• Provider Relations Manager HP Ltss…

    Molina Healthcare (Sterling Heights, MI)
    **_ Remote and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... related to utilization management, pharmacy, quality of care, and correct coding . * Independently delivers training and presentations to assigned providers and… more
    Molina Healthcare (03/04/25)
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  • Software Engineer Lead - Java ( Remote )

    US Foods (Wixom, MI)
    …Policy: The work for the Software Engineer Lead position is completely 100% remote anywhere in the United States except Hawaii or United States Territories. This ... technical review and analysis of source code. Peer Review coding to ensure coding standards are met....other agile ceremonies. + Other duties as assigned by manager . **RELATIONSHIPS** + Internal: Business Stakeholders and End Users,… more
    US Foods (01/21/25)
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  • Clinical Appeals Nurse (RN): Texas and New Mexico…

    Molina Healthcare (Sterling Heights, MI)
    …home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS Guidelines, MCG, ... Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare… more
    Molina Healthcare (02/09/25)
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  • Sr. Application Analyst - Epic | Hospital Billing…

    Henry Ford Health System (Detroit, MI)
    …application. The Sr. Application Analyst takes general direction from their supervisor or manager . The Sr. Application Analyst may in some instances also serve as a ... revenue cycle reports, professional billing, hospital billing, medical records, or coding . + Additionally, must be able to articulate revenue cycle workflows… more
    Henry Ford Health System (03/04/25)
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  • Supplier Manager

    Arrow Electronics (Plymouth, MI)
    **Position:** Supplier Manager **Job Description:** As a Cybersecurity Supplier Program Manager you will build influential relationships with key decision makers ... but not limited to EDI/rosetta net transactions, shared backlog files, bar coding , sales tools, etc. Coordinate and own supplier reviews including resources needed,… more
    Arrow Electronics (03/12/25)
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  • Clinical Provider Auditor II

    Elevance Health (Dearborn, MI)
    …Alternate locations may be considered. This position will work in a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one of ... aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (03/13/25)
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  • Periop Charge Reconciliation Representative…

    Henry Ford Health System (Rochester, MI)
    …and Vision of Ascension by, under the supervision of the Department Manager or designee, assisting in planning, organizing, implementing and evaluating revenue ... resolve issues working with the service line OR RN Manager and/or distribution. + Assist the IS Business ...Rochester, Michigan *This position is onsite and not a remote position. Education: + High school graduate required. Work… more
    Henry Ford Health System (12/31/24)
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  • Energy Engineer III

    AECOM (Detroit, MI)
    …government, utilities, advanced manufacturing and/or life sciences + CEM (Certified Energy Manager ) is a plus + Fluency with Microsoft Office products + Experience ... and RTO operations, utility rate design and modeling is desired + Modeling/ Coding Experience: Energy modeling software experience (eQUEST, Energy Plus, Trane Trace,… more
    AECOM (01/27/25)
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