- Molina Healthcare (Detroit, MI)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Detroit, MI)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Detroit, MI)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Molina Healthcare (Detroit, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role negotiates assigned… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Service Network (VISN), VA Medical Center (VAMC), within the Office of the ... Medical Center Director . This position...Team a level of responsibility for the direction and management of the Medical Center and is directly responsible… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …HBPC Medical Director is responsible for collaborating with the HBPC Program Director to: (a) Provide leadership to the HBPC Program, including, but not ... in Detroit is seeking a full-time Home-Based Primary Care (HBPC) Medical Director Board Eligible/Board Certified in either Internal Medicine or Family Medicine. Our… more
- Molina Healthcare (Detroit, MI)
- …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- Molina Healthcare (Detroit, MI)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Detroit, MI)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Anywhere Real Estate (Detroit, MI)
- **About the Anywhere Leads Team** The Anywhere Leads Network comprises 500 brokers across Coldwell Banker, Century 21, ERA, Better Homes & Gardens Real Estate, ... the VP, Operations & Customer Insights. The Anywhere Leads Network team is focused on managing and growing our...the core of our revenue optimization strategy. As the ** Director of Leads Insights** , you will be a… more
- Anywhere Real Estate (Detroit, MI)
- Director , Broker Services Reports to National VP The Director of Broker Services will report to the National Vice President. This individual will support the ... as a point person for all franchise-related operational issues. The Operations Director will oversee and streamline the operational activities that support ERA… more
- Wayne State University (Detroit, MI)
- Senior Director , University-wide Philanthropy Wayne State University is searching for an experiencedSenior Director , University-wide Philanthropyat its Detroit ... in a global society. Essential functions (job duties): Job Purpose Provide vision, leadership and direction for the University-wide Philanthropy team. Establish… more
- Molina Healthcare (Detroit, MI)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more
- Molina Healthcare (Detroit, MI)
- …the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...Cloud, disaster recovery, business continuity, team leadership, and project management . + Strong knowledge of application, network ,… more
- Anywhere Real Estate (Detroit, MI)
- **Job Title:** Director - Software Engineering - Experience Digital Channels **Summary of Role:** Are you a highly motivated and confident software engineer with a ... that will turn their vision into reality. As the director of experience engineering teams, you will be responsible...their successful delivery. As a thought leader, you will provide technology expertise solutions and help attract and retain… more
- Arrow Electronics (Plymouth, MI)
- …is estimated to be in January 2026.** Arrow is seeking a Sales Engineering Director (SED) to provide strategy, technical direction and business guidance for our ... **Position:** Sales Engineering Director - Cloud, Data/AI **Job Description:** **The start...responsibility to, and tight alignment with, Sales and Supplier/Vendor Management . The SED will have leadership responsibility for the… more
- Aston Carter (Belleville, MI)
- Job Title: Director of Business Development Job Description We are seeking an experienced and strategic Director of Business Development to drive growth and ... and support on transportation and supply chain matters. + Provide market intelligence and updates to clients to inform...+ Emphasis on hunting new business opportunities. + Sales management and business management . + Customer service… more
- Huntington National Bank (Detroit, MI)
- …and investment management products in the captive insurance space. + Provide strong leadership to the banking teams, setting clear objectives and fostering a ... Description The Senior Managing Director - Captive Insurance Banking is responsible for...the sale of letters of credit, trust and investment management products in the captive insurance space. The candidate… more
- ARCO (Southfield, MI)
- …at all levels of the business. We are looking for a highly motivated Director of Business Development to join our team of experts in Detroit, Michigan. Because ... a sales plan + Research/Pre-qualify businesses and potential opportunities + Network with alliance partners (ie: engineers, brokers, consultants, etc.) + Execute… more
- Molina Healthcare (Detroit, MI)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more