Home Care Aide

61764 Pontiac, Michigan Help at Home

Posted 5 days ago

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**Help at Home is the nation's leading provider of in-home support to seniors. We are currently hiring in your community! Join our team TODAY and begin building your career in a high-demand industry.**
Start earning at least $18 per hour plus benefits including health insurance, paid holidays, and paid time off. Earn even higher pay with experience. Join our team and get rewarded for your expertise!
**Why should you join Help at Home?**
+ Flexible scheduling
+ Competitive Pay
+ Mileage reimbursement of $0.42 per mile
+ Direct deposit or cash card
+ Amazing benefits - health care, paid vacation, and more
+ Meaningful work with clients who need your help
+ Industry leader with 40+ years of history in a high-demand field
+ **Veteran-Friendly Employer** : We encourage veterans, active military, and their spouses to apply for positions. Our roles are flexible, and we value your experience and expertise.
**As a Home Care Aide, you'll work 1-on-1 with your clients inside their homes, and support them with the following types of activities:**
+ Light housekeeping, including organizing, laundry, and basic cleaning
+ Personal activities such as dressing, grooming, and assisting with meals
+ Running errands, grocery shopping, and accompanying your clients to appointments
**Eligibility Requirements:**
+ HS Diploma or GED, or at least 1 year of previous experience as a caregiver
+ Valid driver's license
+ Access to insured and reliable transportation
+ No experience is required, but candidates with a certified nursing assistant (CNA) certification are encouraged to apply
+ Dedication to professional development, including organizational and state-required training
_Caregivers must comply with state background screening requirements. Compensation, benefits, time off, and bonuses vary by state and location, so please ask for complete details at your interview._
**_Data Security and Privacy Statement_**
_At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including HIPAA and SOX where applicable. Your data will only be used to assess your employment suitability and won't be shared with unauthorized parties._
_We use strong security measures to protect your information from unauthorized access or disclosure. By submitting your application, you consent to this process. You can access, modify, or request deletion of your data by contacting us._
_Employees must adhere to our data protection policies and legal requirements to safeguard sensitive information._
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Healthcare/Insurance Instructional Designer

Troy, Michigan Health Alliance Plan of Michigan

Posted today

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Job Description

GENERAL SUMMARY:

The Instructional Designer–Trainer is responsible for designing, developing, and delivering engaging learning solutions across multiple formats, including web-based, instructor-led, blended, and virtual training. Collaborating closely with HAP's subject matter experts (SMEs), the Instructional Designer structures content to align with organizational goals and accommodate varying learner ability levels.

By applying adult learning principles, this role supports HAP's strategic objectives through both online and in-person instruction. Trainers work collaboratively to develop courseware, define learning objectives, create assessments, and lead content production efforts. Strong organizational and leadership skills are essential, along with a deep understanding of medical insurance products or medical billing, to ensure the delivery of high-quality training that meets HAP's business needs.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

  • Lead engaging instructional training sessions, both in person and remotely.
  • Develop proficiency in all aspects of HAP's business lines, products, and services.
  • Assess customer and learner needs in relation to business goals, ensuring training aligns with organizational goals.
  • Translate needs analysis into well-defined learning objectives and effective training strategies.
  • Create detailed design documentation, including storyboards, as needed.
  • Design training programs that address both learner skill development and business challenges.
  • Collaborate with subject matter experts to confirm and refine instructional content.
  • Incorporate hands-on practice opportunities to reinforce learning and competency development.
  • Develop assessments that accurately measure learner progress, including quality distracters and interactive exercises.
  • Tailor training complexity matches client expectations and contract requirements.
  • Participate in call calibrations and take live calls to keep firsthand knowledge of end-user experiences.
  • Maintain high-quality standards in all training materials and delivery methods.
  • Ensure all instructional design work meets customer expectations for excellence and aligns with project profitability goals.

EDUCATION REQUIRED:

  • Bachelor's degree in Instructional Design, Education, Instructional Technology, Adult Training, or another equivalent curriculum.
  • Related and relevant experience may be considered in lieu of academic requirements. Related experience is defined as six (6) years' experience in instructional design or end user training within the learning, insurance, healthcare or government regulated industry.

