- Humana (Lansing, MI)
- …understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid preferred ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Lansing, MI)
- …to adapt and the courage to innovate **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... members in the KY, OH, VA, WI and IN Medicaid market populations. May provide cross-coverage for...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Lansing, MI)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Lansing, MI)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Molina Healthcare (Sterling Heights, MI)
- …subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, ... or other issues related to medical care costs. + Work with clinical, provider network and other personnel to bring supplemental context/insight to data analyses, and… more
- Prime Therapeutics (Lansing, MI)
- …+ Collaborate with account leadership to build business cases, and at times, lead client-facing initiatives; provide input into, and client management support ... every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description**...through adoption and expanded use of Prime products and services + Facilitate regular meetings with client in the… more
- Trinity Health (Farmington Hills, MI)
- …and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team ... non-government accounts. Provides training and guidance to lower level colleagues and provide problem resolution as needed. This position reports directly to a… more
- AmeriHealth Caritas (Southfield, MI)
- … provider contracting strategy to achieve cost-efficient and high-performing network + Lead development and execution of provider engagement model to drive ... partnership with & incentives for providers. + Ensure strategic alignment with state Medicaid agenda and compliance with provider related aspects of state… more
- Molina Healthcare (Saginaw, MI)
- …and quality indicators. * Works collaboratively with functional business unit stakeholders to lead and/or support various provider services functions with an ... * 5 years experience in managed healthcare administration. * Specific experience in provider services , operations, and/or contract negotiations in a Medicare and… more
- Molina Healthcare (MI)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... driving successful launches of new processes, systems, and operational models across Medicaid , Medicare, and Marketplace lines of business. We are seeking a leader… more