515 Healthcare jobs in Redford

This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future.

Do you want to focus on daily prospecting to generate opportunities and build a funnel? You can do that. Ready to outline combinations of fiber-based solutions for new and existing healthcare accounts? As an Enterprise Strategic Account Specialist for Healthcare at Spectrum Business, you can do that.

Spectrum Business provides modern enterprise technology solutions that meet the unique needs of some of the country’s biggest brands. If you’re looking to build your most successful career, support client growth and work alongside intelligent, driven professionals, you can do that. We're ready to go all in on your future and create an engaging environment.

You resolve the technology and communication needs of healthcare providers. After completing our award-winning training, you partner with small to medium healthcare clients and provide dedicated account management.

WHAT OUR STRATEGIC ACCOUNT SPECIALISTS ENJOY MOST

• Complete our 10-week paid sales training that won a Brandon Hall Group gold award for excellence in Best Advance in Sales Enablement and Performance Tools.
• Consult with established and prospective clients to develop product solutions.
• Navigate healthcare procurement processes to set up successful sales.
• Deliver product proposals and presentations to decision-makers and conduct negotiations to close deals.
• Field-based sales roles have fluidity between home, client location and office locations. The expectation is that you are primarily out in front of clients.
• Self-generate leads using strategic prospecting techniques.
• Maintain accounts in Salesforce to report sales activities and client data.

WHAT YOU'LL BRING TO SPECTRUM BUSINESS

Required Qualifications

• Experience: Three or more years of sales experience as a proven sales performer selling data, voice cloud or video solutions; Three or more years of outside telecommunications-related sales experience.
• Education: High school diploma or equivalent.
• Skills: Network-building, negotiation, closing and interpersonal English communication skills.
• Abilities: Quick learner with the ability to multitask.
• Availability: Travel to and from assigned territories and company facilities. Valid driver's license.

Preferred Qualifications

• Bachelor’s degree in a related field.
• Experience working in the healthcare vertical.
• History of selling telecommunications products B2B.
• Proficient in Microsoft Office.

SPECTRUM BUSINESS CONNECTS YOU TO MORE

• Embracing Diversity: A culture of excellence that celebrates diversity, innovative thinking and dedication to exceeding client expectations.
• Learning Culture: Company support in obtaining technical certifications.
• Dynamic Growth: Paid training and clearly defined paths to advance within the company.
• Total Rewards: Comprehensive benefits that encourage a work-life balance.

Apply now, connect a friend to this opportunity or sign up for job alerts! #LI-WJ1

SCM224 2025-59537 2025

Here, our employees don’t just have jobs, they're building careers. That’s why we offer a comprehensive pay and benefits package that rewards employees for their contributions to our success, supporting all aspects of their well-being at every stage of life.

A qualified applicant’s criminal history, if any, will be considered in a manner consistent with applicable laws, including local ordinances.

Get to Know Us Charter Communications is known by our Spectrum products and services, including: Spectrum Internet®, TV, Mobile and Voice, Spectrum Networks, Spectrum Business and Spectrum Reach. When you join our team, you’ll be keeping our customers connected to what matters most in 41 states across the U.S. Watch this video to learn more.
Grow Your Career Here We’re committed to growing a workforce that reflects the customers and communities we serve – providing opportunities for employment and advancement to all team members. Spectrum is an Equal Opportunity Employer, including job seekers with disabilities and veterans. Learn about Life at Spectrum.

We are:

We are a global collective of innovators applying the New every day to improve the way the world works and lives. New doesn't mean being ahead of the curve; new is pushing forward the curve, riding the edge where the impossible meets the transformational and making it reality where it matters. Help us show the world what's possible as you partner with clients to unlock hidden value and deliver innovative solutions. Empowered with innovative tools, continuous learning and a global community of diverse talent and perspectives, we drive success in a new business architecture that disrupts conventional practices. Our expertise spans 40+ industries across 120+ countries and impacts millions of lives every day. We turn ideas into reality.

You are :

An experienced UKG Dimensions Advanced Scheduler (Healthcare) Consultant/Solution Architect with a drive to succeed, a desire to learn, that will develop and grow our T&O UKG business.

The Work.