EXPERIENCE REQUIRED:

  • Minimum of three (3) years of experience in instructional design or end-user training within one or more of the following industries: insurance, and/or healthcare.
  • Minimum of three (3) years of experience in instructional design within the learning industry, taking part in all phases of the project life cycle and showing creative solutions for deliverables. Graduate degree experience is acceptable.
  • Proven track record in researching content, working with SME/S and transforming content into performance-based, engaging Web-based and/or classroom training.
  • Excellent analytical skills and the ability to convert information and needs into practical training deliverables.
  • Proven superior writing skills, including the ability to write concise, creative, and effective instruction, especially for training. Excellent computer skills.
  • Experienced scriptwriter with ability in creating complex, realistic scenarios for video and audio (off-the-shelf) is optimal.

SKILLS AND ABILITIES:

  • Lesson Planning & Curriculum Development – Designing structured and engaging learning experiences.
  • Classroom Management – Maintaining a productive and inclusive learning environment.
  • Adaptability – Adjusting teaching methods to accommodate different learning styles.
  • Active Listening – Understanding student needs and responding appropriately.
  • Public Speaking – Delivering engaging and confident presentations.
  • Leadership & Professionalism.
  • Mentorship & Coaching – Guiding learners toward personal and professional growth.
  • Problem-Solving – Addressing challenges in learning and classroom dynamics.
  • Time Management – Balancing instruction, preparation, and administrative tasks.
  • Continuous Learning – Staying updated on industry trends and best practices.
  • Cultural Competency – Creating an inclusive environment for diverse learners.
  • Excellent documentation skills.
  • Excellent verbal and written communication skills.
  • Self-directed and self-motivated.
  • Strong interpersonal skills and discretion.
  • Organizational and time management skills.
  • Problem solving and decision-making ability.
  • Strong understanding of HAP's health care delivery system.
  • Knowledge of HAP's benefits, riders, etc.
  • Knowledge of continuous improvement processes.
  • Strong understanding of the processes used with Client Services.
  • Quality improvement.
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2026 Summer Healthcare Operations Consultant Entry Level

Southfield, Michigan Plante Moran

Posted today

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Job Description

Count on us. Our "we-care" culture is more than just a motto; it's a promise. From day one, we prioritize your growth, well-being, and success. You can count on us to support your career journey and help you achieve your professional goals. Join us.

Count on us. Our "we-care" culture is more than just a motto; it's a promise. From day one, we prioritize your growth, well-being, and success. You can count on us to support your career journey and help you achieve your professional goals. Join us.

Our management consulting team focuses on our clients' critical business needs. From strategy to operations and everything in between, our integrated solution approach is designed to help enable and manage growth, leverage resources, and mitigate costs and risks.

Your role

No busy work here. As an intern, you'll be treated just like our entry level staff. You'll help instill confidence in organizations large and small by assuring their financial health. We'll give you the flexibility to craft healthcare operational and business solutions, not just spreadsheets. Your work will include, but not be limited to:

  • Work principally with the healthcare operations improvement team in developing and implementing operational and strategic process improvements with health systems.
  • Assist in the workflow redesign of health system operations using our proprietary CLEAR improvement methodology. CLEAR combines Change Management, Six Sigma and Lean tools to create meaningful process changes that drive sustainable improvement.
  • Assist in the strategic modeling, design and deployment of resources across the value-based care continuum in support of health system readiness for value based and alternative managed care payment models.
  • Apply skills in data analysis to evaluate trends and anomalies in client operations.
  • Research market trends and reporting on findings in support of client engagements.
  • Develop relationships with clients and demonstration professionalism and dedication to their needs.
  • Showcase meaningful interactions with staff at all levels as well as with our impressive repertoire of clients.

