- Molina Healthcare (MI)
- …activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may require remediation + Other ... education and work experience. + 3 years' experience in healthcare with a minimum of 2 years' experience in...may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If… more
- Trinity Health (Livonia, MI)
- …contract negotiation, and performance monitoring. * Ensures vendor compliance with contractual terms, service-level agreements, and organizational expectations. ... & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as...& Mental Requirements & Working** **Conditions (General Summary)** **Direct Healthcare Services / Indirect Healthcare / Support… more
- Molina Healthcare (MI)
- …and works closely with leadership to ensure staffing is adequate to support compliance regulations + Identifies gaps in coverage, and proposes new shifts or ... requirements + Supports system integrity for Workforce Management software, Performance Manager and Cisco tools by communicating any known issues. **JOB… more
- Trinity Health (Livonia, MI)
- …Federal, State and local laws and regulations, the Trinity Health Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures ... honest, ethical and professional behavior. **MINIMUM QUALIFICATIONS** Bachelor's degree in healthcare , IT or related field or an equivalent combination of education,… more
- Highmark Health (Lansing, MI)
- …achieved. + Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation ... dialectical behavior therapy (DBT) + Experience working with the healthcare needs of diverse populations + Understanding of the...+ Broad knowledge of disease processes + Understanding of healthcare costs and the broader healthcare service… more
- CVS Health (Lansing, MI)
- …* Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming barriers in meeting goals and objectives, presents cases at ... interdisciplinary case conferences * Utilizes case management processes in compliance with regulatory and company policies and procedures. * Utilizes motivational… more
- Sharecare (Lansing, MI)
- …to clients. + Diverse capabilities represented by successful experiences in several healthcare settings or a variety of healthcare experiences within a ... and services provided + Participation in education as required for corporate compliance and role-specific functions and tasks **HIPAA/ Compliance :** + Maintain… more
- Honeywell (Grand Rapids, MI)
- …opened a position for a Regional Account Executive As a Regional Account Manager for the Honeywell Building Solutions (HBS) organization, you will be responsible for ... grow Honeywell's presence with the customer. This is a REMOTE position and will support accounts in Illinois, Michigan...needs and the availability of qualified candidates. Due to compliance with US export control laws and regulations, candidate… more
- Molina Healthcare (Warren, MI)
- **_ Remote and must live in Michigan _** **JOB DESCRIPTION** **Job Summary** Negotiates agreements with highly visible providers including integrated delivery ... effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician group and… more
- Trinity Health (Livonia, MI)
- …PURPOSE** Work Remote Position At the direction of the Regional Manager , Clinical Documentation Integrity (CDI), this position supervises daily operations of the ... and Clinical Documentation Integrity Coordinator. Working with the Regional Manager , Clinical Documentation Integrity, is directly responsible for the daily… more
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