• Senior Analyst, Risk Adjustment - Predictive…

    Molina Healthcare (MI)
    …audits. + Investigate data inconsistencies and assist in performing root cause analysis , offering insight into potential data gaps or operational improvements. + ... discipline **Required Experience** + 3-5 Years of experience with healthcare -related data (claims/encounters, provider, CMS/EDGE response files, etc. + 3-5… more
    Molina Healthcare (08/03/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (MI)
    …equivalent combination of education and work experience. + 3 years' experience in healthcare with a minimum of 2 years' experience in health plan member ... Medicare and in Medicaid managed care + Experience with data reporting, analysis , and/or interpretation + Certified Professional in Health Quality (CPHQ) + Nursing… more
    Molina Healthcare (07/31/25)
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  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (Detroit, MI)
    …provider concerns related to their claim's dispositions. * Provides robust root cause analysis identifying top drivers and works with Health Plans and other business ... Claim Experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing/resolution, including… more
    Molina Healthcare (07/18/25)
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  • Ambulatory Services Manager Peds Admin Full Time…

    Tenet Healthcare (Detroit, MI)
    …required by regulation or law. Collaborates with other members of the healthcare team to plan, implement and evaluate activities related to department/service, ... 1. Bachelor’s degree in Health Care Administration, Business Administration, clinical healthcare field or equivalent degree, or the equivalent education and/or… more
    Tenet Healthcare (06/24/25)
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  • Director, Human Resources

    Prime Healthcare (Garden City, MI)
    …of quality, compassion and community! Garden City Hospital, a member of Prime Healthcare , offers incredible opportunities to expand your horizons and be part of a ... community involvement and commitment to preserving access to quality and compassionate healthcare . We are a state-of-the-art medical facility with over 300 licensed… more
    Prime Healthcare (06/11/25)
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  • Program Director - Medicare Duals (Remote)

    Molina Healthcare (Detroit, MI)
    …oversee the work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/program management, ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (08/22/25)
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  • Infection Preventionist Clinical Improvement Full…

    Tenet Healthcare (Commerce Township, MI)
    …to ensure high quality cost-effective health care and prevention of healthcare associated infections. Distributes findings from surveillance and other activities, ... with the Epidemiology Manager and Corporate Director, Epidemiology; participates in the analysis for deviation from baseline standards. Acts as a hospital liaison… more
    Tenet Healthcare (08/22/25)
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  • Residency Program Coordinator Radiology Full Time…

    Tenet Healthcare (Detroit, MI)
    …reference laboratories. Provide reference laboratory services to many of the other healthcare systems in Southeastern Michigan and several out of state facilities. ... and oversees time off and attendance records for residents and other healthcare personnel as needed. 5. Prepares, copies and distributes house staff rotation… more
    Tenet Healthcare (08/22/25)
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  • Senior Specialist, Delegation Oversight (Remote)

    Molina Healthcare (Grand Rapids, MI)
    …year experience completing delegation oversight assessment/ audits. + Data analysis experience. **Required License, Certification, Association** Valid State Driver's ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (08/21/25)
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  • Coordinator Patient Care - A4 Cardiac Telemetry…

    Munson Healthcare (Traverse City, MI)
    …within the hospital. SPECIFIC DUTIES: Supports the mission statement of Munson Healthcare , Munson Medical Center, and Munson Nursing: Munson Healthcare and ... environment that empowers and supports staff, including the professional nurse in analysis of assessment data and in decisions to determine relevant diagnoses.… more
    Munson Healthcare (08/21/25)
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