- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... operational readiness efforts for new processes, systems, and operational initiatives across provider data and credentialing + Driving launch execution for new… more
- Molina Healthcare (Sterling Heights, MI)
- …Information process functions. + Partner with stakeholders to creatively design solutions utilizing provider data such as the Provider Online Directory, ... **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 (Sterling Heights, MI)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... with the Health Plan Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record… more
- Molina Healthcare (Sterling Heights, MI)
- …programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs, ... This role focuses on equipping providers with the tools, training, data , and support needed to deliver high-quality, efficient care. Oversees initiatives… more
- Molina Healthcare (Sterling Heights, MI)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Sterling Heights, MI)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Sterling Heights, MI)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more
- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) ... Azure Cloud services such as VMs, storage, databases, AKS, Data Factory, and App Services. + Proficient in ...+ Able to deliver formal training on Cyber Recovery Program to stakeholders. **Essential Job Responsibilities:** + Maintain, manage,… more
- Molina Healthcare (Sterling Heights, MI)
- …requiring consistent oversight. May include travel up to 25%. * Defines program scope, establish approach for implementation and maintain program infrastructure ... of Corporate Operations units via establishment of an internal compliance program , including annual, periodic, focal, etc. audits. * Performance Management &… more
- Molina Healthcare (Sterling Heights, MI)
- …and identifies and implements solutions with alignment from key stakeholders. * Uses data to evaluate actual to expected program performance. * Synthesizes and ... to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Under the… more
- Molina Healthcare (Sterling Heights, MI)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality… more
- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data ... be assist with implementing and managing the in-home assessment program that leads to the overall achievement of improved...by acting as a key business partner to the Director , Prospective Programs, Market & Segment Leaders, health plan… more
- Sunrise Senior Living (Troy, MI)
- …NAME** Sunrise of Troy **Job ID** 2025-226154 **JOB OVERVIEW** The Resident Care Director (RCD) serves as the nursing clinical leader for the community and is ... services for the residents. + Serves as the CLIA Director as applicable for the community and according to...population. + Provides oversight of the community medication management program to promote resident safety in the medication use… more
- BrightSpring Health Services (Sterling Heights, MI)
- …the little things make the biggest difference. Our mission is to provide top-tier treatment rooted in evidence-based ABA principles, celebrating everyday successes. ... thrive. We believe BCBAs should focus on delivering high-quality therapy, so we provide exceptional administrative and clinical support to make your job easier and… more
- Henry Ford Health System (Troy, MI)
- …SUMMARY: Under the direction of the Utilization team manager to provide administrative, operational, and organizational support for the Utilization Management teams. ... support to management staff related to automated authorization processes, data integrity and error resolution, issues related to the...request review and present to the designated HAP Medical Director for approval or denial. + Based on decisions… more
- Sunrise Senior Living (Shelby Township, MI)
- …provides an overview of community information to those inquiries in support of the Director of Sales (DOS) and Executive Director (ED). Responsible for assisting ... Business Office Coordinator (BOC)/HR Designee in the community recruitment process, computer data entry, and other assigned general administrative duties as well as… more
- BrightSpring Health Services (Utica, MI)
- …monitors client data and revises plan as indicated + Consults with Program Manager and/or Executive Director when client behaviors present potential risk ... the little things make the biggest difference. Our mission is to provide top-tier treatment rooted in evidence-based ABA principles, celebrating everyday successes.… more
- Henry Ford Health System (Warren, MI)
- …independent professional judgment, analytical skills, and the nursing process to provide a full range of delegated, interdependent, and independent nursing services ... use of resources, and achievement of quality outcomes. + Provide patient care that reflects a respect for patient's...- Utilize SBAR tool or other standardized approach to data collection and information sharing when notifying physician of… 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 ... leading a successful and engaging resident centered activity and volunteer program for the whole Sunrise Senior Living community. **RESPONSIBILITIES &… more
- Corewell Health (Troy, MI)
- …patient history, admissions, care plans, progress, and discharge notes. + Interacts with program assistants and data managers for optimal patient care. + Assists ... Health. GENERAL SUMMARY: Under the general guidance of the medical director , the Nurse Practitioner/Physician Assistant will evaluate, diagnose, and treat patients… more