Medical Healthcare Jobs in Troy, Michigan

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173 Troy, MI Medical Healthcare jobs found on Monster.

Jobs 1 to 20 of 173
Job Summary Responsible for oversight and management of the Healthcare Services training functions, the Delegation Oversight Department and Medical Claims Review Department. Serves as MHC liaison for CBAS Community Based Adult Services. Assists with the development of health plan specific policies and procedures. Conducts various reporting and audit functions related to various lines of business s...
Job Summary Oversees the integrated Care Transition team responsible for safely and effectively transitioning Molina members from acute or inpatient care to lower levels of care and/or home in a cost efficient manner. Monitors information daily as appropriate including member metrics and staff productivity. Evaluates the services provided and outcomes achieved by the team and recommends enhancemen...
Full Time Wynwood of Troy - 4850 Northfield Parkway Troy, MI 48098 Looking for a RN with previous assisted living or skilled nursing supervisory experience, or a seasoned LPN with the same managerial background. A career with Brookdale has never been more rewarding! Brookdale is the only national full-spectrum senior living solutions company and committed to providing the best options for our o...
Molina Healthcare Inc Troy, MI
Job Summary Oversees the integrated Care Transition team responsible for safely and effectively transitioning Molina members from acute or inpatient care to lower levels of care and/or home in a cost efficient manner. Monitors information daily as appropriate including member metrics and staff productivity. Evaluates the services provided and outcomes achieved by the team and recommends enhanceme...
Molina Healthcare Inc Troy, MI
Job Summary Responsible for oversight and management of the Healthcare Services training functions, the Delegation Oversight Department and Medical Claims Review Department. Serves as MHC liaison for CBAS Community Based Adult Services. Assists with the development of health plan specific policies and procedures. Conducts various reporting and audit functions related to various lines of business ...
Molina Healthcare Inc Troy, MI
Job Summary Manages implementation and monitors progress of Healthcare Services programs designed to improve quality, control medical costs and ensure compliance with all state and federal regulations and guidelines. Collaborates with the integrated Healthcare Services team to ensure programs are standardized and provide optimal outcomes for Molina Healthcare Members. Provide clinical expertise a...
Job Summary Oversight and management of the day to day integrated team of health plan based staff responsible for cost effective delivery of healthcare services for Molina members. Works with the Vice President of Healthcare Services and the Healthcare Services team to develop and implement effective and efficient standards, protocols, processes, decision support systems, reporting and benchmarks ...
Job Summary Manages the day to day integrated team of health plan based staff responsible for cost effective delivery of healthcare services for Molina members. Oversees staff responsible for establishing clinical, financial and educational goals for members to achieve high quality patient care and optimal outcomes. Monitors information daily as appropriate including member metrics and staff produ...
Molina Healthcare Inc Troy, MI
Job Summary Manages the day to day integrated team of health plan based staff responsible for cost effective delivery of healthcare services for Molina members. Oversees staff responsible for establishing clinical, financial and educational goals for members to achieve high quality patient care and optimal outcomes. Monitors information daily as appropriate including member metrics and staff prod...
Molina Healthcare Inc Troy, MI
Job Summary Oversight and management of the day to day integrated team of health plan based staff responsible for cost effective delivery of healthcare services for Molina members. Works with the Vice President of Healthcare Services and the Healthcare Services team to develop and implement effective and efficient standards, protocols, processes, decision support systems, reporting and benchmarks...
Judge Healthcare is currently seeking a Chief Medical Director for a Premier Client in Troy MI. This job will have the following responsibilities: Serves as clinical adviser to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations. Oversees internal medical review guidelines to ensure clinical integrity and compliance ...
RN Director of Medical Management (UM&QM) Operations - Managed Care Greater Detroit, MI Area (Northwest Suburb) Your Job Summary: The Director of Medical Management (Utilization Management and Quality Management) Operations is responsible for strategically developing, coordinating, and implementing utilization and quality initiatives within the health plan. The Director of Medical Management Op...
MedTekCorp Troy, MI
Looking for highly motivated, driven, and hungry sales reps and account executives. This is an opportunity to make your own schedule and write your own paycheck. We have several models to compensate physicians and assist their practice in earning ancillary income and additional revenue through their current billing practices. You prospect and qualify the practices, we will help you close and trai...
MedTekCorp Troy, MI
Looking for highly motivated, driven, and hungry sales reps and account executives. This is an opportunity to make your own schedule and write your own paycheck. We have several models to compensate physicians and assist their practice in earning ancillary income and additional revenue through their current billing practices. You prospect and qualify the practices, we will help you close and trai...
MedTekCorp Troy, MI
Looking for highly motivated, driven, and hungry sales reps and account executives. This is an opportunity to make your own schedule and write your own paycheck. We have several models to compensate physicians and assist their practice in earning ancillary income and additional revenue through their current billing practices. You prospect and qualify the practices, we will help you close and trai...
MedTekCorp Troy, MI
Looking for highly motivated, driven, and hungry sales reps and account executives. This is an opportunity to make your own schedule and write your own paycheck. We have several models to compensate physicians and assist their practice in earning ancillary income and additional revenue through their current billing practices. You prospect and qualify the practices, we will help you close and trai...
CHC Consulting Troy, MI
Vice President-Medical Management Overall Purpose: Perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned health plan based on, and in support of the company’s strategic plan; establishing the strategic vision and attendant policies and procedures. Direct and coordinate activities of department and aid the Chief Officer of...
The Judge Group Troy, MI
Judge Healthcare is currently seeking a Chief Medical Director for a Premier Client in Troy MI. This job will have the following responsibilities: Serves as clinical adviser to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations. Oversees internal medical review guidelines to ensure clinical integrity and compliance ...
HealthCare Scouts, Inc. Troy, MI
Experience stability and long-term career growth with this industry leading Managed Care organization. We are currently seeking a Vice President of Medical Management that has a passion for establishing a strategic vision that includes policies and procedures for a growing health plan. As the Vice President of Medical Management, you will direct and coordinate activities in the department while ai...
The Judge Group Troy, MI
Judge Healthcare is currently seeking a Chief Medical Director for a Premier Client in Troy MI. This job will have the following responsibilities: Serves as clinical adviser to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations. Oversees internal medical review guidelines to ensure clinical integrity and compliance ...

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