- Molina Healthcare (Sterling Heights, MI)
- …they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives ... on-budget delivery. **Tools/Methods (examples):** Salesforce, QNXT (or similar core claims ), JIRA/Azure DevOps, MS Project /Smartsheet, Visio/Miro/Lucid, SQL,… more
- Trinity Health (Pontiac, MI)
- …Nutrition Services (FANS) Department in a large or sizeable multi-hospital setting. The Senior Manager of Food & Nutrition Services is responsible for ... to identify budget variances; and prepares related reports for senior management review. Keeps Regional Manager , THS...adapt to change. Demonstrates the ability to develop a project plan for major projects with milestones to determine… more
- RxBenefits (Detroit, MI)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Molina Healthcare (Sterling Heights, MI)
- …projects + Responsible for analytics and reporting, acting as a Jr Project manager to oversee vendor implementations, coordinating data extractions, gathering ... SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or… more
- ROUSH (Troy, MI)
- …big ideas on a global stage. Job Summary: The Proposal & Pricing Manager is responsible for the coordination, planning, organization, control and integration, and ... located in Troy, MI. As the Proposal & Pricing Manager , you will: + Perform pre-award planning activities and...competitive proposals, RFI and RFP responses, white papers, ROMs, claims of commerciality, etc. Lead; write/edit response volumes as… more
- Molina Healthcare (Sterling Heights, MI)
- …Supporting the OH Plan, the candidate will act as the Ohio Operation lead on Claims and Encounters as well as the liaison to our state regulator in these areas. ... developer role but the candidate must be technically inclined and interface with IT, Claims , and Encounter Teams. Must be a self-starter willing to learn. Must be a… more