- Cognizant (Lansing, MI)
- …CLM best practice communities** . **Continuous Improvement & Innovation** + Research **emerging CLM technologies and industry trends** to enhance implementation ... methodologies. + Standardize **reusable CLM implementation frameworks, playbooks, and accelerators** . + Develop **training materials, knowledge-sharing sessions, and documentation** for internal and external stakeholders. **Qualifications:** + **7+ years of… more
- Ryder System (Lansing, MI)
- …+ Communicate with field operations either via email or phone for clarification + Research any discrepancies or previous billings of an order to ensure accuracy + ... Other duties as assigned **Skills and Abilities** + Good written and verbal communication skills + Ability to work with minimum supervision + Ability to work a flexible schedule to meet business needs + Excellent customer service skills] + Ability to… more
- Trinity Health (Livonia, MI)
- …address risk factors to ensure project deliverable timelines are met. 18. Research and compile detailed information from multiple sources; prepare materials which ... may include the development of new policies, processes, and opportunities; present effectively in person or via web conference. MINIMUM QUALIFICATIONS - Must have proficiency with Tableau Business Intelligence (BI) Visualization Software **or** RN with UKG Pro… more
- Trinity Health (Livonia, MI)
- …professional development needs and takes appropriate action (ie, independent research , attend training and/or conduct training related to insufficient subject ... area) to fulfill these needs. + Demonstrates flexibility in accepting work assignments and models team behavior conducive to work team environment. + Travels between hospital facilities, its subsidiaries and affiliates, Trinity Health Corporate offices, vendor… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …at all relevant facilities, investigator sites, and vendors (including contract research organizations) and ensure that audit results are communicated, and ... appropriate corrective actions are implemented and documented on a timely basis. + In addition, this role is responsible for establishing standards and implementing procedures to ensure that the business units quality management and compliance program are… more
- Henry Ford Health System (Troy, MI)
- …but is not limited to: + Application of cash and contractual adjustments/discounts + Research and follow up of misapplied or missing payments + Timely balancing and ... reconciliation of all cash posted + Document storage and retention. + Timely resolution of self-pay credit balances EDUCATION AND EXPERIENCE: + Associates degree in Business Administration, Accounting, or related field preferred. + Two years of experience with… more
- Trinity Health (Livonia, MI)
- …coding & billing, physician financial relationships, conflicts of interest and/or clinical research . Must possess detailed knowledge of federal, state & local laws & ... regulations impacting health care corporate compliance programs. Must possess in-depth knowledge of CPT, HCPCS, ICD-10-CM & ICD-10-PCS coding & billing regulations required. AHIMA, AAPC, or equivalent certification required, eg, Certified Professional Coder… more
- Molina Healthcare (Grand Rapids, MI)
- …membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment ... questions or concerns received via claims, call tracking, or e-mail. Maintain records in the enrollment database. **Knowledge/Skills/Abilities** + Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include… more
- Molina Healthcare (Detroit, MI)
- …impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and the development/maintenance of Member Materials. ... **Knowledge/Skills/Abilities** * Serves as an advocate for members to resolve issues and complaints. Works with enrollees and providers to facilitate the provision of Medicaid benefits and ensure enrollee's rights are upheld. Helps enrollees understand their… more
- CVS Health (Lansing, MI)
- …growth, operational effectiveness, and innovation. + Contributes by conducting market research , analyzing customer needs, and monitoring industry trends to identify ... market opportunities, customer pain points, and competitive dynamics. + Communicates with cross-functional teams, including operations, sales, regulatory/compliance, and finance, to ensure alignment of product strategy, execution, and go-to-market plans. +… more