The qualifications

  • Detail-oriented leader with problem solving, communication, and analytical skills.
  • Master's or bachelor's degree in healthcare administration, public health, business administration, or a related field. Master's degree is strongly preferred.
  • Interest in pursuing a career in healthcare consulting.
  • Academic success (a minimum cumulative GPA of 3.0).
  • Staff members working onsite at healthcare clients will be required to have updated immunizations per client compliance requirements with federal workplace safety guidelines

This is a non-exempt position and may require work hours that exceed the standard 40-hour work week. This position may require some local, national, and occasional international travel.

What makes us different?

On the surface, we're one of the nation's largest audit, tax, consulting, and wealth management firms. But dig a little deeper, and you'll see what makes us different: we're a relatively jerk-free firm (hey, nobody 's perfect) with a world-class culture, consistent recognition as one of Fortune Magazine's "100 Best Companies to Work For," and an endless array of opportunities. At Plante Moran, diversity, equity and inclusion means that all staff members have equitable and fair opportunities to succeed, in an inclusive environment, with their individual, unique identities. So, what are you waiting for? Apply now.

Plante Moran enjoys a "Workplace for Your Day" model which, simply put, means we strive for flexibility and balance while staying true to our principally in-person model. We believe that face-to-face interactions are paramount for individual and collective development, but also encourage individuals to work with their supervisor and team to determine their optimal working environment each day.

Plante Moran is committed to a diverse workplace. We strive to create a culture where each person feels accepted and valued. We believe that each person's ultimate potential begins with first acknowledging their inherent dignity. When we can recognize — and celebrate — our many human differences, we're able to create a workplace where all staff feel a sense of belonging and an opportunity to succeed. This allows us to attract and retain the best talent, serve clients through diverse thinking, and better represent and support the various communities in which we live and work. Plante Moran is an Equal Opportunity Employer.

Plante Moran maintains a drug-free workplace.

Interested applicants must submit their resume for consideration using our applicant tracking system. Due to the high volume of interest in our positions, only candidates selected for interviews will be contacted. Candidates must be legally authorized to work in the United States without sponsorship, with the exception of qualified candidates who are bilingual in either Japanese and English or Chinese and English. Unsolicited resumes from search firms or employment agencies, or similar, will not be paid a fee and become the property of Plante Moran.

The specific statements above are not intended to be all-inclusive.

What makes us different?

On the surface, we're one of the nation's largest audit, tax, consulting, and wealth management firms. But dig a little deeper, and you'll see what makes us different: we're a relatively jerk-free firm (hey, nobody 's perfect) with a world-class culture, consistent recognition as one of Fortune Magazine's "100 Best Companies to Work For," and an endless array of opportunities. At Plante Moran, diversity, equity and inclusion means that all staff members have equitable and fair opportunities to succeed, in an inclusive environment, with their individual, unique identities. So, what are you waiting for? Apply now.

Plante Moran enjoys a "Workplace for Your Day" model which, simply put, means we strive for flexibility and balance while staying true to our principally in-person model. We believe that face-to-face interactions are paramount for individual and collective development, but also encourage individuals to work with their supervisor and team to determine their optimal working environment each day.

Plante Moran is committed to a diverse workplace. We strive to create a culture where each person feels accepted and valued. We believe that each person's ultimate potential begins with first acknowledging their inherent dignity. When we can recognize — and celebrate — our many human differences, we're able to create a workplace where all staff feel a sense of belonging and an opportunity to succeed. This allows us to attract and retain the best talent, serve clients through diverse thinking, and better represent and support the various communities in which we live and work. Plante Moran is an Equal Opportunity Employer.

Plante Moran maintains a drug-free workplace.

Interested applicants must submit their resume for consideration using our applicant tracking system. Due to the high volume of interest in our positions, only candidates selected for interviews will be contacted. Candidates must be legally authorized to work in the United States without sponsorship, with the exception of qualified candidates who are bilingual in either Japanese and English or Chinese and English. Unsolicited resumes from search firms or employment agencies, or similar, will not be paid a fee and become the property of Plante Moran.

The specific statements above are not intended to be all-inclusive.

