- Corewell Health (Grand Rapids, MI)
- …resolve issues whenever possible. Ensure compliance with all mandated, legislative , regulatory and accreditation requirements. Assist customers and staff throughout ... Serves as a mentor/trainer to other team members.The Senior Appeals Analyst makes decisions on moderately complex issues regarding technical approach for… more
- Molina Healthcare (Warren, MI)
- **(Sales) Compliance Analyst ** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized ... corporate function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Sales Compliance Analyst position is primarily responsible for Sales Oversight. .… more
- Molina Healthcare (MI)
- …field, or equivalent combination of relevant education and experience. + Policy /government legislative review knowledge + Strong analytical and problem-solving ... and payment disputes, ensuring accurate and timely resolution in line with policy and contractual guidelines. + Partner with provider relations, Health plans and… more
- Molina Healthcare (MI)
- …field, or equivalent combination of relevant education and experience. + Policy /government legislative review knowledge. + Strong analytical and problem-solving ... + Ability to organize and maintain regulatory data including real-time policy changes. + Self-motivated and ability to take initiative, identify, communicate,… more
- Highmark Health (Lansing, MI)
- …to assigned functional areas. Continuously monitors regulatory changes, legislative efforts, industry trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** ... the Company's Handbook of Privacy Policies and Practices and Information Security Policy ._ _Furthermore, it is every employee's responsibility to comply with the… more
- State of Michigan (Lansing, MI)
- …of public education extends to providing information and feedback to public policy -makers, convening educators on public policy issues, recommending draft ... technical assistance and guidance, financial projections, recommendations on appropriations, policy analysis, and in-depth complex oversight regarding IDEA Part B… more