- 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 Professional 1) plays a critical role in ensuring that Medicaid beneficiaries experiencing homelessness receive the necessary support and services. This… more
- Molina Healthcare (Warren, MI)
- …strategic management or equivalent combination of relevant education and experience + Medicare and/or Medicaid Managed Care experience + Quantitative aptitude + ... experts, and external resources. **PREFERRED QUALIFICATIONS:** + Integrated products ( Medicaid - Medicare ) experience + Experience in regulatory regulations and… 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. ... relationships with network providers that participate in Michigan's Humana Medicaid Program. Day-to-day work includes conducting provider orientations and… more
- Presbyterian Villages of Michigan (Chesterfield, MI)
- …resident's accounts. 7. Collects, organizes and maintains appropriate documentation for Medicare , Medicaid orprivate insurance companies. 8. Contact customers to ... information. 9. Answer resident or resident family inquiries regarding private, Medicare , Medicaid orprivate insurance billings. 10. Admits, discharges or… more
- Molina Healthcare (Sterling Heights, MI)
- …the medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid , NCQA and other regulatory requirements. + Reviews quality ... Medical license without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration,… more
- Prime Therapeutics (Lansing, MI)
- …+ Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & ... organization, or within a highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be eligible… more
- Humana (Lansing, MI)
- …our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates ... 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)
- …our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates ... 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)
- …our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Trinity Health (Livonia, MI)
- …of Health & Human Services (DHHS) - Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), Department of Justice (DOJ) as well as ... clinical documentation & coding reviews. Must possess working knowledge of Medicare & third-party payer regulations and demonstrated knowledge & understanding of… more