• Manager, Medicare Administration

    Molina Healthcare (Sterling Heights, MI)
    …**Job Summary** Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of ... strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and services. **Knowledge/Skills/Abilities** *… more
    Molina Healthcare (08/24/25)
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  • Analyst, Business Quality (Remote)

    Molina Healthcare (Sterling Heights, MI)
    …**Job Summary** Assist business teams with developing requirements for major projects of considerable complexity, prepares system design specifications, conducts ... research to resolve customer initiated issues related to core systems processing, and coordinates and manages project teams in the development of large multi-system, multi-platform projects. This position is responsible for implementing the test approach,… more
    Molina Healthcare (08/24/25)
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  • Lead Specialist, Appeals & Grievances - Remote

    Molina Healthcare (Sterling Heights, MI)
    …**Job Summary** Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving ... member and provider complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Serves as team lead for… more
    Molina Healthcare (08/24/25)
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  • Team Lead, Tutor Time on Hayes Road

    Learning Care Group (Sterling Heights, MI)
    Team Lead, Tutor Time on Hayes Road Share by Email Share on LinkedIn Share on X ... (http://www.x.com/intent/post?url=https%3A%2F%2Fcareers.learningcaregroup.com%2Fsearch%2Fjobdetails%2Fx%2F892a8b1c-8bdf-4298-90be-c80cc237e2d1%3Futm\_campaign%3Dss\_x) Share on Facebook + Careers + Search Jobs + Team Lead, Tutor Time on Hayes Road Apply +… more
    Learning Care Group (08/24/25)
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  • Specialist, Appeals & Grievances - Remote

    Molina Healthcare (Sterling Heights, MI)
    …**Job Summary** Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized ... representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or… more
    Molina Healthcare (08/24/25)
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  • Security Officer Part Time

    Allied Universal (Sterling Heights, MI)
    …+ Provide customer service to our clients by carrying out safety and security procedures, site-specific policies and when appropriate, emergency response activities + ... Respond to incidents and critical situations in a calm, problem solving manner + Conduct regular and random patrols around the business and perimeter. Working environments and conditions may vary by client site. **Minimum Requirements:** + Be at least 18 years… more
    Allied Universal (08/24/25)
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  • Care Management Processor (Child Welfare Services)

    Molina Healthcare (Sterling Heights, MI)
    …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
    Molina Healthcare (08/24/25)
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  • Physician - McLaren Careers

    McLaren Health Care (Sterling Heights, MI)
    …* Provides medical care and conducts patient interviews, examinations, diagnosis, and rendering of appropriate medical or surgical treatment. * Educates patients on ... wellness, prevention, and early detection through interpersonal communication and/or the provision of informational materials to patients and family members. * Assesses need for, and as may be clinically indicated, refers patients to additional health care… more
    McLaren Health Care (08/23/25)
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  • Junior MBSE / Cyber Engineer (Detroit, MI)

    Insight Global (Sterling Heights, MI)
    …This engineering management role supports the Cyber and C5ISR section, focusing on architecture, evaluation, testing, and compliance across US markets. The position ... contributes to the delivery of cyber-secure products for Ground Combat Platforms, executing guidance from the Chief Engineer, Systems Engineering Manager, and functional leadership. Key Responsibilities * Lead cyber integration across vehicle systems * Develop… more
    Insight Global (08/23/25)
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  • Senior Engineer, Cloud…

    Molina Healthcare (Sterling Heights, MI)
    …**Job Summary** The Sr Engineer, Cloud assists IT colleagues and partners to develop, migrate and deploy key cloud initiatives in a dynamic environment, while also ... ensure stability and functionality requirements from business customers are met. **Knowledge/Skills/Abilities** * Supports the planning, configuration, and operation of Molina cloud infrastructure migration and services. * Works to configure and support… more
    Molina Healthcare (08/23/25)
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