- Molina Healthcare (Grand Rapids, MI)
- …+ 5-7 years of product development experience. + Managed Care (specifically Medicaid ) experience. + Experience working in a cross functional highly matrixed ... organization. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- Humana (Lansing, MI)
- …continuously improving consumer experiences **Preferred Qualifications** + Proven knowledge in Medicare and Medicaid regulations + Certifications (BA, MBA, JD, ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … 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. ... a part of our caring community and help us put health first** The Medicaid Quality Testing Engineer will serve as a technical and strategic leader responsible for… 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. ... cost, improving member health outcomes, or otherwise producing value within Humana's Medicaid block of business. Important skills include: - ability to critically… 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. ... professional associates. This role will lead a small team within the Medicaid Trend Analytics organization responsible for ROI analyses for new operational… more
- Humana (Lansing, MI)
- …of established clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be passionate about ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Lansing, MI)
- …post-residency clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- R1 RCM (Detroit, MI)
- …works with a large variety of hospitals and systems to review and audit Medicaid eligible days for Medicare DSH reimbursement. **Job Responsibilities:** + Assist ... Share experience a plus + Strong level of knowledge of Medicare and Medicaid regulations + Strong analytical skills and financial acumen + Experience… more
- Molina Healthcare (MI)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive ... including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Ann Arbor, MI)
- …and Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with ... Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more