- Molina Healthcare (Ann Arbor, MI)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Ann Arbor, MI)
- …Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Ann Arbor, 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 ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… more
- Molina Healthcare (Ann Arbor, MI)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Ann Arbor, MI)
- …This position will have a case load and manage members enrolled in this program . We are looking for Registered Nurses who have experience working with manage care ... member caseload for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services and supports… more
- PNC (Ann Arbor, MI)
- …have an opportunity to contribute to the company's success. As a Relationship Manager within PNC's Healthcare Business Banking organization, you will be based ... financial analysis, negotiation and documentation of credit and non-credit products and services . + Manages risk/return and drives quality for new and/or existing… more
- Molina Healthcare (Ann Arbor, MI)
- …including behavioral health, long-term care, and population health-related education and services for members with high-need potential. Strives to ensure member ... and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications **LVN is preferred for this role.**… more
- Molina Healthcare (Ann Arbor, MI)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
- University of Michigan (Ann Arbor, MI)
- AI&DHI Program Manager , e-HAIL Apply Now **How to Apply** A cover letter and resume are required for consideration for this position. Please include the cover ... administrative environment. **Job Summary** We are looking for a Program Manager to lead our e-HAIL community....large grant proposals for research projects in AI and healthcare through NIH, NSF and other grant mechanisms +… more
- University of Michigan (Ann Arbor, MI)
- Program Manager for Sexual and Gender-Based Misconduct Response Apply Now **How to Apply** A cover letter is required for consideration for this position and ... because sexual abuse is preventable, not inevitable. As the Program Manager for SGBM Response, you will...+ Long-term disability coverage + Flexible spending accounts for healthcare and dependent care expenses **Responsibilities + Lead the… more
- Walgreens (Tecumseh, MI)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- Medtronic (Ann Arbor, MI)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... sales talents to a leader in medical technology and healthcare solutions. Rooted in our long history of mission-driven...achievement of revenue and implant goals for products and services in an assigned region. Accountable for driving new… more
- Molina Healthcare (Ann Arbor, MI)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Genesis Healthcare (Saline, MI)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...patients and their families receive the highest quality of service in a caring and compassionate atmosphere. If this… more
- Molina Healthcare (Ann Arbor, MI)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Genesis Healthcare (Saline, MI)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an… more
- Molina Healthcare (Ann Arbor, MI)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from… more
- Molina Healthcare (Ann Arbor, MI)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Ann Arbor, MI)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Ann Arbor, MI)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more