Health Insurance Revenue Mgmt. Risk Adjustment Analyst III (Remote) - Health Alliance Plan Henry Ford HospitalHealth Insurance Revenue Mgmt. Risk Adjustment Analyst III (Remote) - Health Alliance PlanSouthfield, MIRemoteAnnual financial reporting activities including CMS bid filings, HCR Premium Development, RFP on financial Risk Adjustment projects, Employer Group Rate Renewals, financial audits, CMS Attestations, premium and member revenue budgets, Medical Loss Ratio reporting. Premium reconciliation reports for monthly financial close; file payment issues with CMS and monitor response; monitor MMR accruals; estimate risk adjustment premium impact for final reconciliation with CMS; allocation of premium to at-risk provider networks.
Billing and Follow-Up Representative-II (Hospital Medical Billing Follow-up) - PFS (Remote) Trinity HealthBilling and Follow-Up Representative-II (Hospital Medical Billing Follow-up) - PFS (Remote)Farmington Hills, MIRemote$19.21–$28.82 / hourMINIMUM QUALIFICATIONS High school diploma or Associate's degree in Accounting or Business Administration or related field, and a minimum of three (3) or more years' of direct experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required.
NewPavement Technologies Market Development Manager (Remote, Great Lakes) Ingevity CorpPavement Technologies Market Development Manager (Remote, Great Lakes)MIRemotePosition Overview: We are seeking a dynamic and experienced Pavement Technologies Market Development Manager to lead strategic efforts in the implementation and adoption of Warm Mix Asphalt (WMA) through collaboration, education, and strategic planning. Promote the advancement of Ingevity Pavement Technologies through marketing, training, and education initiatives at conferences, tradeshows, and industry meetings.
Manager of Payroll (Remote) Android Industries, LLCManager of Payroll (Remote)Auburn Hills, MIRemoteThis position oversees payroll for union and non-union populations, makes sure payroll information is complete and approved before each payroll is processed, and works closely with Human Resources, HRIS, Finance, and plant leadership to resolve issues. Oversee regular payrolls and special payments, including off-cycle checks, final pay, retroactive pay, bonuses, lump-sum payments, manual checks, corrections, and other payroll adjustments.
NewAcquisition Specialist (Junior) Remote GCC Technologies LLCAcquisition Specialist (Junior) RemoteDetroit, MIRemoteWe are looking for Entry Level Acquisition specialist to provide both onsite and possible remote support to several different regions consisting of: Ann Arbor, Battle Creek, and Detroit MI, The U.S. Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Regional Procurement Office - Central (RPO-C) Network Contracting Office 16 has a need for Contract Support Services to assist with various procurement requirements. GCC Technologies, founded in 1997 with headquarters in Oakland, Maryland, is a fast growing service-disabled Veteran owned Small Business and HUBZone company with an outstanding record of performance providing more effective and efficient acquisition, business process, administrative and security services to multiple federal agencies.
Director, Community Pharmacy- Remote Opportunity Trinity HealthDirector, Community Pharmacy- Remote OpportunityLivonia, MIRemote$159,096–$262,508 / yearProvides operations and/or optimization leadership focus; Directs clinical specialty (patient-facing) department(s)/area(s) or specialty non-clinical (non-patient facing) department(s)/area(s); May provide leadership and direction through managers; Balances between staff leadership, broader organizational direction & administration; Accountable for the performance, regulatory readiness, and results of a single large, strategic area/related disciplines or multiple medium-sized departments/areas/clinics in a medium to large-sized single functional domain within a limited geography. The Director of Community Pharmacy must be a licensed pharmacist in at least one of Trinity Health's 27 operating states and possess a proven track record of leading state-wide or multi-state pharmacy operations for an organization with regional or national network.
Director, Compliance Program Enablement (Remote) Stryker CorpDirector, Compliance Program Enablement (Remote)Michigan, MIRemote$155,900–$259,700 / yearHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. The role partners closely with Compliance leadership, business stakeholders, and enabling functions to translate compliance strategy into practical, executable programs-including ownership of core platforms, annual program requirements, and day‑to‑day compliance operations.
Program Manager, Medicare Stars & Quality Improvement (Remote in Michigan) Molina Healthcare IncProgram Manager, Medicare Stars & Quality Improvement (Remote in Michigan)Detroit, MIRemoteResponsible for leading and managing Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful quality improvement initiatives through design process to completion and outcomes measurement. Collaborates with cross-functional corporate and health plan teams on the development and implementation of enterprise Medicare Stars quality improvement (QI) programs and initiatives across the enterprise.
Senior Consultant - AI Strategist (remote) Guidehouse IncSenior Consultant - AI Strategist (remote)Detroit, MIRemote$113,000–$188,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.
Senior Acquisition Specialist (Remote) GCC Technologies LLCSenior Acquisition Specialist (Remote)Detroit, MIRemoteLeasing and Specialized experience requirements: Be familiar with Real Property Leasing, utilities contracts, sharing of space and other non-medical agreements (selling/sharing agreements, revokable licenses, interagency agreements), and hotel services for Veterans using procedures outlined in the FAR, VAAR, General Services Acquisition Manual (GSAM), General Services Acquisition Regulation (GSAR), public laws, and agency policy. Unless otherwise approved by the VA any SCS (who meets the 5 years' general experience requirement) who will be specializing in construction/AE requirements must also have the following experience: (1) 3 years of experience in developing AE solicitations and administrating AE contracts and modifications; (2) 3 years of experience developing construction solicitations and administering construction contracts and modifications.
