• Manager Payment Integrity

    Corewell Health (Grand Rapids, MI)
    … Program with specific expertise in healthcare payment and reimbursement. The Payment Integrity Manager is responsible for managing staff and associated ... Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager , Payment Integrity .… more
    Corewell Health (07/18/25)
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  • Program Manager - Payment…

    Molina Healthcare (Grand Rapids, MI)
    …+ Knowledge of claims / claims processing. + Experience working within Payment Integrity and/or Prepayment solutions. + Project Management, and/or Technical ... Project Management. + Above average to expert level in Agile, Jira, PowerPoint, Excel + Understanding of who claims vendors are and what they do. Experience engaging vendors and ensuring the technologies are being implemented. + Coding experience a plus! +… more
    Molina Healthcare (07/18/25)
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  • Payment Integrity Manager…

    Molina Healthcare (MI)
    **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace ... lines of business. This includes direct management of internal teams and external vendors handling both first-pass and second-pass recovery efforts. The role requires experience across a wide range of subrogation case types-including automobile-related claims… more
    Molina Healthcare (07/23/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Dearborn, MI)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... and adaptable workplace. Alternate locations may be considered. **Carelon Payment Integrity ** is a proud member of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (07/02/25)
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  • (Remote) Manager , Integrity…

    Trinity Health (Livonia, MI)
    …regulatory compliance, program metrics, performance assessment, & reporting outcomes, etc. Manager Integrity & Compliance Must possess a thorough understanding ... &/or optimization leadership focus. **_Position allows for remote work opportunity._** **_The Manager will support St Mary's Health System in Georgia as their… more
    Trinity Health (07/19/25)
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  • *Revenue Integrity Auditor/Full Time/Hybrid

    Henry Ford Health System (Troy, MI)
    GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity , the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, ... coding, charge entry, and healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge capture,… more
    Henry Ford Health System (07/22/25)
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  • Configuration Manager

    GovCIO (Lansing, MI)
    **Overview** GovCIO is currently hiring a Configuration Manager to support our client's contract needs. This position is fully remote and located within the ... Washington, DC area. **Responsibilities** The configuration manager is responsible for managing and maintaining software systems, ensuring the integrity and… more
    GovCIO (05/03/25)
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  • Manager Special Investigation Unit

    Corewell Health (Grand Rapids, MI)
    Job Summary - Manager Special Investigation Unit The SIU Manager is responsible for leading and managing the Special Investigation Unit (SIU) with a focus on ... and implementing new investigative programs and FWA training initiatives. The SIU Manager collaborates closely with the Director to establish program priorities, set… more
    Corewell Health (07/19/25)
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  • Retirement Call Center Manager

    Lincoln Financial (Lansing, MI)
    …at a Glance** We are excited to bring on a **Retirement Call Center Manager ** to support the Retirement Plan Services organization in a work from home environment. ... _Background Details_ As a Retirement Call Center Manager , you will manage an assigned team within the...services. With our 120-year track record of expertise and integrity , millions of customers trust our solutions and service… more
    Lincoln Financial (07/18/25)
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  • Manager , Retirement Plan Complex Services

    Lincoln Financial (Lansing, MI)
    …74737 **The Role at a Glance** We are excited to bring on a ** Manager ** to join the **Complex Services** team supporting our Retirement Plan Services organization to ... work in a remote environment. _Background Details_ As the Manager of the Retirement Plan Complex Services team, you...services. With our 120-year track record of expertise and integrity , millions of customers trust our solutions and service… more
    Lincoln Financial (06/17/25)
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