- Humana (Lansing, MI)
- …team. **Preferred Qualifications:** + Master's Degree + Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional ... of our caring community and help us put health first** The Field Marketing Manager is responsible for leading and managing a high-performing team focused on driving… more
- Humana (Lansing, MI)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The… more
- Molina Healthcare (Detroit, MI)
- …as needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates ... including goal setting and score card development + Monitors and enforces compliance with enterprise-wide processes and develops workflows for all staff to follow… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and ... to support efficient and compliant subrogation operations across Medicaid, Medicare , and Marketplace populations. + Collaborate with legal, claims, provider… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
- J&J Family of Companies (Flint, MI)
- …United States, Saginaw, Michigan, United States **Job Description:** **Field Reimbursement Manager (Immunology Rheumatology)- (Detroit North, MI) - Johnson & Johnson ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include Flint, Detroit,… more
- J&J Family of Companies (Grand Rapids, MI)
- …States, Muskegon, Michigan, United States **Job Description:** **Field Reimbursement Manager (Immunology Dermatology)- (Grand Rapids, MI Territory)- Johnson & ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include Grand Rapids,… more
- Humana (Detroit, MI)
- …an assigned area in Wayne or Macomb county, to conduct in home visits with Medicare /Medicaid members.** The Social Worker Field Care Manager employs a variety of ... and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and evaluates member's needs...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Munson Healthcare (Traverse City, MI)
- …and administrative functions of our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid, CHAP), manage budgets, set and meet key ... Home Care Manager - On-Site | Munson Home Health Find...participating in on-call rotation, and leading quality improvement and compliance activities. What's Required + Education & Licensure: +… more
- WelbeHealth (Lansing, MI)
- …core values and our participant-focus lead the way no matter what. The Accounting Manager , Revenue and Reporting will have a unique opportunity to bridge the gap of ... Fulfillment of the role will also include driving efficiency in compliance reporting/revenue rate filings and leveraging insights to improve financial performance… more