- Molina Healthcare (Ann Arbor, MI)
- …DESCRIPTION** **Job Summary** Focuses on process improvement, organizational change management, project management and other processes relative to the business. ... Project management includes estimating, scheduling, costing, planning, and issue/risk...Jira and smartsheets is preferred + Knowledge in Medicare, Medicaid and Marketplace is highly preferred. + Able to… more
- WelbeHealth (Lansing, MI)
- …payment model, including ability to track and analyze revenue streams (eg Medicare, Medicaid , Part D ) along with PACE rates and regulatory constructs **Job ... general or public accounting experience + Minimum of two (2) years of accounting manager and project -lead experience + Proficiency in applying the principals of… more
- Molina Healthcare (Ann Arbor, MI)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
- Molina Healthcare (Ann Arbor, MI)
- …and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and ... adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either… more
- Molina Healthcare (MI)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... Duties** + Acts as a lead specialist to provide project , program, and/or initiative related direction and guidance for...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more