- 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
- Gentiva (Southfield, MI)
- …difference in people's lives every day. **Overview** We're looking for a **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
- Elevance Health (Dearborn, MI)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... within 50 miles of one of Elevance's Pulse Point locations. **The** **Provider Reimbursement and Financial Analytics Analyst** ( Provider Contract/Cost of Care … 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 an Business Office Manager (BOM) with experience in skilled nursing accounts...billing and insurance questions. At Ciena Healthcare, we take care of you too, with an attractive benefits package… more
- Ford Motor Company (Dearborn, MI)
- **Platform Software Strategy Manager ** We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world ... iterations of the software platform. The Platform Software Strategy Manager will work with cross functional teams to analyze...whilst mitigating the pain of software complexity + Has managed and led a team. + Ability to manage… 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
- Bausch Health (Detroit, MI)
- …and technical knowledge of Bausch Health products, healthcare, pharmaceutical market places, managed care , and customer markets to meet or exceed customer ... 7,000 employees share a common goal and values, propelling us to provide essential care to millions of people globally. We seek dedicated individuals who share our… 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
- Elevance Health (Dearborn, MI)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract/Cost of Care Consultant** **We are offering a $5,000 sign-on...capabilities, and experiences:** * Master's degree. * Healthcare facility contract/ reimbursement experience. * Advanced Microsoft Excel knowledge/experience. * SQL… more
- Erickson Living (Novi, MI)
- …11am to 7:30pm.** **We are looking for someone part time in our Memory Care or Skilled Nursing Unit - Shift Times ideally 4pm to 8pm - Fridays/Saturdays/Sundays!** ... us as a Program Assistant to enhance the well-being of Continuing Care residents through physical, intellectual, social, spiritual, and emotional activities. In this… more
- ZOLL Medical Corporation (Detroit, MI)
- …+ Outstanding ability to multi-task and prioritize work. + Familiarity with clinical reimbursement , and managed care policies and procedures is highly ... Functions + Work in collaboration with your Region Sales Manager , Cardio Key Account Manager and VA/Gov't...VA hospitals and the VA System and or large managed care organizations (ie, Kaiser, WellStar) preferred.… more
- Henry Ford Health System (Detroit, MI)
- …+ A two (2) year college degree required. + Minimum of 10 years in a managed care operation, working with one or more of the following areas: Utilization ... GENERAL SUMMARY: Under the direction of the Compliance Audit Manager , the Principal Compliance Investigator will oversee compliance auditing and monitoring to assess… more