- Cordis (Grand Rapids, MI)
- …Come be a vital member of the Sales team at Cordis! The Regional Sales Director is a leadership opportunity that allows you to directly impact the trajectory of our ... **Responsibilities** + Short-term and long-range business planning + Leveraging data analytics to inform targeting and resource allocation + Territory… more
- Advance Local (Grand Rapids, MI)
- …will take a systematic approach to marketing strategy under the direction of the Director of Marketing Content. The ideal candidate will have a mixture of creative, ... able to "feel" what is right while looking to data and numbers to guide the way. In this...marketing strategy. **You will:** + Strategize with Marketing Content Director to build all campaigns for one Healthcare Marketing… more
- Molina Healthcare (Grand Rapids, MI)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Grand Rapids, MI)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Grand Rapids, MI)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- Molina Healthcare (Grand Rapids, MI)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + ... work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED...EXPERIENCE:** + Advanced Excel skills. + Power BI. + Provider Data Analytics. To all current Molina… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- Bath Planet (Grand Rapids, MI)
- Marketing Director Bath Planet of West Michigan Full-Time | Grand Rapids, MICompany Overview Bath Planet of West Michigan is a premier provider of high-quality, ... we are a fast-growing company seeking an accomplished and strategic Marketing Director to lead our marketing operations and drive sustained business growth through… more
- Molina Healthcare (Grand Rapids, MI)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Grand Rapids, MI)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Grand Rapids, MI)
- …of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and ... programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs,… more
- Molina Healthcare (Grand Rapids, MI)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more
- GE Aerospace (Grand Rapids, MI)
- …provides cutting-edge solutions, including networked computing, digital backbone systems, data transfer systems, controls and displays, flight management ... of the Avionics Business Capture team, the Senior Sales Director will lead sales and business development efforts for... management , stores management , cockpit and data recorders, and a comprehensive suite of other Avionics… more
- Molina Healthcare (Grand Rapids, MI)
- …timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when applicable, ... business rules as they apply to each database. Validate data to be housed on provider databases...Identified as contract system lead by developing and maintaining provider contracts in contract management software. *… more
- Robert Half Finance & Accounting (Allegan, MI)
- Description We are looking for an experienced Director of Finance to lead and oversee all aspects of financial planning, reporting, and analysis for our ... accuracy and compliance. * Prepare detailed financial reports and dashboards for management review. * Monitor and manage cash flow to support operational needs… more
- Sanofi Group (Grand Rapids, MI)
- **Job Title:** Regional Business Director , Mideast **Location:** US Remote **About the Job** Regional Business Directors (RBDs) are key members of the national sales ... serve as strategic leaders and collaborate closely with partners across Account Management , CPE, Marketing, Medical, and Patient Support Services to ensure the… more
- Molina Healthcare (Grand Rapids, MI)
- …compliance program, including annual, periodic, focal, etc. audits. * Performance Management & KPI Expertise: Develop, implement, and monitor KPIs, including leading ... adherence, diagnose root causes of misses, and drive accountability across functions. * Data Insight & Decision Support: Ingest and interpret complex data from… more
- Robert Half Management Resources (Grand Rapids, MI)
- Description We are looking for an experienced VP/ Director of Finance to join our team in Grand Rapids, Michigan. This long-term contract position offers the ... opportunity to lead financial operations, provide strategic insights, and mentor team members. The role...financial performance. * Collaborate with sales teams to analyze data , develop strategies, and support business growth. * Monitor… more
- Molina Healthcare (Grand Rapids, MI)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- Molina Healthcare (Grand Rapids, MI)
- …practice. * Deep understanding of clinical operations: utilization management , care management , etc. * Ability to provide hands-on, immersive and directed ... to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Under the… more
