- 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...issues at a high level. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement, and other third-… more
- Humana (Lansing, MI)
- …part of our caring community and help us put health first** Are you a Care Manager , Designer, or Facilitator who lives in Michigan and loves to teach? If so, we are ... in the state of Michigan and will support Michigan Medicaid Care Management learning efforts including New Hire, Upskill,...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Molina Healthcare (MI)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...+ 1 year of experience in Medicare and in Medicaid managed care + Experience with data reporting, analysis,… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** **Description:** At the direction of the Regional Manager and Supervisor, Coding, this position is responsible for implementation and ... ongoing activities of the coding quality and compliance plan for the assigned Regional Health Ministries (RHMs)....coding and abstracting to the Regional Supervisor and Regional Manager . Assists with denials, complex coding cases, claim edits… more
- Evolent (Lansing, MI)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... + Responsible to escalate risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department standards as directed by… more
- University of Michigan (Ann Arbor, MI)
- …Assessment Instrument (IRF-PAI) in accordance with Centers for Medicare and Medicaid Services. This individual utilizes specialty knowledge of IRF Medicare rules ... staff and HIM necessary to maximize reimbursement, ensure IRF QRP (Quality Reporting Program) compliance and accuracy, as well as 60% compliance . + Adheres to… more
- Fresenius Medical Center (Ann Arbor, MI)
- …nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal ... under the supervision of a nurse. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education… more
- Fresenius Medical Center (Battle Creek, MI)
- …nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal ... ongoing performance of other PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education… more
- Trinity Health (Ypsilanti, MI)
- …hire and ongoing as new systems and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the ... by the Patient Access Lead. Other duties as needed and assigned by the manager . Maintains a working knowledge of applicable Federal, State, and local laws and… more
- Molina Healthcare (Grand Rapids, MI)
- …**Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar) ... Google AdWords, Tag Manager systems, (Adobe or Google) CMS (content management system)...utilizing best practices to increase lead conversion + Ensure compliance with consumer protection laws (CAN-SPAM, TCPA, etc.) and… more