- CVS Health (Lansing, MI)
- …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding, and reimbursement expertise as well ... Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy...consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases… more
- AmeriHealth Caritas (Detroit, MI)
- …about us at www.amerihealthcaritas.com. **Role Overview:;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages ... needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the scope… more
- R1 RCM (Detroit, MI)
- …revenue. To thrive in this role, you will utilize your expertise in Medicare reimbursement , specifically Medicare Bad Debt, Disproportionate Share (DSH), ... clients **Requirements:** + 10+ years of experience selling services surrounding Medicare reimbursement , combined with a strong/effective presence with hospital… more
- State of Michigan (Grand Rapids, MI)
- Physician Manager 20 - Medical Director Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4848644) Apply Physician Manager 20 - Medical ... Director Salary $100.12 - $134.48 Hourly Location Grand Rapids,...develop your career, programs are available to apply for reimbursement of up to $2,000 a year for education… more
- Centene Corporation (Lansing, MI)
- …network development or provider relations experience. Previous experience in Medicaid/ Medicare contracting and negotiating hospital, large physician groups and ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
- Option Care Health (Grand Rapids, MI)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... administrator and or alternate director of nursing. **Job Description:** **Job Responsibilities** (listed... of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of… more
- Gentiva (Portage, MI)
- …Senior** to join our team. You will report directly to the Executive Director or Administrator. You will be responsible for assisting branch leadership with ... new physicians and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility, obtaining authorization and reauthorization as needed,… more
- Trinity Health (Spring Lake, MI)
- …clinical condition of residents, ensuring proper care planning, and maximizing Medicare and Medicaid reimbursement . **Key Responsibilities:** + Coordinate the ... related to MDS processes. + Work closely with the Director of Nursing and other department heads to optimize...Assessment Instrument) process and care planning. + Knowledge of Medicare , Medicaid, and reimbursement procedures related to… more
- Munson Healthcare (Traverse City, MI)
- …safety and continuous improvement. What the Position Involves Reporting to the Director of Home Care, you will oversee the clinical and administrative functions ... our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid, CHAP), manage budgets, set and meet key...days of PTO in your first year + Tuition reimbursement and ongoing educational opportunities + Retirement plan with… more
- Option Care Health (Farmington Hills, MI)
- …+ immunology/neurology, oncology, or transplant. + Basic understanding of billing and reimbursement procedures for hospital, medical offices, and Medicare (B/D + ... **Job Description Summary:** Under the direction of the Regional Sales Director , Health Systems Solutions (RSD, HSS), manages the development and execution… more