- Molina Healthcare (Sterling Heights, MI)
- …strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides ... project work plans to meet reporting needs of the Health Plan. Resource to HCS staff for mentoring, coaching,...coaching, development, and career paths. + Daily management of Healthcare Analytics team. + Allocate new report/project… more
- WTW (Detroit, MI)
- …**The Role** As a Senior Consultant in the Corporate practice within Risk and Analytics , you will work on and assist project teams focused on developing and ... studies, pricing/funding analyses and captive consulting activities for our healthcare and corporate clients. You will be responsible for...the growth of this practice area. As a project manager , you will bring order and process to the… more
- Molina Healthcare (Sterling Heights, MI)
- …conclusions based on analyses performed, make recommendations through use of healthcare analytics , predictive modeling, and communicate those conclusions ... **Job Summary** The Manager , Medical Economics provides support and consultation to...healthcare industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large… more
- Molina Healthcare (Sterling Heights, MI)
- …rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics , health equity and SDOH, and engaging external vendors. * ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position… more
- Henry Ford Health System (Detroit, MI)
- Henry Ford Health is seeking a Pharmacy Manager for our Revenue Cycle team. This full-time role plays a key part in ensuring strong financial stewardship of ... pharmaceutical across Henry Ford Health Clinical Delivery System. GENERAL SUMMARY: Location: Detroit, MI...Elijah McCoy Campus, Centralized Pharmacy Service Center The Pharmacy Manager reports to Director of Pharmacy and works closely… more
- Elara Caring (Detroit, MI)
- …difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. ... **Job Description:** Communications Manager (Remote) At Elara Caring, we care where you...patients call home and wherever they are on their health journey, we care. Each team member has a… more
- Deloitte (Detroit, MI)
- …world. Our practice delivers distinctive services to the country's largest national and regional health plans, 10 of the 10 largest healthcare systems and 8 of ... a period of decreasing margins and increasing emphasis on cost controls. Our healthcare professionals enable health care providers (from physicians to integrated… more
- Molina Healthcare (Sterling Heights, MI)
- …Certification, Association + Valid driver's license required. **Preferred Experience** + Healthcare Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide… more
- Deloitte (Detroit, MI)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice, you will have the opportunity to work on multiple projects leveraging… more
- GE HealthCare (Detroit, MI)
- …platform. We operate at the center of an ecosystem working toward precision health - digitizing healthcare , helping drive productivity and improving outcomes for ... nearly every state! As a Skillbridge Intern at GE Healthcare , every moment partnering with customers is an opportunity...safe and effective use of medical equipment. * Meet Health and Human Services, as well as Environment … more
- Elevance Health (Dearborn, MI)
- …leaders passionate about transforming American healthcare delivery. The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial ... **Senior Health Economist - Managed Care** **Location:** This role...Utilization Management experience preferred. + Medical economics, provider finance, healthcare analytics , and/or financial services highly preferred.… more
- R1 RCM (Detroit, MI)
- …solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines ... with the industry's most advanced technology platform, encompassing sophisticated analytics , AI, intelligent automation, and workflow orchestration. As the Senior… more
- Deloitte (Detroit, MI)
- …equitable future of health . Work you'll do As an Industry Solutions Manager specializing in Life Sciences Patient Services, you will play a pivotal role in ... solutions specifically engineered for each sector. Who we serve T hroughout the health ecosystem, you'll find courageous and inspiring people who are committed to… more
- Molina Healthcare (Sterling Heights, MI)
- …Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification ... care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization… more
- Molina Healthcare (Sterling Heights, MI)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... annual reporting requirement as needed. + Works with delegation oversight analytics representatives on monitoring performance reports from delegated entities. +… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under the direction of a Manager , Director, or a Leader, develops and implements a comprehensive program to extract (using a computer language) or ... educational resources to enhance understanding of current developments in healthcare environment. + Creates recommendations for improving work efficiency, quality,… more
- Trinity Health (Livonia, MI)
- …general ledger account analysis and reconciliations and financial statements for the Health Ministry ("HM") and Market Record to Report ("R2R") shared services area. ... Accountant is expected to demonstrate problem solving skills as related to healthcare financial operations and an understanding of external, regulatory, payor and… more
- Henry Ford Health System (Grand Blanc, MI)
- Under the direction of the Outpatient Audit, Analytics & Technology Supervisor, in conjunction with OP Audit Analysts and Coordinators will utilize documentation and ... compliance, and clinical knowledge to accurately abstract information from the electronic health record for compilation of an OP CDI Education database, which… more
- Corewell Health (Southfield, MI)
- …alignment, team member related compliance, educational initiatives and the like. + HR Policy Manager for all HR policies system wide. Our goal is to align policies ... member experience including proactive communications, engagement initiatives and workforce analytics . Designs change management initiatives to promote desired cultural… more
- R1 RCM (Detroit, MI)
- …solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines ... with the industry's most advanced technology platform, encompassing sophisticated analytics , AI, intelligent automation, and workflow orchestration. We are seeking… more