- Molina Healthcare (Sterling Heights, MI)
- …ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed ... plan financial performance. This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy.… more
- Molina Healthcare (Grand Rapids, MI)
- …ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed ... financial performance. This role focuses on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy.… more
- Molina Healthcare (MI)
- …ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed ... PI Business products and processes. Establishes procedures and techniques to achieve operational goals and executes tasks and projects to ensure Centers for Medicare… more
- Molina Healthcare (Ann Arbor, MI)
- …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and... leaders within the business to provide recommendations for process improvement opportunities. + Conducts quality audits… more
- Molina Healthcare (Detroit, MI)
- …ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed ... PI Business products and processes. Establishes procedures and techniques to achieve operational goals and executes tasks and projects to ensure Centers for Medicare… more
- Molina Healthcare (Warren, MI)
- …* Experience working within applicable state, federal, and third party regulations. * Operational and process improvement experience. * Strong communication ... **Job Description** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and...aimed at optimizing utilization of medical resources and maximizing operational efficiencies. + Engages with the provider community via… more
- Maxim Healthcare (Flint, MI)
- …incident report management , trending and analytics + Initiates creative work flow process improvement + Participates in office based meetings including staff ... position will be multifunctional that focuses on overall clinical and operational coordination and creating efficiencies with standardization. Essential Duties and… more
- Molina Healthcare (Ann Arbor, MI)
- …financial budgets, and current and future program initiatives. Ability to drive operational excellence and process -oriented efficiencies is essential as well as ... maintains an effective, consistent Vendor Management function + Supervise Molina Healthcare vendor management staff + Ensures departmental and individual performance… more
- Corewell Health (Grand Rapids, MI)
- …partnership, and expert guidance on compensation matters for HR leaders/business partners, operational leaders and the compensation team. Serves as a mentor for ... Partners with department clients and internal HR customers to address day-to-day operational salary administration issues and salary offers. + Leads and consults on… more
- Corewell Health (Grand Rapids, MI)
- …partnership, and expert guidance on compensation matters for HR leaders/business partners, operational leaders and the compensation team. Serves as a mentor for ... Partners with department clients and internal HR customers to address day-to-day operational salary administration issues and salary offers. + Leads and consults on… more