Medicaid Manager jobs in Detroit, MI

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Medicaid Coordinator
Olympia Group LLC - Detroit, MI
Medicaid Application Process. Accurately and with an attention for detail completes the Medicaid application (reapplication) to maximize access to the needed...
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Manager of Appeals & Grievances
Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member...
Health & Public Services - Utilization Management Manager
Accenture - 9,248 reviews - United States
Join Accenture and help transform leading organizations and communities around the world. The sheer scale of our capabilities and client engagements and the

Health Care QM Manager

Aetna - 2,063 reviews - Detroit, MI
It has interfaces with local plan executive leadership, Aetna Medicaid Quality Management, and the Michigan Department of Health and Human Services;...

Health Plan Operations Excellence Manager

UnitedHealth Group - 5,015 reviews - Southfield, MI 48076
Medicaid, CHIP, long term care and / or government health plan experience. Great sales are the result of strong purpose, conviction and pride – pride in your...

Manager of Appeals & Grievances

Molina Healthcare - 373 reviews - Troy, MI
Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member...

Manager

AF Group - Southfield, MI 48033
Knowledge of Center of Medicare & Medicaid Services (CMS) rules and regulations related to the Medicare and Medicaid and Affordable Care Act Commercial risk...

Manager of Medicare Quality and Outreach

Meridian Health Plan - 79 reviews - Detroit, MI
We provide government-based health plans (Medicare, Medicaid, and the Health Insurance Marketplace) in five different states (Michigan, Illinois, Indiana,...

Manager of Utilization Management

Meridian Health Plan - 79 reviews - Detroit, MI
Knowledge of Medicaid guidelines, medical necessity and benefit structure. We provide government-based health plans (Medicare, Medicaid, and the Health...

Project Specialist

Michigan Peer Review Organization - 2 reviews - Farmington Hills, MI
In addition, MPRO represents Michigan in Lake Superior Quality Innovation Network (QIN), which also serves Minnesota and Wisconsin under the Centers for...

Manager of Quality Standards

Meridian Health Plan - 79 reviews - Detroit, MI
We provide government-based health plans (Medicare, Medicaid, and the Health Insurance Marketplace) in five different states (Michigan, Illinois, Indiana,...

Admissions Director

Roseville - 5 reviews - Roseville, MI 48066
Job Summary The Admissions Manager is charged with the responsibility for managing the facility’s census by opening and maintaining accounts with insurers,
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Business Development Manager

Noridian Healthcare Solutions, LLC - 5 reviews - Detroit, MI
Primary markets include state Medicaid agencies, state government healthcare purchasers, federal healthcare. Sales or business development experience directly...
Director of Resource Management-Hospital
Executive Search Associates Inc. - United States
Performs review or patient's medical records (Medicare, Medicaid, Champus, Blus Cross and others as designated) to insured proper utilization of hospital...
Area Manager of Sales
Rotech - 253 reviews - Rochester Hills, MI 48309
Ensures the entire sales team is trained and knowledgeable with all Medicare regulations and is compliant with the Medicaid regulations in the states in which...
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