Credentialing Coordinator, Remote Trinity Health CorporationCredentialing Coordinator, RemoteLivonia, MIRemote$21.95–$32.92 / hourThis position is an integral part of the credentialing team and is responsible for following credentialing policies and procedures; maintaining an accurate physician data base; collecting data; and participating in development and implementation of changes to the credentialing processes. Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
Director, Community Pharmacy- Remote Opportunity Trinity Health CorporationDirector, 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.
Outpatient Complex Coder/Full Time/Remote Henry Ford HospitalOutpatient Complex Coder/Full Time/RemoteMIRemoteThe coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care.
**Manager- Outpatient Clinical Documentation Improvement/Full Time/Remote Henry Ford Hospital**Manager- Outpatient Clinical Documentation Improvement/Full Time/RemoteTroy, MIRemoteAs the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind one of the most critical functions in modern healthcare: ensuring documentation tells the full, accurate story of every patient encounter. Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to physicians, system leadership, management and staff.
Coding Complex Specialist/Full Time/Remote Henry Ford HospitalCoding Complex Specialist/Full Time/RemoteDetroit, MIRemoteThe CBO Coding Complex Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. GENERAL SUMMARY: Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes.
CBO Coding Specialist - Full Time Days - Remote (Michigan Residents) Henry Ford HospitalCBO Coding Specialist - Full Time Days - Remote (Michigan Residents)Detroit, MIRemoteThe CBO Coding Certified Specialist accurately abstracts information from the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation, and administrative decision making related to patient care. GENERAL SUMMARY: Under established coding principles and procedures reviews, analyzes, and validates the diagnostic and/or procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes.
Data Scientist II (Remote) MaximusData Scientist II (Remote)Detroit, 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. -Strong technical and analytical capabilities in data visualization tools such as Power BI or Tableau; SQL querying and database management; business analytics and reporting; predictive modeling and forecasting; and dashboard development.
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.
Outpatient Complex Coder(Surgical)/Full Time/Remote Henry Ford HospitalOutpatient Complex Coder(Surgical)/Full Time/RemoteTroy, MIRemoteThe coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care.
CBO Insurance Sr. Specialist - Full Time Days - Remote (Michigan Residents) Henry Ford HospitalCBO Insurance Sr. Specialist - Full Time Days - Remote (Michigan Residents)Troy, MIRemoteSpecialist is responsible for effectively and efficiently resolving complex accounts, acting as a subject matter resource for his/her functional area, coaching team members on account resolution workflows, and assisting the supervisor with team management. Specialist helps drive change by identifying areas where performance improvement is needed (for example, day-to-day workflow, education, process improvements, patient satisfaction).
Coordinator Charge Revenue Integrity - RIO (Remote) Trinity Health CorporationCoordinator Charge Revenue Integrity - RIO (Remote)Livonia, MIRemote$25.02–$37.53 / hourKnowledge of Ambulatory Payment Classification (APC), & Outpatient Prospective Payment System (OPPS) reimbursement structures & prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits & Discharged Note Final Billed (DNFB). Provides "at-elbow support" to ancillary departments including but not limited to; ensuring supply charges are appropriate captured (may include implants), identify duplicate charges and initiate appropriate communications when there are documentation and/or charge deficiencies or charge errors.
Education Specialist- Remote Community Health Center IncEducation Specialist- RemoteMIRemoteSpecific responsibilities include project management for a variety of educational interventions in various stages of planning and implementation; work with faculty to develop and enhance didactics and other educational materials; engagement with participants involved in the various interventions to build and maintain learning communities; tracking and monitoring of operational data including continuing education, survey administration, data collection; data analysis and reports for continual improvement of education interventions; software use for tracking participation of learners, organizations, faculty, and education materials, such as case presentations, video recordings, and other educational materials; and participation in proposal development, grant writing, poster presentations, and publications. The Weitzman Education Specialist is a key member of various education teams responsible for needs analysis, development, design, implementation and evaluation of educational interventions for health professions' residents and students, primary care providers, care team staff, and clinical, operational, and executive leaders in primary care and other health care organizations.
