- Molina Healthcare (Sterling Heights, MI)
- …of strategic and operational project portfolios, with a focus on Network Cost of Care initiatives. Drive structure, organization, and decision-making across ... to C-level executives and manage key relationships with Corporate EPMO, IT, and Cost of Care stakeholders including COEs, Operating Domains, Med Econ, and… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …creative approaches to complex patient care management.The HBPC Registered Nurse Program Director /Manager is an expert nurse who demonstrates expertise in ... the interdisciplinary health care team. The HBPC Registered Nurse Program Director /Manager recognizes and utilizes the skills, knowledge, and contributions… more
- ChenMed (Warren, MI)
- …net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary care provider (PCP) will have ... oversight for outcomes** : The CMD demonstrates accountability for outcomes, strong clinical care , and cost -effectiveness for each patient in their panel of at… more
- Elevance Health (Dearborn, MI)
- …appeals for physical health medical services, to ensure the appropriate and most cost -effective medical care is received. May be responsible for developing and ... **Medical Director -Dermatology Appeals** **Location:** This role enables associates to...as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as… more
- Elara Caring (Clinton Township, MI)
- …healthcare providers. To continue to be an industry pioneer in delivering unparalleled care , we need a Branch Director with commitment and compassion. Are ... huge role in the growth of an entire home care industry. Here, each employee has the chance to...experience in supervisory or administrative home health or related program required. To the extent a Branch Director… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Director of Contact Center is a senior leader responsible for delivering operational excellence across patient/customer access contact centers. ... scheduling contact centers and financial customer service operations. The Director transforms enterprise access strategy into high-performing operations by… more
- Compass Group, North America (Rochester, MI)
- …the successful operation of food&nutrition at a multi unit hospital. The Director ensures client, customer service/satisfaction with efficient cost effective ... us to provide the best outcomes to our clients. **Job Summary** **The Director of Dining Services** is an exciting opportunity for an energetic, entrepreneurial… more
- Henry Ford Health System (Troy, MI)
- …to meet urgent Part D and pharmacy analysis needs. This new Director role establishes dedicated, in-house pharmacy actuarial expertise to strengthen financial ... position HAP for competitive advantage in 2026 and beyond. Position Summary The Director , Actuarial Services - Pharmacy / Part D is responsible for leading all… more
- Molina Healthcare (Sterling Heights, MI)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PR** **E**… more
- Molina Healthcare (Sterling Heights, MI)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- Henry Ford Health System (West Bloomfield, MI)
- General Summary: Henry Ford Health is currently seeking an Emergency Department Director to join our team. This nursing leader has overall responsibility for all of ... strategic planning. They are responsible for activities relating to quality patient care , decision making, problem solving and all leadership functions. Stimulates a… more
- Henry Ford Health System (Detroit, MI)
- …the nation's premier academic and integrated health systems, is seeking a Director of Corporate Reimbursement to lead critical financial functions that directly ... and overseeing reimbursement strategies across Henry Ford Health's hospitals and post-acute care facilities. This is a highly visible position that plays a central… more
- Molina Healthcare (Sterling Heights, MI)
- …specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral ... ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review… more
- Molina Healthcare (Sterling Heights, MI)
- … Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation… more
- Molina Healthcare (Sterling Heights, MI)
- …most effective setting. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Determines appropriateness ... care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care .… more
- Molina Healthcare (Sterling Heights, MI)
- …strategic plans and objectives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Under the direction ... operations leadership, responsible for oversight of internal and external clinical program performance at Molina. * Monitors performance of assigned clinical… more
- Molina Healthcare (Sterling Heights, MI)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation and negotiations ... with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving… more
- Ascension Health (West Bloomfield, MI)
- …operational procedures, and key performance indicators, and to deliver a cost -effective, highly-efficient managed distributor model. By combining a culture of ... Team** Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive… more
- Ford Motor Company (Dearborn, MI)
- …over the lifecycle of the vehicle line. Working together with the Vehicle Program Director , Chief Program Engineer, Finance, Engineering, and Supply ... Program Activity Team (PAT) to represent the Material Cost Attribute + Leverage Global Total Cost 's...dental, vision and prescription drug coverage * Flexible family care days, paid parental leave, new parent ramp-up programs,… more
- Corewell Health (Farmington Hills, MI)
- …an onsite requirement of 3+ days per week. Job Summary Partners with the physician Program Director to manage the Graduate Medical Education (GME) Program ... under minimal supervision.The GME Program Manager partners with the Program Director in accreditation efforts, educational programming, and management of… more