- Molina Healthcare (Detroit, MI)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Molina Healthcare (Detroit, MI)
- **Job Summary** Establish a specifically designed Operational Regulatory Oversight program that effectively prevents and/or detects violation of applicable laws and ... provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational… more
- Henry Ford Health System (Troy, MI)
- The Program Manager - Population Health & Value-Based Payment has an important role in a high-profile group tasked with implementing system-wide improvements ... and initiatives. Reporting to the Director, Risk Adjustment and Value-Based Payment, the Program Manager is responsible for complex program management,… more
- University of Michigan (Ann Arbor, MI)
- …(20%) 1. Support the Post-Acute Care Committee and goals in partnership with the Senior Manager of Clinical Programs 2. Manage the creation and dissemination of ... Project Associate Manager Apply Now **Job Summary** Michigan Medicine is...be part of the administrative support team for the Medicare Shared Savings Program (MSSP) Accountable Care… more
- Henry Ford Health System (Troy, MI)
- …of patient care to final bill generation. Under minimal supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity leaders, the ... and state regulations related to rules/coverage. + Knowledge of Medicare , Medicaid, Blue Cross and other third-party payers billing...deadlines. + Ability to identify when input from Director, Manager or other senior staff members is… more
- Henry Ford Health System (Troy, MI)
- …organization risk by upholding compliance standards. Under limited supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity ... GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Specialist identifies...function as a resource for RI Auditors and RI Senior Auditors. Flexibility, innovation, and creativity are necessary characteristics… more
- Henry Ford Health System (Troy, MI)
- Reporting to the CDM Manager , the CDM Analyst is responsible for supporting and maintaining the Charge Description Master (CDM), including being responsible for the ... The CDM Analyst also supports the CDM Coordinator and Senior CDM Analysts. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Reviews...and updates fee schedule rates in POC for CDM Manager 's review. 11.Provides quality control check and audits that… more