- Jobleads-US (Grand Rapids, MI)
- …in Challenge's success! Challenge is #QualityDriven and #PeoplePowered! Who We Want: The Director of Talent Management should have a people focused mentality ... role will serve as a strategic leader in all aspects of talent management , including the acquisition, development, and internal mobility of employees. They will… more
- Cordis (Grand Rapids, MI)
- …Come be a vital member of the Sales team at Cordis! The Regional Sales Director is a leadership opportunity that allows you to directly impact the trajectory of our ... **Responsibilities** + Short-term and long-range business planning + Leveraging data analytics to inform targeting and resource allocation + Territory… more
- Molina Healthcare (Grand Rapids, 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 (Grand Rapids, 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 (Grand Rapids, 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 (Grand Rapids, 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 (Grand Rapids, 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 (Grand Rapids, 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
- Bath Planet (Grand Rapids, MI)
- Marketing Director Bath Planet of West Michigan Full-Time | Grand Rapids, MICompany Overview Bath Planet of West Michigan is a premier provider of high-quality, ... we are a fast-growing company seeking an accomplished and strategic Marketing Director to lead our marketing operations and drive sustained business growth through… more
- Molina Healthcare (Grand Rapids, 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 (Grand Rapids, 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 (Grand Rapids, 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
- Molina Healthcare (Grand Rapids, 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 (Grand Rapids, 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 (Grand Rapids, MI)
- …and problem-solving capabilities. + **Preferred Experience** 10 years + of IT Data Center Operations, Project Management , Cyber Recovery, Business Continuity ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for… more
- Acosta Group (Grand Rapids, MI)
- …and data -driven decision-making. **RESPONSIBILITIES** + **Lead and Inspire** : Provide clear direction, motivation, and coaching to the Retail Team to achieve ... **DESCRIPTION** As the Senior Retail Director , you will be the driving force behind...strategies to maximize field effectiveness and ROI. + **Performance Management ** : Conduct regular evaluations of team performance, identify… more
- Molina Healthcare (Grand Rapids, 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
- Molina Healthcare (Grand Rapids, 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
- Molina Healthcare (Grand Rapids, MI)
- …practice. * Deep understanding of clinical operations: utilization management , care management , etc. * Ability to provide hands-on, immersive and directed ... to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Under the… more
- Gentiva (Grand Rapids, MI)
- …**Care Coordinator AIM** to join our team. This position will directly report to the Director of AIM and is responsible for managing all day to day business affairs ... other operational activities related to the administration of the advanced illness management (AIM) and palliative care department by performing the following duties… more