Board Certified Behavior Analyst Fully Remote BrightSpring Health ServicesBoard Certified Behavior Analyst Fully RemoteMIRemote$85,000–$90,000 / yearProfessional development benefits include: • CEU and professional development stipend • Conference and workshop opportunities • Support to create CEUs with a $500 bonus for presentations • Tuition reimbursement for graduate or professional degrees • Opportunities to participate in research projects and present at conferences • Internal growth opportunities and promotions. • Behavior Technician Career Pathway - We invest in our behavior technicians growth, offering a structured career pathway that includes skill development and opportunities for advancement, ensuring a highly trained and motivated team to support your clients.
Build Engineer - 100% Remote Georgia Tek SystemsBuild Engineer - 100% RemoteSouthfield, MIRemoteExperienced in defining, implementing or improving continuous integration and deployment workflow processes. Atlassian Tools Administration i.e. Jira/Jama/Confluence/FishEye.
Fiber Optic Splicer 2 (Remote) SOLV Energy LLCFiber Optic Splicer 2 (Remote)MIRemote$28.32–$35.40 / hourIn addition, candidate introductions or resumes can only be submitted to our internal talent acquisition recruiting team if a signed vendor agreement is already on file and the third-party recruiter or agency has received formal instructions from our internal talent acquisition team to submit candidates for a particular job posting. Experience in using Preformed Line Products, AFL, and corning splicing material, wall mount and rack mount enclosures, splicing cassettes, outside plant direct bury rated splicing enclosures and tray.
Specialist, Health Plan Provider Engagement (Remote in MI) Molina Healthcare IncSpecialist, Health Plan Provider Engagement (Remote in MI)Detroit, MIRemoteDrives provider participation in Molina risk adjustment and quality efforts (e.g., supplemental data, electronic medical record (EMR) connection, clinical profiles programs) and use of the Molina provider collaboration portal. Drives provider partner coaching and collaboration to improve Medicaid, Medicare and Marketplace quality performance and risk adjustment accuracy through consistent provider meetings, action item development, and execution.
Vice President, People & Culture (Remote) C3 IndustriesVice President, People & Culture (Remote)Ann Arbor, MIRemoteThis role serves as a strategic business partner to executive leadership and is accountable for workforce planning, HRIS and data governance, benefits strategy and cost management, labor relations, ESOP administration (if applicable), talent acquisition, compliance, compensation strategy, and organizational development. Monitor, analyze, and update C3 Industries' strategies and policies in response to evolving labor market trends – both within the cannabis sector and across broader industries – including areas such as remote work, hybrid work models, compensation, benefits, PTO, and AI in the workplace.
C# .NET Engineer - Specialty Channel Team (Remote) The WebstaurantStore IncC# .NET Engineer - Specialty Channel Team (Remote)Michigan, MIRemoteThis team supports the Clark Specialty Channel divisions by developing systems that power key areas of business, including e-commerce functionality, project management tools, and data analysis platforms. Cable or fiber internet connections (at least 75mbps download/10mbps upload) are preferred, as satellite connections often cannot support the technologies used to perform day-to-day tasks.
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.
NewTransformation Project Consultant I- Remote Opportunity Trinity HealthTransformation Project Consultant I- Remote OpportunityLivonia, MIRemote$100,205–$150,307 / yearKeeps departmental and/or divisional leadership, governance, steering teams, leadership councils, project managers, project teams and sponsors apprised through on-going routine communications, including, but not limited to, communication and training plans, routine and recurring reports, status meetings, formal presentations and accelerated or escalated communications as needs arise. Business operations disciplines include, but are not limited to, project/program management, financial management, contract performance management, process improvement, people leadership, workflow integration, technical and business communications, research/benchmarking, statistical analysis, change leadership and healthcare administration.