- Molina Healthcare (Grand Rapids, MI)
- …reports + Creates complex MRDT and other configuration update scripts + Assists manager in establishing standards, guidelines, and best practices for the team + ... for complex reports and automated configuration processes/solutions + Assist manager in establishing peer review standards and methodology +...proof of concept tests without needing mentoring + Eg, Medicare Exclusion POC + Acts as a team lead,… more
- Integra Partners (Troy, MI)
- …leadership duties, serving as both a mentor and performance manager for frontline staff. Salary: $75,000.00/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES ... overall team performance, escalating issues as needed to the UM Clinical Manager . + Ensure compliance with all regulatory, contractual, and accreditation standards… more
- Behavioral Center of Michigan (Detroit, MI)
- …educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or equivalent. + Bachelor of ... those duties include all tasks requested by the UR Manager , CEO or Medical Director to meet the needs...knowledge + Regulations as set by the Centers for Medicare /Medicaid Services + Skill in operating a personal computer… more
- Humana (Lansing, MI)
- …campus and datacenters. The primary responsibility of the Network Operations Manager will be to provide the highest quality network infrastructure environment ... for future budget forecasting and planning needs. + Communicate status updates to Manager of IT and other Senior business leaders where necessary. + Research and… more
- Fresenius Medical Center (Battle Creek, MI)
- …ongoing performance of other PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education ... or state specific certification as defined by Center for Medicaid/ Medicare (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture,… more
- Marshfield Clinic (Iron Mountain, MI)
- …from the effective date of awarded position (per section 19.05).** + Manager is waiving experience requirement and posting as training opportunity.** **Marshfield ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… 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 ... risk by upholding compliance standards. Under limited supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity leaders, the… more
- Hospice of Michigan (Southfield, MI)
- …to meet regulatory requirements. + Maintains working knowledge of hospice Medicare Conditions of Participation and state-specific regulations to support compliant ... Tracking Report, Level of Care Order Report. Collaborates with manager and clinical team members as needed. + Follows...regulatory awareness, and systems use. + Supports assigned Clinical Manager (s) with orientation for new hires to the clinical… more
- Marshfield Clinic (Iron Mountain, MI)
- …and provides direction for our trauma systems. Works collaboratively with the ED Manager for the overall coordination of the clinical systems, processes, & the ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- Banner Health (MI)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... prior to referral to coding analyst, coding educator or coding manager /supervisor. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge and… more