- Molina Healthcare (Warren, MI)
- …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… more
- Molina Healthcare (Ann Arbor, MI)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... for CMS audits and data-validation reviews * Ability to quantify financial, regulatory , and member-experience risk from complaint trends and to drive prioritized… more
- Molina Healthcare (Detroit, MI)
- …Medical License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- Molina Healthcare (Ann Arbor, MI)
- …define and resolve **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited ... of internal compliance audits, represent Corporate Operations on external regulatory or associated audits, oversee function support areas requiring consistent… more
- Molina Healthcare (Warren, MI)
- …medical director , and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality ... without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration , Public Health,… more
- Evolent (Lansing, MI)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request by phone or fax.… more
- Evolent (Lansing, MI)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to… more
- Evolent (Lansing, MI)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review… more
- Evolent (Lansing, MI)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale… more
- Evolent (Lansing, MI)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of ... culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale… more
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