- US Bank (Detroit, MI)
- …you'll turn insights into outcomes that matter for providers and patients alike. As a Healthcare Payments Business Development Officer, you will develop ... by identifying prospects and initiating contact for new healthcare payments business . This includes... development skills + Thorough knowledge of healthcare payment products, services, operations, policies and… more
- US Bank (Detroit, MI)
- …to turn market insight into enduring partnerships? In this senior, consultative business development role, you'll drive profitable relationships with financial ... launching new products, we're building a range of tailored payment solutions powered by the latest technology. As part...this is where your expertise moves the needle. The ** Business Development Officer** is responsible for driving… more
- Elevance Health (Dearborn, MI)
- …+ Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare -related questions as necessary to aid in investigations. ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually… more
- Molina Healthcare (Sterling Heights, MI)
- …to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and ... are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings.… more
- Molina Healthcare (Sterling Heights, MI)
- …to the New York Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare ... hoc analyses as requested. Responsible for staff time keeping, performance coaching, development , and career paths. + Extract and compile information from various… more
- Molina Healthcare (Troy, MI)
- …Molina Health Plan Network Provider Relations jobs are responsible for network development , network adequacy and provider training and education, in alignment with ... Molina Healthcare 's overall mission, core values, and strategic plan and...Molina members, including but not limited to Value Based Payment and other Alternative Payment Method contracts.… more
- Molina Healthcare (Sterling Heights, MI)
- …claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed ... on databases and ensure adherence to business and system requirements of customers as it pertains...contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates in… more
- Huntington National Bank (Detroit, MI)
- …with a strong understanding of healthcare revenue cycle management and patient payment solutions. + Bachelor's degree in business or related field Preferred ... Summary: As a Treasury Management Advisor III - Corporate Healthcare , you will play a pivotal role in driving...enhance their financial operations. Duties & Responsibilities + Strategic Business Development : Target and win opportunities with… more
- Tenet Healthcare (Detroit, MI)
- …Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, ... for nursing to a place where it truly matters! Benefits Statement At Tenet Healthcare , we understand that our greatest asset is our dedicated team of professionals.… more
- Tenet Healthcare (Detroit, MI)
- …DMC Detroit Receiving Hospital , we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient ... outcomes and operational success. Benefits Statement At Tenet Healthcare , we understand that our greatest asset is our dedicated team of professionals. That's why we… more
- Trinity Health (Livonia, MI)
- …Performs ongoing maintenance of 340B software drug crosswalk files. Supports business development activities. Collaborates, builds and maintains relationships ... Values in behaviors, practices, and decisions. Participates in the development and ongoing maintenance of policies and procedures for...field preferred. Five (5) years of experience in a business or healthcare setting, focused in pharmacy,… more
- Molina Healthcare (Warren, MI)
- …* Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends. * Supports executive strategy ... development , vision and direction for the enterprise medical economics...initiatives and strategy. * Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high… more
- Tenet Healthcare (Commerce Township, MI)
- …DMC Huron Valley-Sinai Hospital , we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient ... outcomes and operational success. Benefits Statement At Tenet Healthcare , we understand that our greatest asset is our dedicated team of professionals. That's why we… more
- Molina Healthcare (Sterling Heights, MI)
- …Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and operational performance, in alignment with ... Molina Healthcare 's overall mission, core values, and strategic plan and...analysis and reporting that ensures VBCs fulfill APM provider payment and regulatory requirements related to state-mandated value-based programs.… more
- Tenet Healthcare (Detroit, MI)
- …day-to-day administrative functions of an assigned division within imaging. Coordinates the business operations of the division and supervises the work of assigned ... support personnel. Assists with annual budget development and monitors the division's financial data to ensure budget compliance; identifies and reports variances.… more
- Elevance Health (Dearborn, MI)
- ** Business Consultant Senior** Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... for employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies,… more
- US Bank (Detroit, MI)
- …in your lead pipeline to identify opportunities to help them solve their payments and business challenges + Regular reporting, coaching and pipeline reviews ... launching new products, we're building a range of tailored payment solutions powered by the latest technology. As part...As an Elavon Digital Sales Representative, you will become payments advocate for small businesses across the USA. You… more
- Trinity Health (Livonia, MI)
- …causing errors in documentation. **Minimum Qualifications** + Bachelor's degree in Business Administration, Healthcare Administration, Nursing or related field, ... or equivalent combination of education & experience + Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a… more
- Trinity Health (Livonia, MI)
- …billing as normally obtained through a bachelor's or associate degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related ... recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. Leverages program &… more
- Walgreens (Macomb, MI)
- …medications and drug interaction awareness. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcome ... experience. Manages pharmacy staff performance and engagement. Ensures the professional development of pharmacy staff by overseeing training, focused coaching, and… more