- Molina Healthcare (Ann Arbor, MI)
- …We are seeking a highly skilled and forward-thinking Big Data Engineer to join our healthcare data team. This role encompasses the end-to-end design, development, and ... management of large-scale data systems tailored for healthcare analytics. The ideal candidate will be responsible for architecting and maintaining robust, scalable, and secure data pipelines that support critical decision-making across the organization. This… more
- Corewell Health (Grand Rapids, MI)
- …We're seeking dedicated and professional candidates for a Temporary CSR role supporting Priority Health, running from September 29, 2025 through February 27, 2026. ... Applicants must be available to start on the specified date and commit through the end of the assignment. This is a great opportunity to gain experience in a dynamic healthcare environment while making a meaningful impact. Inbound call center to assist and… more
- Humana (Lansing, MI)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will ... experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an approved… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... all delivery for their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements best practice changes within their… more
- Humana (Lansing, MI)
- …radiology, and genetics.** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid . + Utilization management experience in ... a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines… more
- Molina Healthcare (Sterling Heights, MI)
- …(SAIs) to ensure performance and quality levels exist in line with Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements. + Monitor ... **Job Description** **Job Summary** Leads and directs Molina Medicare segment leaders who are responsible for the...who are responsible for the development and administration of Medicare segment specific programs and services, in alignment with… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... for Humana's Michigan HIDE Plan with a focus on Medicaid and state partnership, oversees the budget, financial reporting,...+ Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana's … more
- Molina Healthcare (Detroit, MI)
- …computer-savvy and have a high level of customer service. Previous experience in Medicare , Medicaid , and/or Managed Care is very helpful. Top notch communication ... Molina Healthcare is hiring for its outbound Medicare Member Engagement team. Candidates who are Bilingual...8am to 430pm Pacific Standard Time, Monday through Friday. Medicare Member Engagement Specialists will make outbound welcome calls… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... support across a broad range of actuarial, managerial, and business needs for Medicaid -specific product lines. The Lead Actuary will serve as a project manager in… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** The Medicaid Pricing Actuary provides actuarial support across a broad...a broad range of actuarial and business needs for Medicaid product lines. The Actuary works on problems of… more