- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Molina Healthcare (Sterling Heights, MI)
- …**Job Summary** Establish a specifically designed Operational Regulatory Oversight program that effectively prevents and/or detects violation of applicable laws ... provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational… more
- Corewell Health (Royal Oak, MI)
- …Job Summary Under the direction of the Patient Access Registration Front Line Manager , the Acute Care Hospital Registrar 2, in addition to performing all Registrar ... information, educating and providing information as necessary. Collect and document Medicare Questionnaire, issue Medicare Letter as required by Government… more
- Henry Ford Health System (Troy, MI)
- The Program Manager - Population Health & Value-Based Payment has an important role in a high-profile group tasked with implementing system-wide improvements ... and initiatives. Reporting to the Director, Risk Adjustment and Value-Based Payment, the Program Manager is responsible for complex program management,… more
- Corewell Health (Dearborn, MI)
- …and competencies and compliance. + Conducts thorough chart reviews; works with MDS Nurse and Program Nurse Manager to assure that follow through on plans of care ... from all walks of life and backgrounds take full advantage of the senior apartment options available in our friendly, close-knit community. Our campus includes 29… more
- Henry Ford Health System (Troy, MI)
- …organization risk by upholding compliance standards. Under limited supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity ... GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Specialist identifies...function as a resource for RI Auditors and RI Senior Auditors. Flexibility, innovation, and creativity are necessary characteristics… more
- Molina Healthcare (Sterling Heights, MI)
- …skills. * Microsoft Office suite (including Excel), and applicable software program (s) proficiency. **Preferred Qualifications** * Medicare Part D and/or ... care team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...pharmacy call center team under the direction of pharmacy senior leadership. * Identifies and implements programs to improve… more