- McLaren Health Care (Flint, MI)
- We are looking for a Quality Administrator Medicare , to...is the parent company of McLaren Health Plan in Michigan and MDwise, Inc. in Indiana. It is an ... to all our members. McLaren Health Plan is our Michigan -based health plan dedicated to meeting the health care.... Position Summary: Responsible for delivering, strategizing, and improving quality performance with a focus on Medicare … more
- Jackson County Medical Care Facility (Jackson, MI)
- …/ Assistant Administrator . This dual role requires a licensed Nursing Home Administrator in the State of Michigan . The successful candidate will provide ... + Additional Retirement Savings Program Preferred Qualifications + Licensed Nursing Home Administrator in Michigan (required) + Bachelor's degree in Accounting,… more
- University of Michigan (Ann Arbor, MI)
- …(2) isolate the causal impact of insurer-practice integration on patient access and quality . **2. Upcoding and risk adjustment in Medicare Accountable Care ... institutions. The position is based at the University of Michigan (U-M) and will involve close collaboration with Brown...and organizations that share responsibility for the cost and quality of care for Medicare beneficiaries. To… more
- University of Michigan (Ann Arbor, MI)
- Utilization Rev Appeals Spec Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals ... administrative and outpatient denials. They manage and respond to Medicare , Medicare Advantage, Varis, Medicaid and other...manage, to the appropriate department to ensure first time quality . **Perks and Benefits to Look Forward to:** +… more
- University of Michigan (Ann Arbor, MI)
- …tools, and applications needed for job functions. + Participate in the Michigan Quality System/Continuous Quality Improvement initiatives and apply ... Patient Safety Indicators according to guidelines set by the Centers for Medicare & Medicaid Services and the American Hospital Association. Provide ongoing feedback… more
- University of Michigan (Ann Arbor, MI)
- …perform job functions + Participate in and demonstrate an understanding of the Michigan Quality System/Continuous Quality Improvement and applies Lean ... with medical staff bylaws, Joint Commission (JC) standards, Centers for Medicare and Medicaid Services (CMS) regulations and other regulatory agency requirements.… more
- Integra Partners (Troy, MI)
- …a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator . Our mission is to improve the quality of life for ... The Medical Director ensures determinations are made in accordance with Medicare and Medicaid guidelines, health plan-specific criteria, internal policies, and… more
- Integra Partners (Troy, MI)
- …a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator . Our mission is to improve the quality of life for ... plan partners. This position is responsible for driving strategy, ensuring quality and inter-rater reliability, overseeing audit readiness, and chairing Integra's… more
- University of Michigan (Ann Arbor, MI)
- …studies, and integrated ad hoc analyses focused on improving patient outcomes, quality and revenue improvement In addition to analytic skills, this role requires ... measurements and reporting of participation in population health, medical management and quality programs, and develop strategies to grow and improve results, as… more
- University of Michigan (Ann Arbor, MI)
- Medical Coder Compliance Spec Apply Now **Job Summary** Perform coding quality audits on outpatient records to assure appropriateness, accuracy, and compliance for ... ICD-10-CM code assignments, and modifier assignment in accordance with Center of Medicare and Medicaid Service (CMS) Guidelines, AMA and AHA Official ICD-10-CM… more
- Integra Partners (Troy, MI)
- …a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator . Our mission is to improve the quality of life for ... written and oral communication skills + Experience with DMEPOS desired + Medicare /Medicaid experience a plus Benefits Offered + Competitive compensation and annual… more
- Integra Partners (Troy, MI)
- …a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator . Our mission is to improve the quality of life for ... of UM experience in a managed care, payor environment + Experience with Medicare and Medicaid (not required, but highly desirable) + Experience with UM… more