- Molina Healthcare (Ann Arbor, MI)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Molina Healthcare (Sterling Heights, 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
- Elevance Health (Dearborn, MI)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Cardinal Health (Lansing, MI)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Gentiva (Okemos, MI)
- …every day. **Overview** **$8,000 Sign on Bonus!** We're looking for a RN **Patient Care Manager Senior ** to join our team. You will report directly to the ... for assisting branch leadership with maintaining a high performing hospice program including managing, overseeing, and directing patient care activities to ensure… more
- Cardinal Health (Lansing, MI)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- CVS Health (Lansing, MI)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager , Dental Business Consultant is an individual contributor role with the ... 7+ years of provider contracting experience * Knowledge of Medicare and Medicaid programs. * Ability to travel nationally...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Humana (Lansing, MI)
- …the IT supply base, alongside run-the-business initiatives). As the IT Procurement Lead ( Senior Category Manager ), you will lead the development of category ... unit project implementations. + Drive corporate compliance to the preferred-supplier program via end-user change management and communications programs. + Work… more
- Intermountain Health (Lansing, MI)
- … Medicare COB file processes, Medicare compliance, annual Medicare implementation, experience with program audit universes, FIR transactions, and ... payroll, hiring, employee relations, and staff mentoring. May represent department in manager absence. + Specific skills and an understanding of Part D plan… more
- Marshfield Clinic (Iron Mountain, MI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... **Job Title:** Retail Pharmacy Technician (MI) I, II, III, or Senior **Cost Center:** 603181246 Iron Mtn-Pharmacy-Retail **Scheduled Weekly Hours:** 40 **Employee… more
- Humana (Lansing, MI)
- …first Humana's Enterprise Information Protection department is seeking an experienced IT Program Manager to drive strategic initiatives that safeguard the ... cybersecurity programs, ensuring alignment with organizational security strategies. The IT Program Manager will collaborate closely with leaders to develop… more
- CVS Health (Lansing, MI)
- …skills and development needs. + Assess training needs and collaborate with the SIU Sr . Manager to create development plans for team members. + Develop and ... compliance with contractual requirements. + Coordinate and collaborate with compliance and senior leadership to align on program integrity initiatives. +… more
- Prime Therapeutics (Lansing, MI)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works closely ... Subject Matter Expertise in their areas of focus (Affordable Care Act, Medicare , Medicaid, Corporate Compliance, Compliance Assessment or Services etc.) + Develop… more
- Gentiva (Traverse City, MI)
- …to join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining a ... high performing hospice program including managing, overseeing, and directing patient care activities to ensure the delivery of quality patient care. This role is… more
- Humana (Lansing, MI)
- …and help us put health first** The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and ... to drive enterprise-wide value. The IT **Infrastructure** Procurement Category Manager investigates available products, evaluates and recommends products based on… more
- Henry Ford Health System (Detroit, MI)
- …System is seeking a highly motivated and experienced Pathology Revenue Regeneration Manager to lead our newly established Revenue Regeneration team. This role is ... actions. + Ensure compliance with all relevant regulations and standards, including Medicare and Medicaid billing requirements. + Prepare and present regular reports… more
- CenterWell (Lansing, MI)
- …Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and ... outcomes **Required Qualifications** + Expertise in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment, and… more
- CenterWell (Lansing, MI)
- …to execution, propose solutions, and drive results to meet organizational goals. Program Management & Delivery: + Oversee the design, development, and delivery of ... partners to ensure smooth running of educational programs. + Evaluate program effectiveness and recommend improvements based on feedback and outcomes. Collaboration… more
- Molina Healthcare (MI)
- …current plan to achieve performance goals. + Direct management of QS HPP program manager . Coordination with health plan quality staff. Ensure organization with ... the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues. **KNOWLEDGE/SKILLS/ABILITIES** +… more
- Corewell Health (Grand Rapids, MI)
- …providing complete information and follow up on a timely basis. Assist the Senior Manager in coordinating activities and in the development/collection of ... goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) . + On-demand pay program powered by Payactiv + Discounts directory with deals on… more