- Corewell Health (Grand Rapids, MI)
- This position will support our non - contracted provider post claim appeals submitted to the health plan. Job Summary Responsible for the analysis, research ... of the member appeal and fair hearing review processes for all non - Medicare products to thoroughly investigate appeal requests, leveraging critical thinking… more
- Molina Healthcare (Warren, MI)
- …and reports to meet internal/external standards. * Assists with ongoing enterprise-wide provider network development and the education of contracted network ... and strategic goals are realized. * Ensures appropriate cross-departmental communication of provider network initiatives and contracted network provider … more
- AmeriHealth Caritas (Detroit, MI)
- …its contracted and non - contracted providers across Medicaid, Medicare , and Exchange products. This role ensures provider information is correctly ... **Role Overview:** The Provider Network Operations Data Analyst plays a key...Access (formulas, pivot tables, charts/graphs). + Strong analytical skills ( non -IT focused) As a company, we support internal diversity… more
- Molina Healthcare (Sterling Heights, MI)
- … Services staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for the provider training, ... of the Representative during these visits is to proactively engage with the provider and staff to determine, for example, non -compliance with Molina… more
- Molina Healthcare (Jackson, MI)
- …Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for network management including ... of the Representative during these visits is to proactively engage with the provider and staff to determine, for example, non -compliance with Molina… more
- University of Michigan (Ann Arbor, MI)
- … Enrollment Specialist Apply Now **Job Summary** Coordinates employed and contracted billable provider 's and facilities initial enrollment and re-credentialing ... process with third party payers, out of state Medicaid and Medicare . Includes NPI management for facilities. Maintains database for hospital, group and billing… more
- State of Michigan (Lansing, MI)
- …Services and the Program of All-Inclusive Care for the Elderly (PACE) Organizations contracted to provide Health Care to Medicaid clients. Performs as ... Opening Date 01/08/2026 Closing Date 1/15/2026 11:59 PM Eastern Bargaining Unit NON -EXCLUSIVE REPRESENTED EMPLOYEE (NERE) + Description + Benefits + Questions Job… more