- Arrow Electronics (Plymouth, MI)
- **Position:** Managed Services Program Manager **Job Description:** Arrow ECS is at the forefront of new technology solutions, providing businesses with ... to ensure that their technology solutions are fast, reliable and secure. The Managed Services Program Manager is responsible for overseeing and ensuring… more
- Molina Healthcare (Ann Arbor, MI)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… more
- Molina Healthcare (Belleville, MI)
- …This position will have a case load and manage members enrolled in this program . We are looking for Registered Nurses who have experience working with manage care ... Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team… more
- Humana (Canton, MI)
- …of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or ... resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently require interpretation and… more
- Humana (Canton, MI)
- …of our caring community and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and...performance-based bonus** + **$5,000 sign-on bonus** + Employee Referral Program + Ability to work from home 80% of… more
- University of Michigan (Ann Arbor, MI)
- …and external partnerships that promote engagement with learning experiences; + Providing program management services throughout degree program development ... Project Manager Senior Apply Now **How to Apply** A...stewardship of current initiatives. + Develop training materials for managed initiatives to be shared widely across the Project… more
- Molina Healthcare (Ann Arbor, MI)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... regulatory timelines are met. **Required Qualifications** * At least 7 years of managed care experience in a call center, appeals, and/or claims environment, or… more
- Molina Healthcare (Ann Arbor, MI)
- …including behavioral health, long-term care, and population health-related education and services for members with high-need potential. Strives to ensure member ... at least 1 year of experience in a direct patient care, and/or managed care, care management, or behavioral health setting, or equivalent combination of relevant… more
- Molina Healthcare (Ann Arbor, MI)
- …**REQUIRED QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- Ascension Health (Novi, MI)
- …The Resource Group, a subsidiary of Ascension, is a business transformation services organization that specializes in resource and supply chain management. The ... and key performance indicators, and to deliver a cost-effective, highly-efficient managed distributor model. By combining a culture of hospitality with leading… more
- Vail Resorts (Brighton, MI)
- …and snowboard lessons, 40% retail discounts, the chance to grow through Epic Service - our leading training and development experience, and wellness benefits to fuel ... mountain shuttles * 401(k) Retirement Plan * Employee Assistance Program * Excellent training and professional development * Referral...and guests. The PC Tech prioritizes safety and guest service while living the company's core values to deliver… more
- Molina Healthcare (Ann Arbor, MI)
- …experience, and at least 2 years as a medical director in managed care organization supporting utilization management/quality program management, or equivalent ... business segment (ie Medicare, Marketplace, advanced imaging/central utilization management services ) in the development and execution of care management,… more
- University of Michigan (Ann Arbor, MI)
- …and communities through excellence in education, patient care, community service , research and technology development, and through leadership activities in ... and suggesting alternative appropriate courses of action to insure projects are managed on budget; insuring proper accounting of funds; budgeting funds consistent… more
- Molina Healthcare (Ann Arbor, MI)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services , length of stay and level of care provided to members.… more
- University of Michigan (Ann Arbor, MI)
- …complex diagnostic tests within the scope of practice; works with Occupational Health Services staff, to support clinic operations; and, works with the Health System ... and Campus departments to ensure all employees are managed appropriately. **Responsibilities **Essential:** + Manages patient flow by...order at the direction of the MA lead and/or Manager + Prepares patients for examinations + Vaccine Management… more
- Molina Healthcare (Ann Arbor, MI)
- …ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review ... oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs… more
- Molina Healthcare (Ann Arbor, MI)
- …ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review ... medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for… more
- Molina Healthcare (Ann Arbor, MI)
- …National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and ... self-directed, autonomous and experience working from home. Care Management & Waiver Service Auditing experience is highly preferred. Work hours: Monday - Friday… more
- Black & Veatch (Ann Arbor, MI)
- …+ Bachelor's degree or relevant work experience + Has successfully managed multiple engagements simultaneously + Contributor or leader to acquire new ... Acumen (Proven ability break into new accounts and expand service offerings; develop a sales lead from start to...after the first 90 days of employment based upon manager discretion, job performance and work assignments. + Travel… more