- CVS Health (MI)
- …talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist. The position will be a part of a specialized team ... who will focus on educating existing Medicare members on available plan offerings to help meet...selling applicable products to existing members. + Maintaining high compliance commitment and standards with a robust knowledge with… more
- Humana (Detroit, 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
- Munson Healthcare (Traverse City, MI)
- …and administrative functions of our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid, CHAP), manage budgets, set and meet key ... Supervisors, participating in on-call rotation, and leading quality improvement and compliance activities. What's Required + Education & Licensure: + Master's in… more
- Molina Healthcare (Grand Rapids, MI)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state, and local regulatory requirements. **Job ... + Coordinates accountabilities between duals office and shared service to drive compliance and efficiency as well as provide oversight, including service level… more
- CVS Health (MI)
- …processes, procedures, and systems to ensure consistent results and organizational compliance with regulations related to the organization's Medicare Part ... the implementation of business projects and programs and managing operations within the Medicare Part B Pharmacy Team. You will act as a Subject Matter Expert… more
- Humana (Lansing, MI)
- …appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana ... experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Lansing, MI)
- …medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD represents ... experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Molina Healthcare (Detroit, MI)
- **Job Description: Director, Operational Oversight ( Medicare )** **Job Summary** Responsible for planning, developing and directing the implementation of techniques ... and resolve. **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited to… more
- Molina Healthcare (Grand Rapids, MI)
- …to assess, oversee, and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and ... analyzes state and federal regulatory rules, contracts, and other guidance to assess compliance and support building regulatory compliance audit procedures. * At… more
- Jackson County Medical Care Facility (Jackson, MI)
- …administration. + Proven experience managing payroll systems and ensuring wage compliance . + Strong knowledge of Medicaid/ Medicare reimbursement, healthcare ... Ensure accurate and timely payroll administration for 300+ employees, including compliance with wage rules, attendance integration, and adjustments. + Provide… more