• Provider Network Operations

    AmeriHealth Caritas (Southfield, MI)
    …POSITION BUT YOU MUST LIVE IN THE GREATER SOUTHFIELD, MI AREA **Responsibilities:** The Provider Network Data Analyst is responsible for supporting the ... and non-contracted providers for all products, Medicaid, Medicare and Exchange. The Provider Network Data Analyst I ensures that providers' status with the… more
    AmeriHealth Caritas (02/01/25)
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  • Senior Specialist, Provider Network

    Molina Healthcare (Troy, MI)
    provider contracts. **KNOWLEDGE/SKILLS/ABILITIES** + Generates and prepares provider -related data and reports in support of Network Management and ... the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations . Report examples may include:… more
    Molina Healthcare (12/19/24)
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  • Provider Network Account Executive I

    AmeriHealth Caritas (Southfield, MI)
    …and implement the MCO's provider claim dispute resolution process collaborate with Provider Network Operations to resolve Provider concerns ... tailored provider orientation sessions, making educational visits, and resolving provider issues.;;Ensure that network provider perspectives and feedback… more
    AmeriHealth Caritas (01/22/25)
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  • Mgr, Provider Data Management

    Molina Healthcare (Sterling Heights, MI)
    …and or Market Place operations , **Preferred Experience** 2+ years managing provider data , QNXT experience 2+ years management experience. Pay Range: $80,412 ... implementations of new or existing plans with regards to provider data . + Experience in developing business...and implementing appropriate Corrective Action Plans for submission of provider network files, etc. + Act as… more
    Molina Healthcare (01/21/25)
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  • Sr Analyst, Network Solutions…

    Molina Healthcare (Sterling Heights, MI)
    …more. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. + Develops and ... maintains documentation and guidelines for all assigned areas of responsibility. + Assists with development of configuration standards and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality.… more
    Molina Healthcare (01/19/25)
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  • Network Administrator (Intermediate…

    Link Solutions Inc (Warren, MI)
    …responsibilities. + Provide daily supervision and direction to personnel across the Network Team. + Provide training and mentorship to Network Support ... track work across the Network Team. + Maintain overall responsibility for the Network delivery team. + Collect and review data for capacity and planning… more
    Link Solutions Inc (02/04/25)
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  • Manager, Manufacturing Operations

    Pfizer (Rochester, MI)
    …Team is responsible for the delivery of Pfizer's Core Digital Manufacturing Operations Management (MoM) capabilities at every level of the Pfizer Global Supply ... (PGS) Plant Network (ISA 95 Levels 0-4). These solutions are critical...asset utilization/uptime, automate manual workflows, and streamline plant floor operations . The Digital Manufacturing vision is to "Simplify processes… more
    Pfizer (01/31/25)
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  • Technology & Operations Internship in

    Comerica (Auburn Hills, MI)
    Description Technology & Operations Summer Internship Location: Hybrid - Auburn Hills, MI Start Date: May 2025 Summary: The Technology & Operations Internship ... interested in various areas within technology. The 12-week internship program will provide students the opportunity to work on active projects that directly impact… more
    Comerica (11/20/24)
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  • Sr Analyst, Medical Economics - REMOTE

    Molina Healthcare (Sterling Heights, MI)
    …as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, ... related to medical care costs. + Work with clinical, provider network and other personnel to bring...building dashboards in Excel, Power BI, and/or Tableau and data management + Knowledge of healthcare operations more
    Molina Healthcare (01/21/25)
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  • Credentialing Coordinator (Hybrid - Troy, MI)…

    Henry Ford Health System (Troy, MI)
    …Coordinator) preferred. Additional Information + Organization: HAP (Health Alliance Plan) + Department: Provider Network Operations + Shift: Day Job + Union ... data is accurate and up-to-date in the CACTUS/symplr Provider credentialing software application, including generating and monitoring reports. + Responsible… more
    Henry Ford Health System (01/07/25)
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  • Manager Customer Service Call Center (Hybrid…

