- Molina Healthcare (Detroit, 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
- 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
- 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
- Molina Healthcare (Detroit, 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 (Detroit, 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 (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 (Detroit, 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 (Detroit, 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 (Detroit, 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 (Detroit, 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 (Detroit, 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
- 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 (Dearborn, MI)
- …of care . Uses defined resources to guide decisions, including Medical Director Care Management, Physician Advisors, and management staff. + Routinely ... the quality of patient care and engagement, to promote continuity of care and cost effectiveness through the integration and functions of utilization… more
- Henry Ford Health System (Detroit, MI)
- …of trauma. o Takes the lead in working with the Director on program development and implementing innovative models of care . . Record Keeping and Other ... Level I Trauma Center with a seamless transition of care to the OP TRC at no cost...TRC OP Clinical Psychologist will work collaboratively with the Director of Trauma and Acute Care Surgical… more
- Sunrise Senior Living (Plymouth, MI)
- …residents, and community volunteers to participate as a regular part of the activity program with the assistance of the Executive Director . + Train team members ... the resident's specific social needs. + Develop an individualized program of activities of focused care . +...and cross training when applicable. + Understand the internal cost associated with all Sunrise resident care … more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under the leadership of the Director of System Finance, provides financial analysis for assigned areas, supporting executive and operational ... operational and strategic goals and expectations. The position reports to the Director of System Finance. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Monitors financial… more
- Elara Caring (Ypsilanti, MI)
- …a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out ... our elite team of healthcare professionals, providing the Right Care , at the Right Time, in the Right Place....and continuing education opportunities for all employees at no cost + Opportunities for advancement + Comprehensive insurance plans… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …patient population. Acts as a consultant to the clinical staff, medical assistants, program managers, quality assurance manager and the Director of the Community ... responsibilities required of a psychiatrist and provides quality and cost -effective care for the designated patient population...in conjunction with the Quality Assurance Manager and the Director of the Community Health and Research Center +… more
- BASF (Wyandotte, MI)
- …Asset Effectiveness; supports improvements that drive FTQ; oversees comprehensive reliability program , including bad actors and RCAs. + Cost Effectiveness: ... skills development. You will be responsible for the efficient and cost -effective execution of maintenance and production support services, in accordance with… more