- CVS Health (Lansing, MI)
- …all with heart, each and every day. **Position Summary** + Lead a team of Medicaid Provider Data Services Analysts responsible for loading and maintaining ... Medicaid Provider data within Aetna QNXT. + Team...Medicaid Provider data within Aetna QNXT. + Team...or Network operations. + 1+ years of experience in Medicaid provider operations. + At least 1… more
- Humana (Lansing, MI)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities....EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- Molina Healthcare (Sterling Heights, MI)
- …as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance… more
- Humana (Lansing, MI)
- …providers, with full accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...-friendly insights. + Lead the design and refinement of provider -facing data views (dashboards, insights, performance summaries)… more
- State of Michigan (Lansing, MI)
- … data processing and quality while adhering to federal and state requirements. As manager of the Rates and Encounter Data Section, manages: 1) Staff who ... State Administrative Manager 15 - HSA Managed Care Rates &...data in the context of a managed care Medicaid program? If you possess this knowledge and experience,… more
- CenterWell (Lansing, MI)
- …part of our caring community and help us put health first** The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the ... improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership,… more
- Sevita (Ypsilanti, MI)
- …services for infants, children, adolescents, Military Service Members and Veterans. **Case Manager ** The Case Manager meets and works with individuals to ... care and participant objectives. + Assist individuals in obtaining benefits ( Medicaid , Medicare, Social Security, private insurance) and maintain current knowledge… more
- Humana (Lansing, MI)
- …telephony, data systems, and enterprise architecture. The Senior Product Manager will serve as a key interface between business and technology, driving ... and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior… more
- Cardinal Health (Lansing, MI)
- …conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager ** Reporting to the Compliance Director, this position supervises and ... annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **Responsibilities** +… more
- Humana (Lansing, MI)
- …healthcare through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management) to ... our customers. Join our rapidly expanding team of dedicated product managers, data scientists, engineers, policy experts, and business leaders as we work together… more
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