• RN Care Manager - Remote, nationwide

    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
    Humana (08/22/25)
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  • Senior Hospice Clinical Care Manager - RN…

    Gentiva (Portage, MI)
    …benefit package. Read on to learn more! We're looking for a **Patient Care Manager Senior/Clinical Manager ** to join our team. You will report directly to ... developing associates and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory agencies. +… more
    Gentiva (07/22/25)
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  • Home Care Manager

    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
    Munson Healthcare (06/21/25)
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  • Accounting Manager , Revenue and Reporting

    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
    WelbeHealth (08/01/25)
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  • Medicare Product Development Manager

    Molina Healthcare (Ann Arbor, MI)
    …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... vendor performance involving onshore and offshore resources, monitors regulatory compliance adherence (in conjunction with functional counterparts) and quality… more
    Molina Healthcare (07/25/25)
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  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Lansing, MI)
    …it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit ... (SIU) to ensure compliance with coding practices through comprehensive record reviews for...medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in… more
    CVS Health (08/08/25)
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  • Lead Product Manager

    Humana (Lansing, MI)
    …through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management). The ... delivering successful products in an agile framework. The Lead Product Manager will collaborate with cross-functional teams, including engineering, design, data… more
    Humana (08/20/25)
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  • Registered Nurse Case Manager - Contingent…

    Henry Ford Health System (Detroit, MI)
    …Register today by following this link: qrco.de/bffvep Job Summary: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ensuring ... skills, and a deep understanding of healthcare systems. The Case Manager -RN will collaborate closely with patients, families, healthcare providers, and community… more
    Henry Ford Health System (07/10/25)
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  • Lead Product Manager , Next Best Action…

    Humana (Lansing, MI)
    …help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to join the ... to deliver simple, personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA) Decision Engine on the MarTech… more
    Humana (08/20/25)
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  • Product Manager , Risk Adjustment Coding…

    Datavant (Lansing, MI)
    …and compliant onboarding and management of client data for MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard Data Specifications:** ... to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the data strategy and… more
    Datavant (08/20/25)
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