NewLicensed Healthcare Insurance Agent - Remote USA TTECLicensed Healthcare Insurance Agent - Remote USAWarren, MIRemoteWebcam participation is expected during all instructor led TTEC and client required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration. Your training experience includes engaging, instructor led online sessions that use both webcam video and audio, so you can connect visually with trainers, leaders, and fellow teammates.
Senior Accountant, Outsourced Accounting - Healthcare Industry Clients Wipfli Advisory LLCSenior Accountant, Outsourced Accounting - Healthcare Industry ClientsSouthfield, MI, MichiganRemote$74,000–$100,000 / yearFull timeWipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEWarren, MIRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Independent Healthcare Recruiter (Remote) SYDIERA Healthcare StaffingIndependent Healthcare Recruiter (Remote)Detroit, MichiganRemoteAs an Independent Healthcare Recruiter, you’ll help connect qualified healthcare professionals with opportunities at healthcare organizations across a variety of care settings. SYDIERA Healthcare Staffing is seeking motivated, relationship-focused individuals to join our growing recruiter network.
Auditor, Healthcare Services (Remote in MI) Molina Healthcare IncAuditor, Healthcare Services (Remote in MI)Detroit, MIRemotePerforms audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
Aurora Response and Support Call Center (Healthcare/Mental Health) - Remote Aurora Community ServicesAurora Response and Support Call Center (Healthcare/Mental Health) - RemoteMIRemoteWe are seeking passionate and committed individuals to work in our call center; providing a one-stop resource for individuals needing a wide range of services, providing telephonic assistance with the Employee Achievement Program (EAP), Crisis Line, Scheduling/On Call, Injury Hotline, and Mental Health Support. For 40 years, Aurora has been a leader in providing customized services that support individuals with disabilities, chronic mental illness, and traumatic brain injuries in residential settings.
Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management) 3:15Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)Detroit, MIRemote$55,000–$65,000Assist patients in the navigation of their healthcare (example - assisting patients with scheduling appointments, coordinating with specialists, and ensuring preventative screenings are completed, etc.). We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselMIRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Healthcare Claims Quality Analyst Integra PartnersHealthcare Claims Quality AnalystTroy, MIRemoteFull timeThe Claims Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of departmental goals and initiatives, with a primary focus on claims auditing and claims-related interactions within the Revenue Cycle Management (RCM) function. Working knowledge of Revenue Cycle Management (RCM) workflows and downstream impacts (e.g., clean claim submission, edits, denials, appeals, payment posting/reconciliation) across commercial, Medicaid, and Medicare.
Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteDetroit, MIRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemoteDetroit, MIRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemoteDetroit, MIRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Master Social Worker - Clinical Specialty - Remote BetterHelpMaster Social Worker - Clinical Specialty - RemoteDetroit, MIRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Clinical Documentation Specialist Audit Coordinator (Remote) Trinity Health CorporationClinical Documentation Specialist Audit Coordinator (Remote)Livonia, MIRemote$41.43–$62.15 / hourDemonstrates understanding of and facilitates appropriate clinical documentation, to ensure that the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services provided are accurately reflected in the health record. Responsible for reviewing and/or auditing medical record clinical documentation to support the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services rendered to all patients.
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.
NewManager, Healthcare Sales Illumina IncManager, Healthcare SalesMIRemote$129,400–$194,000 / yearTo ensure a high level of liaison with other departments (e.g., Marketing, Customer Solutions) and local sales team & staff to ensure coordination of activities and understanding of common goals. Additionally, all employees are eligible for one of our variable cash programs (bonus or commission) and eligible roles may receive equity as part of the compensation package.
Transition of Care Coach (RN) Remote (Must Reside in Michigan) Molina Healthcare IncTransition of Care Coach (RN) Remote (Must Reside in Michigan)Detroit, MIRemoteEducates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives. Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
Senior Account Director, Healthcare InterdependenceSenior Account Director, HealthcareDetroit, MIRemotePaid Maternity Leave - We support growing families with paid maternity leave, giving new moms dedicated time to recover, bond with their baby, and return to work with confidence. The Senior Account Director will play a critical role in developing and executing comprehensive public relations strategies for our healthcare and pharmaceutical clients.
Healthcare Recruiter The Business TreeHealthcare RecruiterDetroit, MichiganRemoteJob Description: As a Healthcare Recruiter at The Business Tree, you will play a vital role in sourcing, screening, and selecting top-tier candidates for healthcare positions across various specialties. How to Apply: If you are passionate about healthcare recruitment and want to join a dynamic team at The Business Tree, please submit your resume and cover letter detailing your relevant experience and why you are a great fit for this role.
Employee Experience (EX) Advisor - Healthcare Press Ganey Associates LLCEmployee Experience (EX) Advisor - HealthcareMIRemote$81,000–$115,000 / 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. Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders.