• Analyst, Business Quality (Remote)

    Molina Healthcare (Ann Arbor, MI)
    …conducts research to resolve customer initiated issues related to core systems processing, and coordinates and manages project teams in the development ... + 3-5 years' experience in a combination of applicable business and business systems + Computer Science or Info tech + Testing experience required + Data… more
    Molina Healthcare (08/24/25)
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  • Senior Engineer, Cloud - Azure Architecture…

    Molina Healthcare (Ann Arbor, MI)
    …**Required Education** Bachelor's degree in computer science, computer information systems , or equivalent experience **Required Experience** * 5 or more ... * Full-stack knowledge of IT infrastructure (applications, databases, operating systems , hypervisors, IP networks, storage networks, cloud platforms, backup networks… more
    Molina Healthcare (08/23/25)
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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 ... Standards of Practice Assessment Maintains and evaluates patient and staff data collection systems and processes to support the practice of nursing and delivery of… more
    Munson Healthcare (08/21/25)
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  • Coordinator Patient Care

    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 ... Standards of Practice Assessment Maintains and evaluates patient and staff data collection systems and processes to support the practice of nursing and delivery of… more
    Munson Healthcare (08/02/25)
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  • Coordinator of Patient Care Registered Nurse…

    Munson Healthcare (Traverse City, MI)
    …Duties + Assessment + Maintains and evaluates patient and staff data collection systems and processes to support the practice of nursing and delivery of patient ... timely and appropriate. + Coordinates resources for maximum utilization of daily systems . + Evaluation + Evaluates patient care in relation to expected outcomes.… more
    Munson Healthcare (07/10/25)
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  • Lead Specialist, Appeals & Grievances - Remote

    Molina Healthcare (Grand Rapids, MI)
    …in presentations and audits. Researches claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews ... assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards set by the… more
    Molina Healthcare (08/24/25)
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  • Specialist, Appeals & Grievances - Remote

    Molina Healthcare (Detroit, MI)
    …timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews medical ... assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards set by the… more
    Molina Healthcare (08/24/25)
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  • Director, Provider Network Management & Analytics…

    Molina Healthcare (Ann Arbor, MI)
    …including Network Adequacy and other critical metrics. Synchronizes data among multiple systems to ensure accurate reporting of the Provider Network across the ... results working within complex data sets and analytics ideally in the Healthcare or Payer field + 3-5 years' experience managing/supervising employees or leadership… more
    Molina Healthcare (08/20/25)
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  • Transition of Care Coach (RN)

    Molina Healthcare (MI)
    …computer skills and attention to detail are very important to multitask between systems , talk with members on the phone, and enter accurate contact notes. This ... 8:00AM to 5:00PM EST (No weekends or Holidays)_ **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to… more
    Molina Healthcare (08/17/25)
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  • Multi-Site Director of Case Management

    Prime Healthcare (Port Huron, MI)
    …with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime Healthcare , Lake Huron Medical Center is proud to be part of a system ... and procedures for the department and the development of staff and systems to effectively operate a comprehensive Case Management Program and consistent with… more
    Prime Healthcare (08/08/25)
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