- Humana (Lansing, MI)
- …an assigned area in Wayne or Macomb county, to conduct in home visits with Medicare /Medicaid members.** The Field Care Manager Nurse 2 employs a variety of ... and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and...Qualifications** + **Registered Nurse, Nurse Practitioner, or Clinical Nurse Specialist with** **a minimum of 1** **year in-home experience**… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health...At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept… more
- Adecco US, Inc. (Detroit, MI)
- Adecco is assisting a local client recruiting for **Field Reimbursement Manager ** opportunities in **Detroit, MI territory.** This is an excellent opportunity to ... with a company focused on healthcare innovation and patient access. If Field Reimbursement Manager sounds like something you would be interested in, and you meet the… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager Inpatient Phlebotomy CHW Provides overall management direction for specific sections in the Laboratory. Develops and meets budgetary ... and economically. Markets laboratory and pathology services. Essential Functions - Manager Inpatient Phlebotomy CHW + Interacts with and consults with physicians… more
- Humana (Lansing, MI)
- …as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... put health first** Humana's Marketing organization is seeking a Marketing Automation Manager who specializes in Adobe Experience Platform (AEP) and Next Best Action… more
- Molina Healthcare (Sterling Heights, MI)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health...or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience… more
- Marshfield Clinic (Iron Mountain, MI)
- …(AMI), Certified Biomedical Electronics Technician (CBET), Certified Radiology Equipment Specialist (CRES), or Certified Laboratory Equipment Specialist (CLES) ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- Banner Health (MI)
- …initial training by both the Banner Coding Education team and your hiring manager , with continued support throughout your career here! _*This position is for ... documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code assignment. 3. Provides… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** **Description:** At the direction of the Regional Manager and Supervisor, Coding, this position is responsible for implementation and ... discrepancies in coding and abstracting to the Regional Supervisor and Regional Manager . Assists with denials, complex coding cases, claim edits and errors, and… more
- Molina Healthcare (Ann Arbor, MI)
- …+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more