- Molina Healthcare (Warren, MI)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage ... for all Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design, as well as provide… more
- Corewell Health (Grand Rapids, MI)
- …with participation on improvement initiatives + Proven experience working in Medicare environment + Certification from the Institute of Healthcare Improvement, ... Institute of Healthcare Improvement Coach Program , Professional in Healthcare Quality, or National Association for Healthcare Quality Certified Professional in… more
- Henry Ford Health System (Troy, MI)
- …SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Principal Specialist has an important role in a high-profile group tasked with improving ... Under minimal supervision from the Manager, Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity (RI) Principal Specialist … more
- Area Agency On Aging 1-b (Southfield, MI)
- …determine outcomes and provide additional assistance as needed. Triage calls to Medicare Medicaid Assistance Program (MMAP), Supports Coordinators and other ... Working in a dynamic call center environment; the Resource Specialist assess and respond to requests for information and...areas within 6 months of employment. + Knowledge of senior services preferred. + Strong computer and data entry… more
- Evolent (Lansing, MI)
- …+ Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified as an "excluded ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more
- Evolent (Lansing, MI)
- …your passion where it meets purpose! We are looking for a Medical Policy Writer/ Senior Policy Specialist who will be responsible for the development, approval, ... roles and responsibilities as outlined in the National Utilization Program Description. **Collaboration Opportunities:** Support and Development + Research, write,… more
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