- Wipfli LLP (Southfield, MI)
- …change in a high-growth environment ? Wipfli is seeking a forward-thinking Director of Total Rewards to lead our compensation, benefits, and well-being programs ... locally relevant, and strategically positioned to support growth. You'll bring a data -driven mindset, a passion for continuous improvement, and the ability to… more
- Molina Healthcare (Sterling Heights, MI)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **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)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Sterling Heights, MI)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- Molina Healthcare (Sterling Heights, MI)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + ... work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED...EXPERIENCE:** + Advanced Excel skills. + Power BI. + Provider Data Analytics. To all current Molina… 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 ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- Molina Healthcare (Sterling Heights, MI)
- …or Contact Center technology leadership. + 5+ years in a senior management or director -level role overseeing **large-scale, cloud-based UCaaS/CCaaS environments ... **Job Description** **Job Summary** The Director of IT (Telecom) provides strategic and operational...and simplify secure access across channels. + Collaborate with data and analytics teams to leverage AI-driven insights for… more
- Corewell Health (Southfield, MI)
- …Reporting to the SVP & Chief Medical Officer (CMO), the Medical Staff Services Director will provide leadership for central verification office (CVO) and Medical ... medical staff services, including medical staff credentialing and physician relationship management . Required + Provider Credentialing Specialist , Certified… more
- Henry Ford Health System (Bingham Farms, MI)
- …the Program meets or exceeds all ACGME requirements. b. Communicate with ACGME to provide data , reports and communication and respond to specific requests in a ... collaboration with the Associate DIO (ADIO) and the Medical Director of the Orthopedic Service Line for Henry Ford...house officers, including but not limited to: 1. Program Management and Accreditation a. Collaborate with DIO, ADIO, Graduate… more
- Molina Healthcare (Sterling Heights, MI)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... 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)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Presbyterian Villages of Michigan (Southfield, MI)
- …in Michigan, has a great opportunity to join our team as the **_Interim Director of Housing Operations, Southfield Michigan._** We invite you to help us create new ... candidates selected would be relinquishing their current position. The Interim Director of Housing Operations is responsible formonitoring and oversight of all… more
- Molina Healthcare (Sterling Heights, MI)
- …of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and ... programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs,… more
- Publicis Groupe (Birmingham, MI)
- …also why clients rely on us to lead the way in connecting media, data , technology, and teams by what matters most - business outcomes. Publicis Collective's ... problem-solvers. We help differentiate Collective from our competitors and provide a critical foundation for the agency. The Associate... a critical foundation for the agency. The Associate Director , Client Operations will be part of a growing… 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)
- …timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when applicable, ... business rules as they apply to each database. Validate data to be housed on provider databases...Identified as contract system lead by developing and maintaining provider contracts in contract management software. *… more
- Molina Healthcare (Sterling Heights, MI)
- …and problem-solving capabilities. + **Preferred Experience** 10 years + of IT Data Center Operations, Project Management , Disaster Recovery, Business Continuity ... **Job Description** **Job Summary** The Director of Disaster Recovery (DR) will oversee and...the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for… more
- Eaton Corporation (Southfield, MI)
- …is driving the adoption of innovation across Eaton! In the role of Director of AI Engineering for Corporate IT, the individual will manage the development ... a centralized function and guidelines to support business initiatives, and enhancing data science efforts across various domains to foster growth, efficiency, and… more
- Molina Healthcare (Sterling Heights, MI)
- …compliance program, including annual, periodic, focal, etc. audits. * Performance Management & KPI Expertise: Develop, implement, and monitor KPIs, including leading ... adherence, diagnose root causes of misses, and drive accountability across functions. * Data Insight & Decision Support: Ingest and interpret complex data from… more
- Publicis Groupe (Birmingham, MI)
- …Join us at razorfish.com. **Overview** We're looking for a strategic and passionate Account Director to lead social media efforts for an auto client. This role is ... content excellence, and ensuring seamless coordination across teams to deliver bold, data -driven social strategies and content. The core role of our Social Client… more
