- Molina Healthcare (Sterling Heights, MI)
- …operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve. ... **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited to performance of… more
- Molina Healthcare (Sterling Heights, MI)
- …on increased responsibility and adding value to the organization + Ensures strong operational processes are in place to deliver across all areas of responsibility + ... Provides oversight analyses of demographic data to support accurate Network Adequacy Reporting and Directory development. + Manage multiple resources and projects… more
- Elara Caring (Clinton Township, MI)
- … guidelines. + Assures compliance with the requirements of state licensure, Medicare certification, and any other applicable oversight agencies through policy ... have countless ways to make a difference as Branch Director . Being a part of something this great starts...you'll contribute to our success in the following ways: ** Operational Responsibilities:** + Organizes and directs the day-to-day operations… 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 ... thoughtful integration of reimbursement practices into systemwide financial strategies. The Director will serve as a trusted partner to executive leadership,… more
- Molina Healthcare (Sterling Heights, MI)
- …strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core ... contracts. Issue escalations, network adequacy, Joint Operating Committees, and delegation oversight . Tighter knit proximity ongoing after contract. * In conjunction… more
- Henry Ford Health System (Troy, MI)
- …group tasked with implementing system-wide improvements within multi-disciplinary operational teams, ensuring optimal and compliant Mid-Revenue Cycle processes ... within value-based reimbursement models and initiatives. Reporting to the Director , Risk Adjustment and Value-Based Payment, the Program Manager is responsible for… more