- AmeriHealth Caritas (Southfield, MI)
- **Role Overview:** The Vice President of Plan Operations & Administration leads operational strategy and execution for the Michigan Blue Cross Complete ... A bachelor's degree is required. + Minimum 5 years of experience in Medicaid / Medicare operations with progressive leadership responsibilities + 10 plus years of… more
- Trinity Health (Chelsea, MI)
- …diabetes, and provide health education. **Position Purpose** The Chief Nursing Officer and Vice President , Clinical Services serves as a member of the Trinity ... care and patient experience, including a double, five-star rating from the Centers for Medicare and Medicaid Services and a Leapfrog Hospital Safety Grade of… more
- Humana (Lansing, MI)
- …and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- Molina Healthcare (MI)
- …observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. ... software program(s) proficiency. **Preferred Qualifications** *Experience in complex managed care. * Associate of the Society of Actuaries (ASA) or Fellow of the… more
- University of Michigan (Ann Arbor, MI)
- …medical records to ensure accuracy of work and adherence to Centers for Medicare & Medicaid Services (CMS) AHA Official ICD-10-CM/PCS Coding Guidelines. Ensure ... correct assignment of Medicare Severity Diagnosis Related Groups (MS-DRG), Risk of Mortality...enhance our contribution to society. **Required Qualifications + An associate degree in Health Information Management or an equivalent… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Strong executive presence with the ability to influence and present to VP /SVP levels. + Proven history driving strategic negotiations, contract optimization, and… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Strong executive presence with the ability to influence and present to VP /SVP levels. + Proven history driving strategic negotiations, contract optimization, and… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Strong executive presence with the ability to influence and present to VP /SVP levels. + Proven history driving strategic negotiations, contract optimization, and… more