- Molina Healthcare (Warren, MI)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- CVS Health (Southfield, MI)
- …**Position Summary** This position is located in the state of Michigan The Sr . Compliance Manager is an experienced/career level compliance position that applies ... will work independently, as well as collaboratively, with internal senior level Medicare compliance and business teams...and DSNP products in a highly matrixed environment. The Sr . Manager Compliance maintains productive relationships and… more
- Gilead Sciences, Inc. (Detroit, MI)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Senior Specialist has an important role in a high-profile group tasked with ... to final bill generation. Under limited supervision from the Manager , Revenue Integrity or other more senior ...and state regulations related to rules/coverage. * Knowledge of Medicare , Medicaid, Blue Cross and other third-party payers billing… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Senior Retirement Consultant (SRC) is a key strategic resource for financial analysis, data integrity, budgeting and accounting information for ... math skills. The SRC often acts as a project manager ; he/she aggressively completes projects in a timely manner...the completion of benefit information on Form 990 and Medicare cost reporting. + Provides responses to IRS, PBGC… more
- Molina Healthcare (Detroit, MI)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- Gentiva (Southfield, MI)
- …difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly to the ... for assisting branch leadership with maintaining a high performing hospice program including managing, overseeing, and directing patient care activities to ensure… more
- BeneLynk (Detroit, MI)
- …customers. The Business Workflow Analyst I will work in conjunction with BeneLynk's Manager of Business Analysis, Quality Assurance, the Sr . Business Analyst - ... tandem with the Manager of Business Analysis, Quality Assurance and the Sr . Business Analyst - Quality Assurance regarding QA/UAT operations as well as other… more
- Henry Ford Health System (Troy, MI)
- …concentrated on complete and accurate reporting of the health status of HAP's Medicare Advantage (MA) and Commercial Qualified Health Plan (QHP) membership to CMS. ... projects. Become proficient using the Altegra RiskView systems for both Medicare Advantage Risk Adjustment and Healthcare Reform Risk Adjustment as well… more