- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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
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