detroit, 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 (Detroit, MI)
- …most effective setting. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Determines appropriateness ... care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care .… more
- Molina Healthcare (Detroit, MI)
- …strategic plans and objectives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Under the direction ... operations leadership, responsible for oversight of internal and external clinical program performance at Molina. * Monitors performance of assigned clinical… more
- ARCO (Southfield, MI)
- …at all levels of the business. We are looking for a highly motivated Director of Business Development to join our team of experts in Detroit, Michigan. Because ... OFFER YOU** At ARCO, we are committed to taking care of our greatest asset - our team. ARCO's...to attract top industry talent. + Industry-leading performance-based bonus program + Employee Stock Ownership Plan (ESOP) + Traditional… more
- Ford Motor Company (Dearborn, MI)
- …over the lifecycle of the vehicle line. Working together with the Vehicle Program Director , Chief Program Engineer, Finance, Engineering, and Supply ... Program Activity Team (PAT) to represent the Material Cost Attribute + Leverage Global Total Cost 's...dental, vision and prescription drug coverage * Flexible family care days, paid parental leave, new parent ramp-up programs,… 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
- 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
- Corewell Health (Royal Oak, MI)
- …Director 's absence within prescribed limits of authority; updates the Regional ADIO, Administrative Director and program director on program issues; ... alerts the director and program director to potential issues; represents the medical education office...reimbursement information for the development of the Medicare hospital cost report which is developed by the system reimbursement… more
- Henry Ford Health System (Detroit, MI)
- …of trauma. o Takes the lead in working with the Director on program development and implementing innovative models of care . . Record Keeping and Other ... Level I Trauma Center with a seamless transition of care to the OP TRC at no cost...TRC OP Clinical Psychologist will work collaboratively with the Director of Trauma and Acute Care Surgical… more
- Sunrise Senior Living (Grosse Pointe Woods, MI)
- …residents, and community volunteers to participate as a regular part of the activity program with the assistance of the Executive Director . + Train team members ... the resident's specific social needs. + Develop an individualized program of activities of focused care . +...and cross training when applicable. + Understand the internal cost associated with all Sunrise resident care … more
- Henry Ford Health System (Bingham Farms, MI)
- …drug costs, and quality metrics. Develops and recommends actionable strategies that promote cost -effective therapy and quality of care for members. + Provides ... leads pharmacy strategy across Health Alliance Plan (HAP) to ensure cost -effective, high-quality drug benefit programs for all covered lives. This executive… more