- Henry Ford Health System (Troy, MI)
- …Experience in reimbursement and/or data analytics preferred. * Knowledge of managed care organizations and integrated health systems. * Comprehensive project ... GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is...team in evaluating, analyzing, and negotiating contract terms and reimbursement rates with health plans. PRINCIPLE DUTIES AND RESPONSIBILITIES:… more
- AmeriHealth Caritas (Southfield, MI)
- **Behavioral Health Care Manager , MSN/LCSW/LMSW** Location: Southfield, MI Primary Job Function: Behavioral Health ID**: 34508 **Job Brief** Graduate degree from ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and...more about us at www.amerihealthcaritas.com. **Responsibilities:** The BH Clinical Care Manager (CCM) is a core participant… more
- AmeriHealth Caritas (Detroit, MI)
- **Community Care Manager Senior, BSN (local to Wayne and Oakland counties, MI)** Location: Detroit, MI Primary Job Function: Medical Management ID**: 34507 **Job ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and...Community Care Management Team (CCMT), the Community Care Manager Sr. assists members appropriate for… more
- Gentiva (Southfield, MI)
- …in people's lives every day. **Overview** We're looking for a **RN,** **Senior Patient Care Manager ** to join our team. You will report directly to the ... patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, and… more
- Corewell Health (Royal Oak, MI)
- …Beaumont Health strategic goals. + Works collaboratively with Revenue Cycle and Managed Care Contracting to communicate and understand payer requirements, to ... Michigan's first Diagnostic Imaging Center of Excellence. As the Manager of Care Management, you will lead...and to develop processes and systems to promote timely reimbursement for services rendered to patients. + Interviews, hires,… more
- Sanofi Group (Detroit, MI)
- …relationships with various members of the Sanofi Pharmaceuticals Team including Marketing, Managed Care , Analytics, Accounting, Compliance, Legal and other team ... Immune Hematology Manager - Ohio Valley **Job Description:** The Immune...members. + Maintain extensive knowledge of the Managed Care , GPOs, Specialty Pharmacy, State Medicaid… more
- City of Detroit (Detroit, MI)
- Community Health Corps (CHC) Case Manager (Administrative Special Services II) Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4632717) Apply ... Community Health Corps (CHC) Case Manager (Administrative Special Services II) Salary $49,982.40 - $68,640.00...support delivery. Examples of Duties + Build a tightly managed caseload of households with resource needs and document… more
- Erickson Living (Novi, MI)
- …with experience starting at $50,000 annually. We are hiring an Assistant General Manager of Dining Services. This position manages the dining room and cafe staff ... to 3% once eligible. + On-site medical centers, providing wellness visits and sick care for all employees over 18 years of age. + Education assistance, certification… more
- Ciena Healthcare (Detroit, MI)
- …all payer classes for claims generated by the facility. + Review the Medicare, Managed Care , Medicare Advantage and Medicaid UB, CHAMPS, WebDenis + Record ... Are you a business office manager with experience in skilled nursing accounts receivable?...billing and insurance questions. At Ciena Healthcare, we take care of you too, with an attractive benefit package… more
- Deloitte (Detroit, MI)
- …experience + Bachelor's Degree Required + 3 years' + experience with Medicaid managed care capitation rate development and/or fee-for-service rate development + ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be a part of the transformation of the health care sector. Deloitte's health actuaries are participating in the… more
- ChenMed (Southfield, MI)
- …for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed and we're transforming healthcare ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...+ Performs other duties as assigned and modified at manager 's discretion. KNOWLEDGE, SKILLS AND ABILITIES: + Thorough knowledge… more
- Corewell Health (Royal Oak, MI)
- …+ Demonstrated knowledge of the operational impacts of insurance industry contracts and managed care proposals . Knowledge of system-wide operational duties . ... Director of the Mickey Shapiro 2 East Cardiovascular Intensive Care Unit (2E CVICU). The mission and vision of...gain procedural proficiency. + Partnering with the CVICU Nursing Manager to develop workflows and processes to improve the… more
- Erickson Living (Novi, MI)
- …as necessary. + Support the Supervisor, Facilities Maintenance/Maintenance & Engineering Manager to ensure the effective and efficient operation within the community ... duties when assigned. **What we offer:** + Education assistance, certification reimbursement , and student loan refinancing partnership programs are available. +… more
- Henry Ford Health System (Southfield, MI)
- …to learn and grow. + Knowledge or interest in healthcare, health insurance, or managed care is a plus. Department Education/Experience Preferences: + Best suited ... of remote and onsite work/events in Troy, MI (commute & housing expense reimbursement not provided). GENERAL SUMMARY: This internship offers a unique opportunity to… more