The UKG (Legacy Kronos) Advanced Scheduler Consultant for Healthcare works closely with teammates to ensure the maximum value of our clients' workforce management investment is achieved. Specifically, the primary objective for this role is to understand clients' current state and use expert knowledge and best practices to deliver solutions on time, within budget, and with exceptional quality. The UKG (legacy Kronos) Advanced Scheduler Consultant for Healthcare, leads large, complex workforce management strategic and implementation engagements and manages these projects to successful completion.

Job Responsibilities

+ Provides advanced-level knowledge of the UKG Dimensions or Workforce Central (Legacy Kronos Workforce Dimensions or Kronos Workforce Central) Advanced Scheduler module, specifically as it relates to clients in the healthcare industry

+ Leads all aspects of workforce management configurations, implementations, modifications and upgrades of time and attendance initiatives including gathering and defining requirements, gap analysis, design, development and support

+ Participates in and contributes to pre-sales and sales strategies

+ Facilitates complex working sessions for both internal and client teams, including defining strategic objectives and tailors these to meet client-specific needs as necessary

+ Creates detailed functional and technical design documents, including test plans, test cases, user training documents and implementation documentation

+ Analyzes complex data or facts and summarizes and presents findings in a compelling way

+ Provides thought leadership to develop new or improved processes, methodologies, systems, tools and/or services to enhance clients' operating environment based on practical experience, optimal outcomes and best practices

+ Provides mentorship and knowledge transfer to our consulting base

+ Attends to administrative expense tracking and time keeping duties required for billing

+ Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements.

Here's what you need.

+ Minimum of 2 years of experience with the UKG Dimensions or Workforce Central (Legacy Kronos) Advanced Scheduler module

+ Minimum of 2 years of experience working in/with the healthcare industry

+ Bachelor's degree or equivalent (minimum 12 years' work experience). If Associate's Degree, must have equivalent (minimum 6-year work experience)

Bonus Points If.

+ Minimum of 5 years of experience presenting to executive-level audiences

+ Experienced in creating strategic communication pieces for executive-level audiences

+ Certified in UKG Dimensions or Workforce Central (Legacy Kronos Workforce Dimensions or Kronos Workforce Central) Advanced Scheduler module, with at least 2 years of related experience

+ Ability to work on complex, fast-paced projects in a collaborative team setting

+ Able to handle escalated issues, understand client needs and tailor solutions and responses to meet these needs

+ Ability to analyze complex data or facts, summarize findings, and present results in a compelling way

Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired in California, Colorado, District of Columbia, Illinois, Maryland, Minnesota, New Jersey, New York or Washington as set forth below. We accept applications on an on-going basis and there is no fixed deadline to apply.

Information on benefits is here. (

Role Location Annual Salary Range

California $63,800 to $96,000

Colorado 63,800 to 169,300

District of Columbia 68,000 to 180,300

Illinois 59,100 to 169,300

Minnesota 63,800 to 169,300

Maryland 59,100 to 156,800

New York/New Jersey 59,100 to 196,000

Washington 68,000 to 180,300

What We Believe

We have an unwavering commitment to diversity with the aim that every one of our people has a full sense of belonging within our organization. As a business imperative, every person at Accenture has the responsibility to create and sustain an inclusive environment.

Inclusion and diversity are fundamental to our culture and core values. Our rich diversity makes us more innovative and more creative, which helps us better serve our clients and our communities. Read more here (

Equal Employment Opportunity Statement

Accenture is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion or sexual orientation.

All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.

Accenture is committed to providing veteran employment opportunities to our service men and women.

For details, view a copy of the Accenture Equal Employment Opportunity and Affirmative Action Policy Statement ( .

Requesting An Accommodation

Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.

If you would like to be considered for employment opportunities with Accenture and have accommodation needs for a disability or religious observance, please call us toll free at 1 ( , send us an email ( or speak with your recruiter.

Other Employment Statements

Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.

Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.

Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process.

The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, 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 Company's legal duty to furnish information.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Care Team Representative

**Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence. Our Southfield office is located at:** **300 Galleria Officentre Southfield, MI 48034** **.**

**Entry-level, Care Team Representative**

Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?

+ A stable and consistent work environment in an office and/or virtual setting

+ A training program to learn how to help employees and customers from some of the world's most reputable brands.

+ An assigned mentor and manager who will guide you on your career journey.

+ Career development and promotional growth opportunities through increasing responsibilities

+ A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.

