- United Therapeutics (Detroit, MI)
- …collaborative and innovative where you can showcase your expertise. The Therapy Access Manager (TAM) is a customer-facing role that will be responsible for managing ... process, specialty pharmacies, field reimbursement services, and UT's patient support program . Advise on patient level reimbursement issues in compliance with… more
- Molina Healthcare (Dearborn, MI)
- …RN license in the state of MI. This position will support our MMP ( Medicaid Medicare Population) will be supporting DSNP. This position will have a case load ... and manage members enrolled in this program . We are looking for Registered Nurses who have...settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- CVS Health (Lansing, MI)
- …of data interpretation and analysis experience, preferable in the health insurance or Medicaid program . + Ability to distill complex data into meaningful ... other related documents for diverse audiences + Collaborate with SIU investigators, Program Integrity Manager , and Compliance to understand business processes… more
- Molina Healthcare (Sterling Heights, MI)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...including experience in Medicaid and/or Medicare, or equivalent combination of relevant education… more
- Humana (Detroit, MI)
- …of our caring community and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and...performance-based bonus** + **$5,000 sign-on bonus** + Employee Referral Program + Ability to work from home 80% of… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with ... by upholding compliance standards. Under limited supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity...issues at a high level. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement, and other third-… more
- R1 RCM (Marquette, MI)
- …assistance program applications and determine eligibility and coverage. Notify manager , physician and servicing department of possible delay of service for any ... to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency. Perform all other duties… more
- Marshfield Clinic (Iron Mountain, MI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... Health System. This individual will assist with Medicare and Medicaid Cost Report coordination, Wage Index, S10, DSH and...Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more
- Corewell Health (Dearborn, MI)
- …up to a $1500.00 starting bonus! A Wing is a 58 bed Medicare/ Medicaid unit that has residents with multiple clinical issues including CHF, dehydration, cellulites, ... and personal satisfaction. B Wing is a 40 bed Medicare/ Medicaid /Dementia unit. We provide care to residents with a...direct patient care under the direction of the Unit Manager or Licensed Nurse, consistent with policies and procedures… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Payment Variance and Resolution, the RI Analyst, Payment Variance and Resolution is responsible for maintenance of ... (1-2) years in a Healthcare or Business setting. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement, and other third-party billing rules/coverage are… more
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