Principal Financial Healthcare Data Analyst (Hybrid/Troy, MI) - Health Alliance Plan Henry Ford HospitalPrincipal Financial Healthcare Data Analyst (Hybrid/Troy, MI) - Health Alliance PlanTroy, MIDUTIES AND RESPONSIBILITIES: Under the direction of the Director, utilize internal and external data sources to design, implement, and maintain data models for monthly accounting cycle reporting of government program anticipated revenue, annual reporting of Medical Loss Ratio (MLR), and annual accounting of subsidized pharmacy program funds related to Medicare Advantage Part C, Medicare Advantage Part D, and Medicare-Medicaid Program reporting. Coordinate with leadership and multiple departments within the organization, including but not limited to Actuarial Services, Underwriting, Financial Analysis, Financial Services, Risk Adjustment, Information Technology (IT)-Business Intelligence, Provider Services, Network Management, Data Analytics, and Henry Ford Health Revenue Cycle for expertise in government programs, payment methods, revenue attribution, and risk adjustment.
NewAssociate Outside Sales Executive - Healthcare PatientPoint IncAssociate Outside Sales Executive - HealthcareDetroit, MIJob Summary: The position is responsible for supporting sales and account management while marketing and 'selling in' various patient engagement and educational programs to both current clients and new physician offices, specialty provider groups, and hospitals. As the nation's largest and most impactful digital network in 30,000 physician offices, we connect patients, providers and health brands with relevant information that is proven to drive healthier decisions and better outcomes.
Healthcare Contract Financial Modeling Consultant (Hybrid - Detroit) - Mosaic Clinically Integrated Network Henry Ford HospitalHealthcare Contract Financial Modeling Consultant (Hybrid - Detroit) - Mosaic Clinically Integrated NetworkDetroit, MIGENERAL SUMMARY: Assisting the Manager of Contract Modeling with onboarding new employees and coaching and mentoring analysts with contract variances, simulations or contract build issues. Based on the needs of the Department this role will be supporting, this opportunity a best fit for someone with the following: Advanced critical thinking and reasoning skills.
Healthcare Network Contract Manager (Hybrid - Detroit) - Mosaic Clinically Integrated Network (CIN) Henry Ford HospitalHealthcare Network Contract Manager (Hybrid - Detroit) - Mosaic Clinically Integrated Network (CIN)Detroit, MIEnsures timely engagement of network leadership ahead of payor negotiations or renegotiations, ensuring all contractual elements are prepared, reviewed, and revised. GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based contracts within the Clinically Integrated Network (CIN).
Treasury Sales Officer I - Healthcare Not For Profit - Higher Education Bank of America CorpTreasury Sales Officer I - Healthcare Not For Profit - Higher EducationFarmington Hills, MI$108,000–$160,000 / yearDesired Skills:For-profit, Not-For-Profit, Higher Education or Healthcare banking /Revenue Cycle experience a plus3+ years banking experiencePrior Card solution experience a plusB.S. or B.A. in finance, accounting, management, or another undergraduate degreeCertified Treasury Professional Certification (CTP) or equivalentMBA or EquivalentInclusive and Inspiring: Seeking motivating team players who value collaboration, hard work, and celebrating shared successAuthentic and Passionate: Seeking highly engaged teammates whose intensity and intentions align with the work we are doing for our clients and in our communitiesInnovative and Curious: Seeking teammates with out-of-the box ideas and solutions, who embrace change with a future-forward mindset, and are looking to challenge the status quoConfident and Agile: Seeking strong, clear communicators who value giving and receiving feedback, easily build relationships, act decisively while being flexible and continuing to learn in the role. Ensures responsible revenue and balance sheet growth, profitability improvement, client calling and planning, portfolio development, pricing strategy, proposal responses, and leads client facing treasury presentationsPartners with bankers and product specialists across the enterprise to develop customized treasury solutions by identifying solutions based on client-focused cost and benefit analysis and bank-focused profitability analysisLeads pricing and negotiation discussions with the client for treasury management products to optimize relationship profitability and Year over Year (YoY) growthCoaches and mentors Treasury Analysts and works with Servicing and Implementation teams to support client needs and deliver solutions.
Director of Case Management Wheeler Staffing PartnersDirector of Case ManagementDetroit, MIOur team specializes in placing top talent within healthcare leadership, clinical operations, case management, revenue cycle, nursing leadership, and hospital administration roles. This role is responsible for overseeing hospital utilization management, care coordination, transition planning, patient throughput, and operational leadership of the Case Management Department.
Executive Underwriter - Healthcare (Commercial P&C) Amerisure Mutual Insurance CompanyExecutive Underwriter - Healthcare (Commercial P&C)Farmington Hills, MIRESPONSIBILITIES: Evaluate and apply advanced underwriting judgement to price and negotiate large and complex accounts in accordance with Amerisure risk evaluation process, underwriting guidelines, and renewal framework. POSITION SUMMARY: Responsible for underwriting and managing a portfolio of the largest and most complex healthcare accounts, leveraging deep industry expertise and advanced judgment to drive profitable growth.
NewHealthcare Financial/Actuarial Senior Director Willis Towers Watson PLCHealthcare Financial/Actuarial Senior DirectorDetroit, MIWTW provides a competitive benefit package which includes the following (eligibility requirements apply): Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program). The majority of our colleagues work in a "hybrid" style, with a mix of remote, in-person and in-office interactions dependent on the needs of the team, role and clients.