For Colorado & Illinois Applicants:

We are pleased to offer eligible staff a robust benefits package. Eligibility and contribution requirements for some of these benefits vary based on the number of hours staff work per week. Highlights include health, dental, vision, disability and life insurance. These standard offerings are effective on the first of the month following your start date. In addition to this, eligible staff are able to take advantage of our Flexible Time Off and various pre-determined holidays as well as a 401(k) plan, flexible benefits plans, business-related travel expense, lodging and meal reimbursement for business-related use. A Pension plan is also available for eligible administrative and paraprofessional staff. A discretionary bonus plan is available for eligible staff. Plante Moran also offers Interns and Contractors the option to elect health insurance under our contingent staff medical plan as of the 1st of the month following 60 days of employment in addition to limited paid time sick time. Seasonal staff are not eligible for benefits.

Compensation is commensurate with technical skills and experience is provided in accordance with applicable state requirement. Compensation information posted is based on a position being located in the state of CO or IL. Please review the position location for the applicable geographic location.

Under Colorado's Job Application Fairness Act, you have the right to redact from any documents that you submit in connection with your application information that identifies your age, date of birth, or dates of attendance at or graduation from an educational institution. Should you wish to exercise your right to redact such information, please redact it prior to submitting documentation.

Colorado monthly base range is as follows: $6, $,667.00

Illinois monthly base range is as follows: 6, 6,750.00

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2026 Summer Healthcare Operations & Value Based Care Consulting Intern SOUT

Southfield, Michigan Plante Moran

Posted today

Job Viewed

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Job Description

Count on us. Our "we-care" culture is more than just a motto; it's a promise. From day one, we prioritize your growth, well-being, and success. You can count on us to support your career journey and help you achieve your professional goals. Join us.

Make your mark. Our management consulting team focuses on our clients' critical business needs. From strategy to operations and everything in between, our integrated solutions approach is designed to help enable and manage growth, drive improvements to the quality of care, leverage critical resources, and mitigate costs and risks.

Your role.

No busy work here. As an intern, you'll be treated just like our entry level staff. You'll help instill confidence in organizations large and small by assuring their financial health. We'll give you the flexibility to craft healthcare operational and business solutions, not just spreadsheets. Your work will include, but not be limited to:

  • Work principally with the healthcare operations improvement team in developing and implementing operational and strategic process improvements with health systems.
  • Assist in the workflow redesign of health system operations using our proprietary CLEAR improvement methodology. CLEAR combines Change Management, Six Sigma and Lean tools to create meaningful process changes that drive sustainable improvement.
  • Assist in the strategic modeling, design and deployment of resources across the value based care continuum in support of health system readiness for value based and alternative managed care payment models.
  • Apply skills in data analysis to evaluate trends and anomalies in client operations.
  • Research market trends and reporting on findings in support of client engagements.
  • Developing relationships with clients, demonstrate professionalism and dedication to clients.
  • Meaningful interactions with staff at all levels as well as with our impressive repertoire of clients.

The qualifications.

  • Detail-oriented leader with problem solving, communication, and analytical skills.
  • Pursuing a master's degree in healthcare administration, public health, business administration, or a related field. Bachelor's degree required. Master's degree is strongly preferred.
  • Interest in pursuing a career in healthcare consulting.
  • Academic success (a minimum cumulative GPA of 3.0).
  • Staff members working onsite at healthcare clients will be required to have updated immunizations per client compliance requirements with federal workplace safety guidelines

What makes us different?

On the surface, we're one of the nation's largest audit, tax, consulting, and wealth management firms. But dig a little deeper, and you'll see what makes us different: we're a relatively jerk-free firm (hey, nobody 's perfect) with a world-class culture, consistent recognition as one of Fortune Magazine's "100 Best Companies to Work For," and an endless array of opportunities. At Plante Moran, diversity, equity and inclusion means that all staff members have equitable and fair opportunities to succeed, in an inclusive environment, with their individual, unique identities. So, what are you waiting for? Apply now.

This is a non-exempt position and may require work hours that exceed the standard 40-hour work week. This position may require some local, national, and occasional international travel.

What makes us different?

