- Molina Healthcare (Ann Arbor, 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 (Ann Arbor, 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 (Ann Arbor, 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 (Ann Arbor, 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
- Molina Healthcare (Ann Arbor, 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
- Molina Healthcare (Ann Arbor, 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
- Molina Healthcare (Ann Arbor, 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 (Ann Arbor, 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
- 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 (Ann Arbor, 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
- Molina Healthcare (Ann Arbor, MI)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, ... Strategy and Services. **Job Duties** + Lead Program Director team, managing all aspects of team's mission and...Responsible for the continued development and enhancement of the Provider Network Management and Operations… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- …satisfied by successfully completing an American Heart Association (AHA) BLS Healthcare Provider Course or Military Training Network (MTN). No online ... Medical Center is seeking a Full-Time Registered Nurse (RN) - Pain Management , aligned under Nursing/Anesthesia. Responsibilities Th RN supporting patients in Pain… more
- University of Michigan (Ann Arbor, MI)
- …of adaptive sports. **Position Summary:** The Wheelchair Tennis Head Coach will provide leadership and oversight for the wheelchair tennis program. Develop and ... and student-athlete development within the wheelchair tennis program. This individual will provide a strategic approach for the wheelchair tennis program and its… more
- Meijer (Howell, MI)
- …participants have the potential to advance into roles such as Store Director - leading multimillion-dollar operations and large teams of several hundred team ... our doors more than 90 years ago with the goal of helping people provide for themselves and their family. Today we're a multi-billion dollar retailer with more… more
- University of Michigan (Ann Arbor, MI)
- …for external physician offices and group practices to address issues and/or provide information on congenital heart defects, pediatric heart disease, and other new ... as the staff support/advance team to ensure productive communication and streamlined provider referral processes. The role will educate, triage patient and referring… more
- Elevance Health (Dearborn, MI)
- …to determine alternate levels of care and to facilitate transfers to network facilities and providers whenever possible. Facilitates coordination of care with other ... decisions. Directs members to an appropriate therapist or EAP provider and reviews care on a regular basis to...medical necessity. Refers cases to an MD or Clinical Management staff if unable to determine that medical necessity… more
- Sunrise Senior Living (Plymouth, MI)
- …+ Prepare and review the activity calendar and newsletter with the Executive Director (ED) prior to submitting for printing. + Coordinate with other department ... times weekly, while maintaining a daily presence in the neighborhood. + Provide support to the Reminiscence Coordinator (RC)/Resident Care Coordinator (RCC) on the… more
- Black & Veatch (Ann Arbor, MI)
- …is for a Pursuit Manager that is focused on the Distributed Network Solution Portfolio (Grid, BESS, Private Networks, DER, and clean transportation). Responsible ... for the management (preparation, assembly,...this role interface directly with Client Account Manager, Project Director and Project Manager, as equals, to develop the… more
- Black & Veatch (Ann Arbor, MI)
- …use. \#LI-KG1 **The Opportunity** Responsible for driving pursuit managers in the management (preparation, assembly and submittal) of TC&I proposals with a focus on ... Solution (BESS, Clean Transportation, Distributed Energy, and Private Networks). Proposals under management may range from small to large scope and generally have… more