- Humana (Lansing, MI)
- …comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing solutions + ... researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience… more
- Marshfield Clinic (Iron Mountain, MI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... MI/WI directs overall day-today operations of retail pharmacy and assures compliance with all hospital, local, state, and federal regulatory standards. Provides… more
- Corewell Health (Watervliet, MI)
- …aspects of IRF-PAI tool including transmission of records to the Centers for Medicare and Medicaid Services (CMS) and other insurances as needed. Monitor and educate ... clinicians on documentation quality and compliance to improve clinical outcomes, and maximize reimbursement. Collaborate with coding, billing, denials and other… more
- Elara Caring (Adrian, MI)
- …exercise program providing requests for modification and clarification. + Promotes compliance with all fiscal intermediary and/or other third-party payers, through ... problems to the appropriate Supervisor. + Maintains current knowledge of, and ensures compliance with all federal, state, and local regulations along with current … more
- Humana (Lansing, MI)
- …campus and datacenters. The primary responsibility of the Network Operations Manager will be to provide the highest quality network infrastructure environment ... for future budget forecasting and planning needs. + Communicate status updates to Manager of IT and other Senior business leaders where necessary. + Research and… more
- Humana (Lansing, MI)
- …with our Security Automation Product Owner, Product Security Product Manager , Product Security Governance, DevOps, Enterprise Information Protection and Enterprise ... Information Systems Security Professional * (CISSP), Certified Information Security Manager (CISM), Certified Information Systems Auditor (CISA) or other similar… more
- Marshfield Clinic (Iron Mountain, MI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... from the effective date of awarded position (per section 19.05).** + Manager is waiving experience requirement and posting as training opportunity.** **Marshfield… more
- Henry Ford Health System (Troy, MI)
- …utilizing standard optimized workflow, and reducing organization risk by upholding compliance standards. Under limited supervision from the Manager , Revenue ... GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Specialist identifies...resolve issues at a high level. + Knowledge of Medicare , Medicaid, Medicaid OPPS reimbursement, and other third- party… more
- Marshfield Clinic (Iron Mountain, MI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... and provides direction for our trauma systems. Works collaboratively with the ED Manager for the overall coordination of the clinical systems, processes, & the… more
- Marshfield Clinic (Iron Mountain, MI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... with exclusion or becomes excluded from any federally funded program** **.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer. All qualified applicants will receive consideration for employment without regard to… more