On the surface, we're one of the nation's largest audit, tax, consulting, and wealth management firms. But dig a little deeper, and you'll see what makes us different: we're a relatively jerk-free firm (hey, nobody 's perfect) with a world-class culture, consistent recognition as one of Fortune Magazine's "100 Best Companies to Work For," and an endless array of opportunities. At Plante Moran, diversity, equity and inclusion means that all staff members have equitable and fair opportunities to succeed, in an inclusive environment, with their individual, unique identities. So, what are you waiting for? Apply now.

Plante Moran enjoys a "Workplace for Your Day" model which, simply put, means we strive for flexibility and balance while staying true to our principally in-person model. We believe that face-to-face interactions are paramount for individual and collective development, but also encourage individuals to work with their supervisor and team to determine their optimal working environment each day.

Plante Moran is committed to a diverse workplace. We strive to create a culture where each person feels accepted and valued. We believe that each person's ultimate potential begins with first acknowledging their inherent dignity. When we can recognize — and celebrate — our many human differences, we're able to create a workplace where all staff feel a sense of belonging and an opportunity to succeed. This allows us to attract and retain the best talent, serve clients through diverse thinking, and better represent and support the various communities in which we live and work. Plante Moran is an Equal Opportunity Employer.

Plante Moran maintains a drug-free workplace.

Interested applicants must submit their resume for consideration using our applicant tracking system. Due to the high volume of interest in our positions, only candidates selected for interviews will be contacted. Candidates must be legally authorized to work in the United States without sponsorship, with the exception of qualified candidates who are bilingual in either Japanese and English or Chinese and English. Unsolicited resumes from search firms or employment agencies, or similar, will not be paid a fee and become the property of Plante Moran.

The specific statements above are not intended to be all-inclusive.

For Colorado & Illinois Applicants:

We are pleased to offer eligible staff a robust benefits package. Eligibility and contribution requirements for some of these benefits vary based on the number of hours staff work per week. Highlights include health, dental, vision, disability and life insurance. These standard offerings are effective on the first of the month following your start date. In addition to this, eligible staff are able to take advantage of our Flexible Time Off and various pre-determined holidays as well as a 401(k) plan, flexible benefits plans, business-related travel expense, lodging and meal reimbursement for business-related use. A Pension plan is also available for eligible administrative and paraprofessional staff. A discretionary bonus plan is available for eligible staff. Plante Moran also offers Interns and Contractors the option to elect health insurance under our contingent staff medical plan as of the 1st of the month following 60 days of employment in addition to limited paid time sick time. Seasonal staff are not eligible for benefits.

Compensation is commensurate with technical skills and experience is provided in accordance with applicable state requirement. Compensation information posted is based on a position being located in the state of CO or IL. Please review the position location for the applicable geographic location.

Under Colorado's Job Application Fairness Act, you have the right to redact from any documents that you submit in connection with your application information that identifies your age, date of birth, or dates of attendance at or graduation from an educational institution. Should you wish to exercise your right to redact such information, please redact it prior to submitting documentation.

Colorado hourly rate range is as follows: $ $6.00

Illinois hourly rate range is as follows: 36.00.

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Healthcare Contract Specialist

Detroit, Michigan Zodiac Solutions

Posted today

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Job Description

Job Title: Healthcare IT Contract Specialist

Location: Fully Remote (Must be local to Southeast Michigan)

Contract Length: 13 Weeks

Schedule: Monday – Friday, 9:00 AM – 5:00 PM (8x5)

Pay Rate: $30/hour

Start Date: ASAP

Job Overview:

We are seeking a detail-oriented and experienced Healthcare IT Contract Specialist to join our team on a 13-week contract basis. This fully remote position supports the development, negotiation, renewal, and compliance of IT contracts—ensuring alignment with internal policies and healthcare industry standards. The ideal candidate will bring 2–3 years of contracts experience and have healthcare industry knowledge to assist in contract mapping and amendment processes for applications used across Ascension health systems.