Senior Talent Acquisition Business Partner - Joint Replacement (Remote) Stryker CorpSenior Talent Acquisition Business Partner - Joint Replacement (Remote)Kalamazoo, MIRemotePreferred qualifications Previous business-facing HR, HR COE, HR Operations, or role-related experience Full cycle sales recruiting experience in a corporate or agency environment Clinical, medical device, or similar industry experience Demonstrated experience working in a dynamic, rapidly evolving business with competing priorities. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
Commercial Title Searcher - OH (Remote) First American Financial CorpCommercial Title Searcher - OH (Remote)Detroit, MIRemoteFirst American's GO Title division provides global title and escrow production support across all channels within First American Title including the Mortgage Services, Commercial, Direct, and Agency divisions. Our inclusive, people-first culture has earned our company numerous accolades, including being named to the Fortune 100 Best Companies to Work For list for eleven consecutive years.
Clinical Research Associate (CRA) - Oncology (Remote) Merck & Co IncClinical Research Associate (CRA) - Oncology (Remote)Grand Rapids, MIRemote$96,200–$151,400 / yearConducts site visits including but not limited to validation visits, initiation visits, monitoring visits, close-out visits and records clear, comprehensive and accurate visit & non-visit contact reports appropriately in a timely manner. Works in partnership with GCTO country operations, finance, regulatory affairs, pharmacovigilance, legal and regional operations, HQ functional areas and externally with vendors and IRB/IECs and Regulatory Authorities in support of assigned sites.
Java Software Engineer - Remote iBoss CybersecurityJava Software Engineer - RemoteLansing, MIRemoteOur development scope extends from device specific driver, service, and communication protocols to cloud scalable connectivity and big data processing through third-party analytics tool integration and customer enterprise UI creation for security policy management. Leveraging a purpose-built cloud architecture backed by 230+ issued and pending patents and more than 100 points of presence globally, iboss processes over 150 billion transactions daily, blocking 4 billion threats per day.
NewIntermediate Acquisition Specialist (Remote) GCC Technologies LLCIntermediate Acquisition Specialist (Remote)Detroit, MIRemoteGCC Technologies, founded in 1997 with headquarters in Oakland, Maryland, is a fast growing service-disabled Veteran owned Small Business and HUBZone company with an outstanding record of performance providing more effective and efficient acquisition, business process, administrative and security services to multiple federal agencies. The U.S. Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Regional Procurement Office - Central (RPO-C) Network Contracting Office 16 has a need for Contract Support Services to assist with various procurement requirements.
NewTreasury Customer Service Representative 6-9 State of MichiganTreasury Customer Service Representative 6-9Dimondale, MIRemote$21.91–$32.20 / hourGreat Lakes and Great Times: Michigan boasts four Great Lakes, 11,000 inland lakes, 36,000 miles of rivers and streams, 20 million acres of forests, 100 state and national parks and recreation areas, 1,300 miles of bike trails, 6,500 miles of snowmobile trails, the second-most ski areas in the nation, 650 public golf courses, 600 campgrounds, and an international dark-sky park-just for starters. Additionally, the selected candidate must have a secure, safe and appropriate designated workspace that allows privacy and prevents distractions while performing the duties of this position, as well as secure and sufficient internet access of commercial cable or wireless broadband with minimum speeds of 25 Mbps download and 5 Mbps upload.
FHA Mortgage Origination Representative Contact Government Services LLCFHA Mortgage Origination RepresentativeDetroit, MIRemoteAt least two years working with FHA loans e.g.loan originator loan processor junior underwriter loan officer plus an additional year of customer service or contact center background or at least three years of loan origination working with conventional loans andor other government-backed loans e.g. For the past seven years weve been growing our government-contracting portfolio and along the way weve created valuable partnerships by demonstrating a commitment to honesty professionalism and quality work.
General Office Assistant 5-E7 - Customer Service Call Agent State of MichiganGeneral Office Assistant 5-E7 - Customer Service Call AgentMIRemote$1,628–$2,304.80 / weekGreat Lakes and Great Times: Michigan boasts four Great Lakes, 11,000 inland lakes, 36,000 miles of rivers and streams, 20 million acres of forests, 100 state and national parks and recreation areas, 1,300 miles of bike trails, 6,500 miles of snowmobile trails, the second-most ski areas in the nation, 650 public golf courses, 600 campgrounds, and an international dark-sky park-just for starters. If you selected that you have been dismissed within the last two years, resigned in lieu of dismissal within the last two years, were issued a disciplinary suspension within the last two years, are currently suspended with or without pay pending the outcome of an investigation, received a written reprimand within the last two years, received an unsatisfactory rating within the last two years, or signed a last chance agreement with MDHHS within the last two years, please provide an explanation below.
Marketing Manager (Departmental Manager 14) State of MichiganMarketing Manager (Departmental Manager 14)Lansing, MIRemote$35.28–$52.61 / hourGreat Lakes and Great Times: Michigan boasts four Great Lakes, 11,000 inland lakes, 36,000 miles of rivers and streams, 20 million acres of forests, 100 state and national parks and recreation areas, 1,300 miles of bike trails, 6,500 miles of snowmobile trails, the second-most ski areas in the nation, 650 public golf courses, 600 campgrounds, and an international dark-sky park-just for starters. Additionally, the selected candidate must have a secure, safe and appropriate designated workspace that allows privacy and prevents distractions while performing the duties of this position, as well as secure and sufficient internet access of commercial cable or wireless broadband with minimum speeds of 25 Mbps download and 5 Mbps upload.
Risk, Quality and Performance Analyst MaximusRisk, Quality and Performance AnalystGrand Rapids, MIRemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com .