- McLaren Health Care (Flint, MI)
- …health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health ... insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ . **Position Summary:** Responsible for the education and servicing of assigned provider groups regarding all aspects of the Plan and its subsidiaries. Responsible for assisting in… more
- Humana (Lansing, MI)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Marshfield Clinic (Iron Mountain, MI)
- …excluded from participation in any federally funded program, including Medicare and 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… more
- McLaren Health Care (Flint, MI)
- …health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health ... insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ . **Position Summary:** Provides overall management and direction for the assigned Plan's health services and medical management activities to meet organizational goals. Assumes… more
- Molina Healthcare (Detroit, MI)
- …and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, ... educate/consult the health plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting + Ability to… more
- Honor Community Health (Pontiac, MI)
- …in professional organizations. + Eligible to obtain and maintain credentials as a Medicaid and Medicare provider. + 1+ years of progressive experience as a Nurse ... Practitioner. + Experience with CPT and ICD coding. + Knowledge of and experience with electronic health records (EHR) systems. + A flexible and positive attitude + Ability to work in a fast-paced environment + Ability to create an excellent patient experience… more
- Henry Ford Health System (Troy, MI)
- …service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. + Knowledge of medical ... ethics and legal implications related to case management. + Understanding of social determinants of health and their impact on a patient's wellbeing. + Well versed in facilitating community resources to meet the needs of diverse populations. + Strong… more
- Marshfield Clinic (Iron Mountain, MI)
- …excluded from participation in any federally funded program, including Medicare and 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… more
- Prime Healthcare (Port Huron, MI)
- …Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of Approval(R) for Hospital ... Accreditation by demonstrating continuous compliance with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime Healthcare, Lake Huron Medical Center is proud to be part of a system recognized as one of America's Greatest Workplaces… more
- Humana (Lansing, MI)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more