Key Responsibilities:

  • Support the full contract lifecycle: development, execution, renewal, and compliance monitoring.
  • Collaborate with IT Contracts Manager, business stakeholders, legal teams, and IT leadership.
  • Analyze and negotiate IT contract terms including SLAs, KPIs, and service provisions.
  • Review, revise, and maintain IT contracts in alignment with organizational policies.
  • Monitor contractual performance and key deadlines, ensuring ongoing compliance.
  • Advise IT leaders on contract terms, obligations, and potential risks.
  • Prepare reports on contractual activity for leadership and stakeholders.
  • Work with legal counsel to reduce risk and ensure appropriate contract structures.
  • Support internal audits and drive process improvements in contract workflows.
  • Act as a senior team member, providing guidance to junior contract specialists.

Qualifications:

Required:

  • Bachelor's degree in Business Administration, Information Systems, or Supply Chain Management.
  • Minimum 2–3 years of experience in contract review and negotiation.
  • Experience working with healthcare contracts (e.g., clinics, hospitals, health insurance).
  • Familiarity with medical and technical acronyms.
  • Must be local to Southeast Michigan (occasional onsite meetings may be required).

Nice to Have:

  • 5+ years of contracts experience.
  • Prior experience working with IT contracts or in healthcare IT settings.

Additional Notes:

  • This role involves mapping and amending 700–800 application contracts used by Ascension.
  • Must be comfortable negotiating and handling contract modifications.
  • Strong communication and relationship-building skills required.

Job Type: Contract

Pay: $30.00 per hour

Expected hours: 40 per week

Benefits:

  • Health insurance
  • Paid time off

Application Question(s):

  • Do you have at least 2–3 years of experience reviewing, negotiating, and managing IT or healthcare-related contracts?
  • Have you worked with contracts in a healthcare setting (e.g., hospitals, clinics, or health insurance)?
  • Are you currently located in Southeast Michigan and able to attend occasional onsite meetings if required?
  • Do you have Bachelor's degree in one of the following fields?

Business Administration

Information Systems

Supply Chain Management

Work Location: Remote

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Global Operations Lead, HCP Engagements - Managed Services Health PLS

48208 Detroit, Michigan PwC

Posted today

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Job Description

**Specialty/Competency:** Managed Services
**Industry/Sector:** Not Applicable
**Time Type:** Full time
**Travel Requirements:** Up to 40%
At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions. They help organisations navigate complex regulatory landscapes and enhance their internal controls to mitigate risks effectively.
As a risk management generalist at PwC, you will provide advisory and practical support to teams across a wide range of specialist risk and compliance areas.
Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver quality results. You motivate and coach others, coming together to solve complex problems. As you increase in autonomy, you apply sound judgment, recognising when to take action and when to escalate. You are expected to solve through complexity, ask thoughtful questions, and clearly communicate how things fit together. Your ability to develop and sustain high performing, diverse, and inclusive teams, and your commitment to excellence, contributes to the success of our Firm.
Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
+ Craft and convey clear, impactful and engaging messages that tell a holistic story.
+ Apply systems thinking to identify underlying problems and/or opportunities.
+ Validate outcomes with clients, share alternative perspectives, and act on client feedback.
+ Direct the team through complexity, demonstrating composure through ambiguous, challenging and uncertain situations.
+ Deepen and evolve your expertise with a focus on staying relevant.
+ Initiate open and honest coaching conversations at all levels.
+ Make difficult decisions and take action to resolve issues hindering team effectiveness.
+ Model and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.
PwC is seeking a motivated and experienced professional at the Senior Manager level to join our HCP Engagement Managed Services Operations team. This role will lead the global, end-to-end operations for HCP engagement managed services for a client with accountability for operational excellence, compliance, and client success. The ideal candidate will bring deep life sciences compliance and operational expertise with skills in project management, client relationship building, and team leadership.
Minimum Degree Required
Bachelor's Degree
Minimum Year(s) of Experience
7 year(s) experience in life science meetings & events, pharmaceutical device or healthcare operations setting
Degree Preferred
Master's Degree
Certification(s) Preferred
CMP or HMCC
Preferred Knowledge/Skills
Demonstrates extensive knowledge and/or a proven record of success in the following areas:
+ HCP, HCO and Patient Engagement Operations
+ Mentoring junior team members;
+ Monitoring financials and maintain budget profitability;
+ Monitoring and managing other responsibilities not necessarily listed but logically inherent to the role;
+ Learning and supporting testing for tools on expanded areas of HCP, HCO or Patient engagement;
+ Logically, and critically evaluating HCP, HCO and Patient engagement and follow process steps;
+ Managing deliverables on or ahead of deadlines and reporting any issues/risks beforehand;
+ Working with global tech team and developers on application modification and bug fixes;
+ Leading teams of individuals with a positive attitude;
+ Communicating with senior leadership and senior client stakeholders;
+ Delivering consistent "white glove" customer service;
+ Contributing to the development of accelerators and knowledge assets for HCP engagement and SaaS implementations;
+ Strong research skills;
+ Experience contracting is preferable;
+ Financial acumen for reconciling budgets;;
+ Has strong attention to detail;
+ Familiarity with Advanced Excel and Power BI;
+ Strong English language reading comprehension and writing skills;
+ Ability to work in a fast-paced environment, with a strong emphasis on quality and accuracy.
Learn more about how we work: does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. 
For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.
Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: salary range for this position is: $124,000 - $280,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link:
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Healthcare Operations Intern (Reporting & Analytics) - REMOTE

