- Molina Healthcare (Sterling Heights, MI)
- …but not limited to, phone, chat, email, and off phone work supporting our Medicaid , Medicare and/or Marketplace business. * Conduct varies surveys related to ... health assessments and member/provider satisfaction. * Accurately document pertinent details related to Member or Provider inquiries. * Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work… more
- Molina Healthcare (Warren, MI)
- …and operational analytics. + Strong understanding of healthcare environments, including ** Medicaid , Medicare , and Marketplace** member and provider engagement ... models. + Demonstrated success in implementing **AI-driven contact center and digital engagement initiatives** , including **Lightico, biometric authentication, and digital ID solutions.** + Financial management experience overseeing budgets, vendor contracts,… more
- Molina Healthcare (Ann Arbor, MI)
- …but not limited to, phone, chat, email, and off phone work supporting our Medicaid , Medicare and/or Marketplace business. * Provide exemplary customer service to ... customers including members, co-workers, vendors, providers, government agencies, business partners, and general public * Assists agents with questions and escalated contact center communication channels and across multiple states and/or products. Recognizes… more
- Fresenius Medical Center (Ann Arbor, MI)
- …specific certification as defined by Center for Medicaid / Medicare Services (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + ... Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + At least two years previous patient care experience in a hospital setting or a related facility preferred. + Continued employment… more
- AmeriHealth Caritas (Detroit, MI)
- …between the health plan and its contracted and non-contracted providers across Medicaid , Medicare , and Exchange products. This role ensures provider information ... is correctly represented in all operating systems and serves as a proactive liaison to resolve provider-related issues efficiently. **Work Arrangement:** + Remote - The associate can work remotely from anywhere in the Detroit Metro area, Michigan, and must be… more
- Molina Healthcare (Belleville, MI)
- …unrestricted RN license in the state of MI. This position will support our MMP ( Medicaid Medicare Population) that is part of the Waiver Team. This position will ... have a case load and manage members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to… more
- Molina Healthcare (MI)
- …Public Health or Healthcare. **Preferred Experience** 1 year of experience in Medicare and in Medicaid . **Preferred License, Certification, Association** + ... Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA) 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… more
- Fresenius Medical Center (Allegan, MI)
- …material assist devices for the heavier items. **EDUCATION** + Center for Medicaid / Medicare Services (CMS)-approved state and/or national certification or High ... School diploma or GED and must meet certification requirements within the required state or CMS timeline. + All appropriate state licensure education and training (if any) required. **EXPERIENCE AND REQUIRED SKILLS** + Previous patient care experience in a… more
- Sevita (Ypsilanti, MI)
- …of care and participant objectives. + Assist individuals in obtaining benefits ( Medicaid , Medicare , Social Security, private insurance) and maintain current ... knowledge of eligibility processes **Follow-Up & Communication Management** + Maintain consistent follow-up on all participant needs, ensuring timely completion of next steps and documentation. + Communicate proactively with internal and external partners… more
- Molina Healthcare (Ann Arbor, MI)
- …(LMSW, LBSW, LLMSW) in the state of MI. This position will support our MMP ( Medicaid Medicare Population). This position will have a case load and manage members ... enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to multitask between systems, talk with members… more