- Henry Ford Health System (Traverse City, MI)
- …and planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for ... SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting...years of successful health insurance sales experience in the Medicare market. + Minimum of three (3) years of… more
- Molina Healthcare (Warren, MI)
- **(Sales) Compliance Analyst** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a ... Operating Procedures and Training documents. . Lead regularly scheduled Sales & Compliance leadership meetings. . Interpret and analyze Medicare , Medicaid, and… more
- Humana (Lansing, MI)
- …requirements development. + Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance, and compliance + Determine ... community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Elara Caring (Ludington, MI)
- …staffing levels at branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid, and third-party reimbursement regulations and ... all documentation is accurate, complete, timely and adheres to Medicare guidelines. + Assures compliance with the requirements of state licensure, Medicare … more
- Prime Therapeutics (Lansing, MI)
- …every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government ... Programs - Medicare & Managed Medicaid is responsible for the development,...objectives are met and/or exceeded; instill a culture of compliance , accountability, and superior service within the Government Programs… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager Medicare Stars Quality Improvement Manages the Quality and Senior Quality Improvement Specialists and their work. Responsible for the creation, ... facilitating change through internal team building. Essential Functions -Manager Medicare Stars Quality Improvement + Supports quality improvement activities with… more
- Humana (Warren, MI)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- McLaren Health Care (Flint, MI)
- We are looking for a Quality Administrator Medicare , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary ... working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier...not limited to, HEDIS, CAHPS, HOS, and NCQA Standard compliance , performance projects, site audits, and any other regulatory… more
- Henry Ford Health System (Clinton Township, MI)
- …the program. Oversees accurate scheduling in the residency management system to ensure compliance in Medicare cost reporting. * Understands and monitors ... Director to complement hospital and system orientation. * Ensures resident compliance with required institutional curriculum learning modules through scheduling. *… more
- CenterWell (Lansing, MI)
- …or similar methodologies. ** Compliance & Risk Management** * Ensure compliance with Medicare , Medicaid, and commercial payer authorization and revalidation ... patient access. The Director partners closely with clinical leadership, operations, finance, compliance , and IT, and manages both onshore and offshore teams. The… more
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