48208 Detroit, Michigan Molina Healthcare

Posted 2 days ago

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Job Description

**JOB DESCRIPTION**
**Job Summary**
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina's culture, Mission and Values.
**KNOWLEDGE, SKILLS & ABILITIES**
**Implementation Support:** Works to support management and teams through following job duties for implementation support:
+ Provides support with analytical, problem solving, including definition and documentation, business workflow analysis, specifications, requirements definition and documentation.
+ Supports documentation and changes to existing business processes. Helps to identify new opportunities for process developments and improvements.
+ Supports team on work plans and other deliverables for assigned areas utilizing approved templates and practices to ensure consistent content and format is maintained across department.
**Data Analytics:** Reviews data extracts from multiple sources of information and large data sets from a variety of systems to identify and analyze outliers.
+ Supports the work related to monitoring, tracking, and trending department data.
+ Supports preparation of state mandated reports and analysis.
**Preferred Experience**
+ Must possess clear and professional written, verbal and interpersonal communication skills.
+ Strong work ethic, self-motivated and ability to develop relationships.
+ Good time management, organizational and interpersonal skills required
+ Computer and data analysis experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.
+ Excellent critical thinking/problem solving skills
+ Ability to handle confidential information
+ Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)
**REQUIRED EDUCATION:**
+ Must be currently enrolled in an undergraduate or graduate program
+ Should be a freshman sophomore or junior
+ Minimum GPA of 3.0 or higher
+ Pursuing a degree in - Data Analytics, Healthcare or related field
+ Must have unrestricted authorization to work in the United States
+ Able to commit to the full-time, 10-week internship program from June 1st - August 7, 2026.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $21.66 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Healthcare Operations Intern (Reporting & Analytics) - REMOTE

48311 Sterling Heights, Michigan Molina Healthcare

Posted 2 days ago

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**JOB DESCRIPTION**
**Job Summary**
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina's culture, Mission and Values.
**KNOWLEDGE, SKILLS & ABILITIES**
**Implementation Support:** Works to support management and teams through following job duties for implementation support:
+ Provides support with analytical, problem solving, including definition and documentation, business workflow analysis, specifications, requirements definition and documentation.
+ Supports documentation and changes to existing business processes. Helps to identify new opportunities for process developments and improvements.
+ Supports team on work plans and other deliverables for assigned areas utilizing approved templates and practices to ensure consistent content and format is maintained across department.
**Data Analytics:** Reviews data extracts from multiple sources of information and large data sets from a variety of systems to identify and analyze outliers.
+ Supports the work related to monitoring, tracking, and trending department data.
+ Supports preparation of state mandated reports and analysis.
**Preferred Experience**
+ Must possess clear and professional written, verbal and interpersonal communication skills.
+ Strong work ethic, self-motivated and ability to develop relationships.
+ Good time management, organizational and interpersonal skills required
+ Computer and data analysis experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.
+ Excellent critical thinking/problem solving skills
+ Ability to handle confidential information
+ Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)
**REQUIRED EDUCATION:**
+ Must be currently enrolled in an undergraduate or graduate program
+ Should be a freshman sophomore or junior
+ Minimum GPA of 3.0 or higher
+ Pursuing a degree in - Data Analytics, Healthcare or related field
+ Must have unrestricted authorization to work in the United States
+ Able to commit to the full-time, 10-week internship program from June 1st - August 7, 2026.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $21.66 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Provider Contracts Manager (Health Systems)

