- Corewell Health (Grand Rapids, MI)
- …to engage senior leaders. The candidate will also understand the latest healthcare trends and leverage their past years of experience to creatively design ... the proactive, methodical management of contracts from initiation through execution, compliance and renewal. + Creates contracting strategies and deploys techniques… more
- Henry Ford Health System (Detroit, MI)
- …identifying risks, establishing compliance monitoring processes, and assessing regulatory compliance of HFH operations. PRINCIPLE DUTIES AND ... compliance auditing and monitoring to assess and identify compliance risks with Federal and State regulatory ... compliance audit program initiatives. + Experience conducting compliance audits of a large multi-facility healthcare … more
- Molina Healthcare (MI)
- …in resolving complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional ... Action Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory / compliance adherence. + Resides in Texas To all current… more
- Molina Healthcare (Sterling Heights, MI)
- …in resolving complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional ... Items (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory / compliance adherence. To all current Molina employees: If you… more
- Molina Healthcare (Grand Rapids, MI)
- …in resolving complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional ... (SAIs), Operational Cost Management Efforts, Payment Integrity programs, and regulatory / compliance adherence. + Familiarity with Nebraska Administrative Code… more
- Molina Healthcare (Ann Arbor, MI)
- …Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare Quality + other ... appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN)… more
- Molina Healthcare (Ann Arbor, MI)
- …application development standards, methodology and, framework within Architectural compliance and governance. **Knowledge/Skills/Abilities** * Industry specialist ... and integration into ARB review processes. + Familiarity with compliance standards and regulatory needs (eg, HIPAA,...+ Experience in regulated or data-sensitive industries such as healthcare , finance, or government is a plus. To all… more
- Prime Healthcare (Garden City, MI)
- …to deemed agencies, state law, and other regulations to assure compliance . Responsibilities KEY RESPONSIBILITIES: + Maintains complete knowledge of hospital policy, ... comply with administrative and medical staff policy, as well as regulatory expectations and standards. + Develops processes which facilitate credentialing,… more
- Trinity Health (Pontiac, MI)
- …completion. + Meets processing time thresholds consistently and with minimal error. ** Regulatory Compliance and Accreditation:** + Ensures compliance with ... processes for medical staff, ensuring all necessary qualifications and standards for compliance with regulatory , statutory and hospital requirements are met. +… more
- Trinity Health (Muskegon, MI)
- …to help regionalize the Cardiac Device Management program. Ensures quality and regulatory compliance related to cardiac device standards using project management ... of evidence-based practice education and competencies. * Ensures quality and regulatory compliance related to cardiac device standards using project… more