See what a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) ( & more about our Care Team: Care Team (ceros.com) ( PURPOSE OF THE ROLE:**

To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues with one call/one person response, and directing calls to appropriate escalation path as needed.

**ARE YOU AN IDEAL CANDIDATE?**

We are looking for enthusiastic and empathetic candidates that want to grow a career. Ideal candidates will thrive in a collaborative team environment, show motivation, and drive in their work ethic, are customer-oriented, naturally empathic and solution-focused.

**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**

+ Provide excellent customer service to external customers and internal support to an assigned team.

+ Act as a liaison between customers and team members; direct calls to appropriate escalation path as needed.

+ Provide detailed notes on phone calls, and track and code documentation according to standard processes.

+ Educate and inform customers about processes, timelines and status of inquiries via multiple communication channels.

+ Resolve issues with one call/ one-person responses.

+ Investigate customer feedback.

+ Track trends

+ Assist with developing corrective/preventative actions.

+ Perform administrative tasks.

**QUALIFICATIONS**

+ Education & Licensing: High school diploma or GED required.

+ Skills: Strong oral and written communication, computer literate - including Microsoft Office, organizational skills required

+ PC literate, including Microsoft Office products, Windows environment.

+ Must meet minimum typing requirements.

+ Experience: Clerical or customer service experience or equivalent combination of education and experience preferred

**TAKING CARE OF YOU**

+ Entry-level colleagues are offered a world class training program with a comprehensive curriculum.

+ An assigned mentor and manager that will support and guide you on your career journey.

+ Career development and promotional growth opportunities

+ A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more.

**APPLICATION PROCESS**

You will complete a recorded video interview as part of our application process. Upon completion of the video interview and application submittal, you will receive an email confirmation that your application was successfully completed. If you do not receive an email notification, please log back into your candidate account and submit your application. Our team will give careful consideration while reviewing your application and information you provided against the position's criteria. If there is mutual interest, we will contact you directly.

Work environment requirements for entry-level opportunities include -

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking.

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

#entrylevel

#contactcenterrep

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**

**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

Description:

Up to $10,000 Sign on Bonus, based on relevant experience

DMC Detroit Receiving Hospital, Michigan's first Level I Trauma Center, helped pioneer the evolution of emergency medicine and currently has one of the busiest and most well-equipped emergency departments anywhere. The first and largest verified burn center in the state is at Receiving, and it is one of only 43 in the nation. Receiving also offers the state's leading 24/7 hyperbaric oxygen program, Metro Detroit's first certified primary stroke center, and the nationally recognized and accredited DMC Rosa Parks Geriatric Center of Excellence.

JOB DESCRIPTION

The Detroit Medical Center (DMC) Registered Nurse (RN) is a member of the Patient Care Services Team, and is responsible for the satisfactory completion of nursing care by the nursing team. The RN manages and provides patient care activities for a group of patients and their families through application of independent judgment, communication and collaboration with all team members including ancillary and support services. The role of the Registered Nurse at the DMC encompasses leadership, partnership, collaboration, teaching and supervision.

The DMC RN:

* Establishes and maintains collaborative relationships with physicians and other health care providers
* Delegates, assesses, provides and evaluates patient care
* Provides and delegates patient care activities to team members
* Monitors patient progress and prepares patient for discharge
* Reports directly to senior unit management and participates in shared decision-making activities

Qualifications:

MINIMUM QUALIFICATIONS

1. Graduation from a school of nursing required.

2. BSN preferred.

3. Licensed to practice as a Registered Nurse (RN) in the state of Michigan required.

4. American Heart Association (AHA) BLS required.

Job: ER

Primary Location: Detroit, Michigan

Facility: DMC Receiving Hospital

Job Type: Full Time

Shift Type: Night



Apply Now

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan medicine is comprised of over 26,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

Hourly range for Registered Nurses $41.78-$4.81 / hour

* Evening Shift Differential- 3.00 / hour
* Night Shift Differential- 4.00 / hour
* Day Shift Weekend Differential- 2.90 / hour
* Evening Shift Weekend Differential- 5.90 / hour
* Night Shift Weekend Differential- 6.90 / hour
* Charge Nurse Differential- 1.00 / hour

The benefit package includes:

* Excellent medical, dental and vision coverage
* 2:1 Match on retirement savings and immediate vesting
* Generous Paid Time Off Allowances
* Robust Tuition and Certification support programs
* Large offering of no cost CEs and professional development for advancement

Responsibilities*

This 15 bed adult ICU cares for patients on the Neurology and Neurosurgery services. Medical problems most often treated in this unit are: post-operative craniotomies for brain tumors, cerebral aneurysms, intracranial hemorrhage or hematomas, severe head and/or spinal cord trauma, increased intracranial pressure, Myasthenia Gravis and Guillian-Barre's syndrome.

