- Molina Healthcare (MI)
- …+ At least 12 years of experience in health care leading state Medicaid long-term care services programs in a multi-faceted health plan, health care system, ... or similar service delivery organization, operational performance management, provider relationships, financial planning and budgeting, strategic planning, risk management, capital generation, revenue management (patient billing, revenue), controllership and… more
- Molina Healthcare (MI)
- …for workplace and plan location. **Preferred Experience** + Medicare Part D or Medicaid experience. + Managed care experience. To all current Molina employees: If ... you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $80,412 -… 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
- 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
- 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
- Henry Ford Health System (Troy, MI)
- …both departmental staff and multi-disciplinary teams. + Knowledge of Medicare, Medicaid , Blue Cross and other third-party payers billing and reimbursement ... regulations/policies, preferred. + Comprehensive understanding of value-based reimbursement, quality improvement, and alternative payment models. + Demonstrated fluency in healthcare financial management and revenue cycle management best practices. +… more
- Molina Healthcare (MI)
- …with emphasis on fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. + Understanding of claim billing ... codes, medical terminology, anatomy, and health care delivery systems. + Understanding of datamining and use of data analytics to detect fraud, waste, and abuse. + Proven ability to research and interpret regulatory requirements. + Effective interpersonal… more
- State of Michigan (Lansing, MI)
- …supplemental data sources such as online resources and available data sets (ie, Medicaid Claims Data, LARA). Reaching out to interested Auto-HPSAs and NHSC site ... administrators to validate their provider data for HPSA updates and rescores. * Updating list of health indicators and key health measures for the Statewide Community Health Needs Assessment update process. This includes maintaining a listing of all safety net… more
- Hart Medical Equipment (Grand Blanc, MI)
- …fall within the providership table. + Maintain current knowledge on Medicare, Medicaid , and all third party payers for equipment coverage and continued compliance. ... + Uphold positive attitude towards tasks and co-workers, as well as a commitment to teamwork throughout the documentation team and the organization. + Implement changes as requested that affect A/R and audit compliance. + Other duties as requested by… more
- Marshfield Clinic (Marquette, 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