    Henry Ford Health System (Troy, MI)
    …a good understanding of the Henry Ford Health System (HFHS) and the HAP provider network . + Exhibit a thorough understanding of health care delivery systems. ... the activities associated with the Call Center, as it relates to overall operations , key HAP initiatives, and service excellence; to maintain and report all member… more
    Henry Ford Health System (01/06/25)
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  • Systems Administrator (Intermediate and Senior…

    Link Solutions Inc (Warren, MI)
    …+ Provide daily supervision and direction to personnel across the Network Team. + Provide training and mentorship to technicians, helping them ... server hardware, peripherals, software, and operating systems. + Collect and review network utilization data for capacity and planning purposes. + Assist… more
    Link Solutions Inc (02/04/25)
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  • Networking Managed Services Engineer (L4)

    NTT America Solutions, Inc. (Southfield, MI)
    …trends impacting IT operations . **Workplace type** **:** Hybrid Working **About NTT DATA ** NTT DATA is a $30+ billion trusted global innovator of business ... **Make an impact with NTT DATA ** Join a company that is pushing the...requests or tickets and apply technical process knowledge to provide the clients with almost immediate resolution without breaching… more
    NTT America Solutions, Inc. (01/18/25)
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  • Information Security Administration II/Hybrid

    MSC Industrial Supply Co. (Southfield, MI)
    …parse large volumes of data and identify malicious activity within proxy, firewall, and network data . + Monitor the company's networks to keep an eye out for ... IT peers to implement security tools and processes + Administer systems which provide security services within the MSC network and Windows environment:… more
    MSC Industrial Supply Co. (12/11/24)
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  • Senior Analyst, Analytics

    Publicis Groupe (Birmingham, MI)
    …forecasting, scenario planning, test design, campaign management, and advanced reporting. + Provide practical insights from data analysis to help clients make ... clients wholly at the center and enable us to provide best-in-class services in a fluid and modular way....a fluid and modular way. Publicis Collective uses living data to create brand movements at the speed of… more
    Publicis Groupe (01/30/25)
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  • Information Security Specialist (Intermediate…

    Link Solutions Inc (Warren, MI)
    …overall responsibility for the Information Security delivery team. + Collect and review network utilization data for capacity and planning purposes. + Assist in ... critical mission needs. Delivering a broad range of Infrastructure Operations , Application Development, Cybersecurity, Virtualization, Cloud and Mobility services.… more
    Link Solutions Inc (02/04/25)
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  • Help Desk Support Service Specialist (Intermediate…

    Link Solutions Inc (Warren, MI)
    …and software, including patches, and updates while ensuring user functionality and network security. + Provide technical support and user education, focusing ... critical mission needs. Delivering a broad range of Infrastructure Operations , Application Development, Cybersecurity, Virtualization, Cloud and Mobility services.… more
    Link Solutions Inc (02/04/25)
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  • Service Delivery Lead

    HTC Global Services Inc (Troy, MI)
    …ensure on-time, high-quality delivery of HTC's infrastructure solutions, including network upgrades, server migrations, cloud solutions, and security initiatives as ... clients and internal personnel to review account performance. * Provide regular analytical reporting to the client. * Assist...requests are handled timely and accurately. * Work with Operations team to ensure processes are clearly and efficiently… more
    HTC Global Services Inc (01/30/25)
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  • Manager, Hybrid DevOps Engineering

    Autodesk (Novi, MI)
    …and experienced DevOps Manager, specializing in the management and transformation of data center compute, storage, and automation across on-premises and hybrid cloud ... hybrid infrastructure compute, storage while ensuring seamless operation and automation of data center equipment such as UPS, PDUs, and other critical systems.… more
    Autodesk (01/14/25)
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  • Plant IT Engineer

    HTC Global Services Inc (Sterling Heights, MI)
    … hands and feet to support teams and other global teams (e. g. DBA, Server Operations , Ops Control, Network Operations ) if necessary. + Focus on the ... keep our plant lines running. Your job responsibilities will require you to provide support that includes technical troubleshooting, data analysis & problem… more
    HTC Global Services Inc (01/28/25)
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