• Medical Director (NV)

    Molina Healthcare (Detroit, MI)
    …with clinical leadership and quality improvement teams. * Facilitates conformance to Medicare , Medicaid , NCQA and other regulatory requirements. * Reviews ... quality referred issues, focused reviews and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends or chairs committees as required such as credentialing,… more
    Molina Healthcare (11/21/25)
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  • Post Acute Network Program Manager (Remote) (Must…

    Molina Healthcare (Grand Rapids, MI)
    …(EOE) M/F/D/V. Key Words: Program Manager, Skilled Nursing, SNIP, SNIF, LTC, Medicare , Medicaid , Duals, CMS, Survey, Compliance, Quality, Quality Improvement, ... Collaboration, Stakeholder Engagement, Communication, Problem Solving, Change Management, Data Analysis, HER, Health Informatics, Risk Management, Project Management, Strategic Planning, SDOH, Social Determinants Of Health, Public Health, Public Policy,… more
    Molina Healthcare (11/21/25)
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  • Pharmacy Contracting Professional 2

    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. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (11/21/25)
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  • Sr. Provider Reimbursement Professional Certified…

    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. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (11/21/25)
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  • BILINGUAL Claims Research & Resolution Rep 2

    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. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (11/21/25)
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  • Quality Improvement Professional

    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. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (11/21/25)
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  • Director Product Management - Adobe Experience…

    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. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (11/21/25)
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  • Lead Enterprise Architect - EA Practices

    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. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (11/21/25)
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  • Food Service Worker

    Prime Healthcare (Port Huron, MI)
    …Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal ... of Approval(R) for Hospital Accreditation by demonstrating continuous compliance with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime Healthcare, Lake Huron Medical Center is proud to be part of a system recognized as one of… more
    Prime Healthcare (11/20/25)
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  • Phlebotomy Tech I

    Prime Healthcare (Port Huron, MI)
    …Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal ... of Approval(R) for Hospital Accreditation by demonstrating continuous compliance with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime Healthcare, Lake Huron Medical Center is proud to be part of a system recognized as one of… more
    Prime Healthcare (11/20/25)
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