- Lundbeck (Detroit, MI)
- …issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance - Apply knowledge of pharmaceutical and regulatory ... to stakeholders in the primary care and neurology settings. As an Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing… more
- Lundbeck (Rochester, MI)
- …(IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. **Pharmaceutical Environment/ Compliance ** - Apply knowledge of pharmaceutical and regulatory ... Multi-Specialty Account Manager - Rochester Hills, MI Requisition ID: 7054...years pharmaceutical, biopharmaceutical, biologics, medical device sales or related healthcare sales experience + Must demonstrate the intellectual capacity… more
- Fujifilm (Lansing, MI)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to ... the Corporate Compliance Director. The Compliance Manager ...compliance programs related to laws and regulations, including healthcare compliance , anti-corruption, antitrust, and anti-money laundering… more
- Tenet Healthcare (Detroit, MI)
- Regulatory Manager Full Time Days - 2506002316 Description : DMC Sinai-Grace Hospital is DMC's largest hospital, offering a comprehensive heart center, cancer ... to DMC hospitals and corporate management by interpreting communications and regulatory rulings within the Manager 's assigned areas. Provides administrative… more
- Molina Healthcare (Sterling Heights, MI)
- …for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies ... navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified… more
- Molina Healthcare (Warren, MI)
- …for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies ... navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM),… more
- Tenet Healthcare (Detroit, MI)
- …(RN) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have ... the right sequence and at appropriate level of care. Compliance with state and federal regulatory requirements,...healthcare team prior to discharge (15% daily, essential). Compliance : Ensures compliance with federal, state, and… more
- Stryker (Portage, MI)
- Stryker is seeking a **Senior Manager , Compliance Engineering** within our **Medical Division** . This is a hybrid position located in **Portage, MI** . As the ... **Senior Manager , ...Compliance Engineering function, ensuring all products meet applicable regulatory and industry standards for safety, electromagnetic compatibility (EMC),… more
- Tenet Healthcare (Detroit, MI)
- …assuring care is the right sequence and at appropriate level of care. Compliance with state and federal regulatory requirements, TJC accreditation standards and ... RN Case Manager CRM Full Time Days - 2506003132 Description...healthcare team prior to discharge (15% daily, essential). Compliance : Ensures compliance with federal, state, and… more
- Molina Healthcare (Grand Rapids, MI)
- …(PSOC) projects, programs and deliverables to ensure compliance with all regulatory requirements. The manager will assume the role and responsibilities of ... abroad + Ensure appropriate consultation regarding threat mitigation, workplace violence, and regulatory compliance . Regularly report compliance metrics to… more
- Molina Healthcare (MI)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Quality Interventions/ QI … more
- Molina Healthcare (Saginaw, MI)
- …communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while ... network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance… more
- BrightSpring Health Services (Southfield, MI)
- Our Company Gateway Pediatric Therapy Overview The Client Safety & Compliance Manager is responsible for independently overseeing and strategically advancing the ... and maintain internal safety plans, policies, and procedures to meet or exceed regulatory and accreditation standards. . Ensure compliance with local, state, and… 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 ... in all government lines of business impacted by the regulatory risk adjustment payment model. They will be assist...medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program, this role supports… more
- CVS Health (Lansing, MI)
- …live in Michigan** **Must hold a clinical license, preferably, Nursing License** The Manager of Health Care Quality will support the functions of the Michigan Highly ... Integrated Duals Eligible (HIDE) quality program, including regulatory deliverables, HEDIS activities and reporting and other quality improvement activities. Be a… more
- Molina Healthcare (Midland, MI)
- …of meeting Molina's network adequacy standards. * Assesses contract language for compliance with Corporate standards and regulatory requirements and review ... to adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in … more
- Molina Healthcare (Warren, MI)
- …Health, Home Health, Hospice, Dialysis, Home and Community based providers. Ensure compliance with Corporate standards and regulatory requirements and review ... to adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in … more
- Molina Healthcare (Detroit, MI)
- …and make decisions as needed while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position… more
- Molina Healthcare (Warren, MI)
- …with PMO standards, stage gates, and financial controls. + **Operational & Regulatory Acumen ( Healthcare /Claims)** + Deep understanding of claims lifecycle, EDI ... may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span people,… more
- Munson Healthcare (Traverse City, MI)
- …and administrative functions of our multisite Home Care offices. You'll ensure regulatory compliance (Medicare, Medicaid, CHAP), manage budgets, set and meet ... Home Care Manager - On-Site | Munson Home Health Find...next job. Find your community. We're northern Michigan's largest healthcare system and deeply rooted in the communities we… more
