- Wolters Kluwer (Lansing, MI)
- Senior Field Sales Manager - Remote Work with Healthcare Providers, Payers, Consultants, Insurance Companies, Corporations and State/Local Government Agencies to ... sell and maintain Wolters Kluwer Healthcare Regulatory & Coding Solutions. **_ This position will work from a... Solutions. **_ This position will work from a remote office and can be based anywhere in the… more
- Trinity Health (Livonia, MI)
- …PURPOSE** Work Remote Position At the direction of the Regional Manager , Clinical Documentation Integrity (CDI), this position supervises daily operations of the ... and Clinical Documentation Integrity Coordinator. Working with the Regional Manager , Clinical Documentation Integrity, is directly responsible for the daily… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to… more
- Henry Ford Health System (Grand Blanc, MI)
- …conjunction with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical ... be responsible for utilizing knowledge of Local, State and Federal coding guidelines and regulations, NCCI Edits, ICD-10CM, CPT, Hierarchical Condition Categories… more
- Molina Healthcare (MI)
- …highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/medical reviews of previously ... practice. * Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience… more
- Molina Healthcare (Sterling Heights, MI)
- …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in ... payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD),… more
- J&J Family of Companies (Flint, MI)
- …United States, Saginaw, Michigan, United States **Job Description:** **Field Reimbursement Manager (Immunology Rheumatology)- (Detroit North, MI) - Johnson & Johnson ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include Flint, Detroit,… more
- GovCIO (Lansing, MI)
- …with DevOps tools and Azure is a plus. This position is fully remote and available to candidates within the Continental United States (CONUS). **Responsibilities** ... excellence within the team. + Promote best practices and coding standards to maintain high standards of excellence within...Azure DevOps, Confluence, etc.). + Demonstrated experience in a remote work environment. + Must be a US citizen… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation processes to ... ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The … more