- Integra Partners (Troy, MI)
- The Project Manager - Healthcare Claims Management (Subject Matter Expert) is responsible for leading complex projects and initiatives related to ... improvements. This role requires deep subject matter expertise in healthcare claims systems, workflows, and regulatory requirements.... management, with at least 3 years in a project management capacity. + Deep knowledge of claims… more
- Molina Healthcare (Sterling Heights, MI)
- …keeping, performance coaching, development, and career paths. + Daily management of Healthcare Analytics team. + Allocate new report/ project requests (workload ... their projects, maintains internal work plans as well as project work plans to meet reporting needs of the...leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment +… more
- Molina Healthcare (Sterling Heights, MI)
- …trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (Sterling Heights, MI)
- …recommendations for improvement to decision-makers. At the direction of the Manager , Encounters, collaborates with cross-functional teams to identify and resolve ... rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate… more
- Trinity Health (Pontiac, MI)
- …**Shift:** Rotating Shift **Description:** **POSITION PURPOSE** Functions as the General Manager responsible for the oversight and coordination of the day-to-day ... in a large or sizeable multi-hospital setting. The Senior Manager of Food & Nutrition Services is responsible for...adapt to change. Demonstrates the ability to develop a project plan for major projects with milestones to determine… more
- Molina Healthcare (Sterling Heights, MI)
- …provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- University of Michigan (Ann Arbor, MI)
- …is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. ... regulatory agency requirements, and nursing standards. Includes data from readmissions, claims , incidents, and daily habit to frame doable improvements. +… more