- Molina Healthcare (Sterling Heights, MI)
- …of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops ... infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and… more
- Molina Healthcare (Sterling Heights, MI)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... for CMS audits and data-validation reviews * Ability to quantify financial, regulatory , and member-experience risk from complaint trends and to drive prioritized… more
- Molina Healthcare (Sterling Heights, MI)
- …Medical License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- Molina Healthcare (Sterling Heights, MI)
- …medical director , and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality ... without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration , Public Health,… more
- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership role responsible for the development, implementation, ... evolution of value-based care (VBC) programs across all lines of business-Medicaid, Medicare , and Marketplace. This role is critical in driving clinical and… more
- Corewell Health (Royal Oak, MI)
- …Essential Functions Graduate Medical Education: + Serve as principal backup to the Director of Graduate Medical Education (GME) and acts on his/her behalf in the ... with GME. + Ensure compliance with GME accrediting and regulatory agencies' requirements including but not limited to the...to the Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS). + Ensure OME team… more
- Option Care Health (Farmington Hills, MI)
- …**Job Description Summary:** Under the direction of the Regional Sales Director , Health Systems Solutions (RSD, HSS), manages the development and execution ... plans to achieve goals of targeted opportunity. + Complies with accreditation, legal, regulatory , and safety requirements and assures their team does the same. +… more