• Senior Medical Director…

    Molina Healthcare (Grand Rapids, MI)
    …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
    Molina Healthcare (09/12/25)
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  • Finance Director ( Medicare…

    Molina Healthcare (Ann Arbor, MI)
    **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects...early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies… more
    Molina Healthcare (10/11/25)
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  • Medicare Sales Field Agent - Macomb County

    Humana (Warren, MI)
    …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live… more
    Humana (10/04/25)
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  • Field Medical Director…

    Evolent (Lansing, MI)
    …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications** +...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (10/29/25)
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  • Field Medical Director , Cardiology

    Evolent (Lansing, MI)
    …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications -...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (10/01/25)
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  • Field Medical Director , Oncology

    Evolent (Lansing, MI)
    …MD provider is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (08/19/25)
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  • Field Medical Director , Oncology

    Evolent (Lansing, MI)
    …MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (08/26/25)
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  • Director , Actuarial Services - Pharmacy…

    Henry Ford Health System (Troy, MI)
    …to meet urgent Part D and pharmacy analysis needs. This new Director role establishes dedicated, in-house pharmacy actuarial expertise to strengthen financial ... competitive advantage in 2026 and beyond. Position Summary The Director , Actuarial Services - Pharmacy / Part D is...Health Alliance Plan (HAP), with a primary focus on Medicare Part D and broader enterprise pharmacy strategy. This… more
    Henry Ford Health System (10/06/25)
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  • Director , Denial Resource Center

    Baylor Scott & White Health (Lansing, MI)
    … senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare /Medicaid audit activities and key ... **Job Summary** The Director , Denial Resource Center is responsible for the...improved utilization of appropriate patient care services. Collaborates with medical , clinical, HIM and other BSWH departments to ensure… more
    Baylor Scott & White Health (10/04/25)
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  • Associate Director - Project Management

    Humana (Lansing, MI)
    …a part of our caring community and help us put health first** Associate Director of Project Management to join the Readiness and Recovery team, focusing on ... experiences, drive transformation, and support enterprise goals. The Associate Director will ensure alignment of project initiatives with business objectives,… more
    Humana (10/30/25)
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