48311 Sterling Heights, Michigan Molina Healthcare

Posted 2 days ago

Job Viewed

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Job Description

**_***Remote and must live in Michigan***_**
**Job Description**
**Job Summary**
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations.
Negotiates agreements with Complex providers who are strategic to the success of the Plan, including but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements.
**Job Duties**
This role negotiates contracts with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving custom reimbursement. Executes standardized Alternative Payment Method contracts. Issue escalations, network adequacy, Joint Operating Committees, and delegation oversight. Tighter knit proximity ongoing after contract.
- In conjunction with Director/Manager, Provider Contracts, negotiates Complex Provider contracts including but not limited to high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. Emphasis on number or percentage of Membership in Value Based Relationship Contracts.
- Develops and maintains provider contracts in contract management software.
- Targets and recruits additional providers to reduce member access grievances.
- Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region.
- Advises Network Provider Contract Specialists on negotiation of individual provider and routine ancillary contracts.
- Maintains contractual relationships with significant/highly visible providers.
- Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.
- Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.
- Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management, legal and VP level engagement as required.
- Educates internal customers on provider contracts.
- Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers.
- Participates with the management team and other committees addressing the strategic goals of the department and organization.
- Participates in other contracting related special projects as directed.
- Travels regularly throughout designated regions to meet targeted needs
**Job Qualifications**
**REQUIRED EDUCATION** :
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
- 5-7 years contract-related experience in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment.
- 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, i.e. physician, group and hospital contracting, etc.
- Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to: Value Based Payment, fee-for service, capitation and various forms of risk, ASO, etc.
**PREFERRED EDUCATION** :
Master's Degree in a related field or an equivalent combination of education and experience
**PREFERRED EXPERIENCE** :
3+ years in Provider Network contracting
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now

Provider Contracts Manager (Health Systems)

48093 Warren, Michigan Molina Healthcare

Posted 2 days ago

Job Viewed

Tap Again To Close

Job Description

**_***Remote and must live in Michigan***_**
**Job Description**
**Job Summary**
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations.
Negotiates agreements with Complex providers who are strategic to the success of the Plan, including but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements.
**Job Duties**
This role negotiates contracts with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving custom reimbursement. Executes standardized Alternative Payment Method contracts. Issue escalations, network adequacy, Joint Operating Committees, and delegation oversight. Tighter knit proximity ongoing after contract.
- In conjunction with Director/Manager, Provider Contracts, negotiates Complex Provider contracts including but not limited to high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. Emphasis on number or percentage of Membership in Value Based Relationship Contracts.
- Develops and maintains provider contracts in contract management software.
- Targets and recruits additional providers to reduce member access grievances.
- Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region.
- Advises Network Provider Contract Specialists on negotiation of individual provider and routine ancillary contracts.
- Maintains contractual relationships with significant/highly visible providers.
- Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.
- Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.
- Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management, legal and VP level engagement as required.
- Educates internal customers on provider contracts.
- Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers.
- Participates with the management team and other committees addressing the strategic goals of the department and organization.
- Participates in other contracting related special projects as directed.
- Travels regularly throughout designated regions to meet targeted needs
**Job Qualifications**
**REQUIRED EDUCATION** :
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** :
- 5-7 years contract-related experience in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment.
- 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, i.e. physician, group and hospital contracting, etc.
- Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to: Value Based Payment, fee-for service, capitation and various forms of risk, ASO, etc.
**PREFERRED EDUCATION** :
Master's Degree in a related field or an equivalent combination of education and experience
**PREFERRED EXPERIENCE** :
3+ years in Provider Network contracting
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
View Now
 

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