Revenue Cycle Sr Management Engineer/Full Time/Hybrid/Troy Henry Ford HospitalRevenue Cycle Sr Management Engineer/Full Time/Hybrid/TroyTroy, MIWith minimal assistance on assigned projects, drives implementation of critical business metrics & ongoing end-to-end process reviews including: Identify key processes and their indicators; Establish baseline metrics; Report through financial and business review process; and, Develop and maximize improvement plans. Uses change management tools and methods to ensure successful and sustainable implementation of improvements Growing Relationships: Able to establish trusted partnerships through credibility, reliability, connection, and presence that promote current and future collaboration, issue resolution, and innovation.
Principal Management Engineer - Full time - Detroit Henry Ford HospitalPrincipal Management Engineer - Full time - DetroitDetroit, MIAs a member of Henry Ford's Transformation Consulting team, your primary responsibility will be to collaborate with senior leaders and drive transformative projects to deliver key, sustainable results that achieve Henry Ford Health System's True North, differentiate HFHS in the market, and build organizational capabilities. Guides/coaches team and coaches-up department leaders on different leadership communication approaches - provides insight and feedback on presentation style, communication skills, and tailoring message by anticipating needs of others for specific situations.
Pharmacy Technician in Care Management MyCareer+Pharmacy Technician in Care ManagementSouthfield, MichiganA Pharmacy Technician in Care Management plays a crucial role in supporting healthcare teams to ensure patients receive safe and effective medication therapy. This role is an excellent opportunity for a dedicated Pharmacy Technician to contribute to patient-centered care and make a meaningful impact in healthcare management.
NewSupply Chain Materials Management Tenet Healthcare CorpSupply Chain Materials ManagementDetroit, MIAnalytical ability to create solutions to difficult administrative, technical or human situations, to anticipate and resolve a broad range of issues and concerns on multiple, sometimes unrelated topics, to determine the need for process development and refinement, to independently evaluate situations and outline ramifications of multiple solutions or options, to recommend goals for a function/area and understand when intervention in current work processes must occur to ensure successful delivery of service. Project management skills including the ability to define program, project, or process objectives, identify stakeholders and their interests, plan steps, coordinate and allocate human, technological and fiscal resources to accomplish goals and objectives in a resourceful yet timely manner.
NewProcess Analyst, Managed Services Delivery – Release Management (including UAT) and Transition to Support Trinity HealthProcess Analyst, Managed Services Delivery – Release Management (including UAT) and Transition to SupportLivonia, MichiganAdditionally, the Process Analyst partners with service delivery, service integration, ServiceNow/platform teams, security, architecture, PMO, vendor teams, and business stakeholders to keep processes practical, measurable, and auditable within the future operating model. The Process Analyst partners with service delivery, service integration, ServiceNow/platform teams, security, architecture, PMO, vendor teams, and business stakeholders to keep processes practical, measurable, and auditable within the future operating model.
NewProcess Analyst, Managed Services Delivery - Release Management (including UAT) and Transition to Support Trinity HealthProcess Analyst, Managed Services Delivery - Release Management (including UAT) and Transition to SupportLivonia, MIAdditionally, the Process Analyst partners with service delivery, service integration, ServiceNow/platform teams, security, architecture, PMO, vendor teams, and business stakeholders to keep processes practical, measurable, and auditable within the future operating model. The Process Analyst partners with service delivery, service integration, ServiceNow/platform teams, security, architecture, PMO, vendor teams, and business stakeholders to keep processes practical, measurable, and auditable within the future operating model.
Medical Director, Care Management Corewell HealthMedical Director, Care ManagementRoyal Oak, MISupport quality, safety, efficiency and performance initiatives by; Participating on related hospital and health system committees, participating in the development and monitoring of patient safety and quality reports, establishing process improvement initiatives, and engaging in service recovery when incidents arise. Corewell Health William Beaumont University Hospital tied for the top spot in the state, ranks No. 10 nationally out of 257 hospitals in the OB/GYN category, ranked in the top 50 for nine specialties and had high performing ratings in 19 procedures and conditions.
Director of Risk Management Acadia Healthcare Co IncDirector of Risk ManagementWest Bloomfield, MIIn this leadership role, you will oversee the implementation of a comprehensive risk management program, collaborate with multiple departments to assess and mitigate risks, and promote a culture of safety throughout the organization. We are seeking an experienced and strategic Risk Director to lead our facility''s risk management efforts and ensure a safe environment for patients, staff, and visitors.
Utilization Management Case Manager University Health Services IncUtilization Management Case ManagerAUBURN HILLS, MIThese duties shall be directed toward supporting the hospital's mission in the pursuit of excellence in care/service and will include (but not limited to ): conducting timely admission and continues stay record reviews with external payers, utilizing approved criteria to make determinations of medical necessity and level of care planning, verifying active treatment by completing internal audit reviews within approved time frames, assisting the treatment team when indicated in the discharge planning process, and acting as liaison with MD/Clinical Treatment Team and external agencies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Operational Management Trainee - Fleet Waste Management IncOperational Management Trainee - FleetPlymouth, MIWM has the largest disposal network and collection fleet in North America, is the largest recycler of post-consumer materials and is a leader in beneficial use of landfill gas, with a growing network of renewable natural gas plants and the most landfill gas-to-electricity plants in North America. Completes required paperwork utilizing fleet maintenance software program associated with repairing vehicles, documenting parts usage, and accounting for repair times.
NewRegistered Nurse (RN) - Case Management Tenet Healthcare CorpRegistered Nurse (RN) - Case ManagementDetroit, MIDMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital.
Care Management Processor - STARS Molina Healthcare IncCare Management Processor - STARSDetroit, MIFacilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members. JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum.