- Molina Healthcare (Sterling Heights, 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 (Sterling Heights, 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 (Sterling Heights, 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 (Sterling Heights, MI)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …demonstrate leadership, experience, and creative approaches to complex patient care management .The HBPC Registered Nurse Program Director /Manager is an expert ... their team members. He/she collaborates with the HBPC Medical Director for daily program management . He/she collaborates...values for the organization. The HBPC Registered Nurse Program Director /Manager for HBPC is responsible to provide … more
- Molina Healthcare (Sterling Heights, MI)
- …must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting (Long Term Support Services, LTSS) jobs are ... 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)
- …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 (Sterling Heights, 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
- Cornerstone Caregiving (Chesterfield, MI)
- Operating Director for Chesterfield, MI Operating Director Full-Time Chesterfield, MI Apply Now Apply Now Job Summary Cornerstone Caregiving, the largest ... expand nationwide, we are searching for an exceptional Operating Director to lead this branch's growth. Supported by our...this branch's growth. Supported by our homebase and a network of Operating Directors, you will play a pivotal… more
- Molina Healthcare (Sterling Heights, 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 (Sterling Heights, 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
- Ford Motor Company (Dearborn, MI)
- …waste across the organization. This leader will also utilize their internal network to support and drive cross-functional transformation projects, and assist with ... soliciting input and feedback, structuring and scheduling events. + Provide thought partnership to the CEO Chief of Staff...Staff and other members of the team. + Project management support for key business reviews and initiatives. +… 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
- Publicis Groupe (Birmingham, MI)
- …that push the boundaries of what's possible. As part of the global Publicis Media network , we're backed by the power, scale, and benefits of Publicis Groupe, one of ... 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
- 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
- Anywhere Real Estate (Detroit, MI)
- …and transaction coordination offerings. **About the Role** This new, high-profile Director , New Program Development role will be accountable for developing new ... + Excellent presentation skills; mastery of PowerPoint, Excel, and agile project management tools. + No industry experience required. Experience in franchising or… 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
- Molina Healthcare (Sterling Heights, 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
- 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