• Medical Director

    Molina Healthcare (Detroit, MI)
    …corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees ... as required such as Credentialing, P&T and others as directed by the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial process. + Monitors… more
    Molina Healthcare (10/22/25)
    - Related Jobs
  • Care Experience Consultant | Wyandotte Hospital

    Henry Ford Health System (Wyandotte, MI)
    …collaboratively with clinical and nonclinical leaders to resolve complaints and grievances according to organizational policy and within regulatory guidelines. + ... Works in collaboration with Quality/Risk Specialists, Finance, Insurance, Corporate Legal Affairs, Public Relations, Office of Safety, Human Resources, and others to coordinate and communicate information related to various risk exposures. + Serves as… more
    Henry Ford Health System (10/22/25)
    - Related Jobs
  • Associate Civil Engineer (Employment Opportunity)

    City of Detroit (Detroit, MI)
    …and personnel matters such as promotions, transfers, and disciplinary actions and grievances . + Initiates and directs training of subordinates and colleagues. + ... Represents the department/division with individual or groups of citizens, public agencies or with private groups. + Prepares and evaluates requests for proposal for consultant services, specialized services and other material used by the department/division.… more
    City of Detroit (10/21/25)
    - Related Jobs
  • Facilities Service Coordinator

    ARAMARK (Warren, MI)
    …elimination Acts upon requests for support and provide prompt fair handling of grievances . Effective listening and advocacy to technician?s needs. Must be able to ... read and understand OEM and non-OEM documentation, schematics, drawings, and manuals. Schedule and perform the repairs, and organize the efficient completion of work orders in a timely fashion from the CMMS work plan. Make recommendations to revise, update,… more
    ARAMARK (10/21/25)
    - Related Jobs
  • Manufacturing Leader - 3rd Shift - Plant 3

    Howmet Aerospace (Whitehall, MI)
    …bargaining agreement. Interfaces between management and union officials. Handles grievances . + Reviews production and operating reports and resolves operations, ... manufacturing, and maintenance problems to ensure minimum costs and prevent operational delays. + Investigates and analyzes. Initiates or recommends actions to correct deviations and variables affecting schedules, costs, quality, and other factors. +… more
    Howmet Aerospace (10/20/25)
    - Related Jobs
  • Provider Contracts Manager (Value-Based)

    Molina Healthcare (Detroit, MI)
    …software. + Targets and recruits additional providers to reduce member access grievances . + Engages targeted contracted providers in renegotiation of rates and/or ... language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and… more
    Molina Healthcare (10/19/25)
    - Related Jobs
  • Senior Assistant Civil Engineer - Design

    City of Detroit (Detroit, MI)
    …and personnel matters such as promotions, transfers, and disciplinary actions and grievances . + May supervise Assistant Engineers and other technical staff members. ... + Initiates and directs training of divisional staff and colleagues. + Represents the department/division with individual groups of citizens, public agencies, or private stakeholder groups. Minimum Qualifications Qualifications (required): + Bachelor's degree… more
    City of Detroit (10/19/25)
    - Related Jobs
  • Medical Assistant Lead Spine and Pain Management…

    Corewell Health (Grand Rapids, MI)
    …and maintain employee schedules. Maintains harmony among workers and resolves grievances with assistance of practice leader. Qualifications + Required High School ... Diploma or equivalent Or GED + Successful completion of a competency-based Medical Assistant training program Required + 3 years of relevant experience Experience working in a physician practice or healthcare setting Required + Experience working as a medical… more
    Corewell Health (10/19/25)
    - Related Jobs
  • Provider Contracts Manager (Health Systems)

    Molina Healthcare (Sterling Heights, MI)
    …software. * Targets and recruits additional providers to reduce member access grievances . * Engages targeted contracted providers in renegotiation of rates and/or ... language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider and routine ancillary contracts. * Maintains… more
    Molina Healthcare (10/18/25)
    - Related Jobs
  • Provider Contracts Manager (LTSS - Must live…

    Molina Healthcare (Warren, MI)
    …* Targets and recruits additional LTSS providers to reduce member access grievances . * Supports network LTSS development throughout state to including researching, ... recruiting and negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's LTSS network adequacy standards. * Clearly and professionally communicates contract terms, payment… more
    Molina Healthcare (10/18/25)
    - Related Jobs