The 4D Neuro ICU has been awarded the AACN Beacon Award for excellence!

This job posting 267630 replaces 267583.

Nursing Specific Info

This UMPNC RN posting is posted as Nursing Framework LEVEL C.

Actual Nursing Framework LEVEL and salary will be determined at time of hire.

Nursing Framework levels range from Level A to Level F.

Required qualifications must be met by the candidate in order to be interviewed and considered for the position. Posting may be filled after the initial 5-day posting period. Applicants who have left the UMPNC bargaining unit must include on their resume dates of past employment including months and years of service along with effort. Positions less than 20 hours/week may be combined.

If you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at ( .

Required Qualifications*

* Current Michigan RN license for all candidates that have passed the NCLEX
* Two (2) years of ICU RN experience within the last five (5) years.
* ACLS certification is required or within six (6) months of hire date

Note: In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment.

RESUME REQUIRED (for both internal & external applicants):

You must attach a complete and accurate resume to be fully considered for this position.

Desired Qualifications*

* BSN preferred
* Moderate care or ICU experience
* PACU experience
* Charge nurse experience
* Post operative surgical patient population experience
* Experience with MiChart electronic documentation
* Demonstrated effective written and verbal communication skills
* Demonstrated ability to work in a team environment
* PCCN or CCRN certification

Work Schedule

Hours: 36 hours per week; every other weekend rotation.

Shift: Nights,12 hour shifts

All new employees will be expected to float to a designated unit(s) in times of low census.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes

Entech Medical Staffing is a trusted regional provider of specialized healthcare staffing solutions. We understand the challenges of today's job market and that's exactly what sets us apart. Our mission is to make your job search a positive, motivating experience. We believe our people are our greatest asset and we're committed to providing the tools, resources and support you need to achieve your career goals.

We are currently seeking part time, full time and PRN Home Health Aides (HHAs) and Certified Nursing Assistants (CNAs) with proven experience in Private Duty home care to provide compassionate, 1:1 support to our clients throughout Southeast Michigan.

Hourly Pay Range: $19-$20/hr

Requirements:

• Active CPR or BLS certification
• Reliable, compassionate and able to work independently

Preferred Requirements:

• Active Certified Nursing Assistant (CNA) certification
• Comfortable working around pets
• Current Driver's License

Preferred Experience:

• Spinal cord injury (SCI)
• Traumatic brain injury (TBI)
• Senior care
• Hoyer Lift
• Bowel Program
• Straight catheterization

Requisition #:201464

Location:Novi, MI 48374

Category:Nursing

Salary:$25.00 - $31.00 per hour

Position Details

Join a Company That Puts People First!

Licensed Practical / Vocational Nurse - LPN/LVN

We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we're proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here's what sets us apart:

Award-Winning Culture

* Indeed's Work Wellbeing Top 100 Company in 2024
* Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by Comparably

Why Join Us?

* Health, Dental, Vision and Company-Paid Life Insurance
* Paid Time Off Available
* Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts- we will work with your availability!
* 24/7 Local support from operators and clinicians
* Aveanna has a tablet in each patient's home allowing for electronic documentation
* Career Pathing with opportunities for skill advancement
* Weekly and/or Daily Pay
* Employee Stock Purchase Plan with 15% discount
* Employee Relief Fund
* Benefit eligibility can vary and is dependent upon employment status and employment location

We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn't just a provider of compassionate homecare to children and adults. We are a national leader.

Qualifications

* Must have and maintain an active, unencumbered license (LPN/LVN) in the state in which the clinician will practice
* Compact licenses must be transferred to your state of residence within 90 days
* Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary.
* TB skin test (current within last 12 months)
* Six months prior hands-on nursing experience preferred but not required
* Must have reliable transportation

Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.

Requirements

Position Overview

The Licensed Practical Nurse (LPN/LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.

Essential Job Functions

* Responsible for the delivery and coordination of quality patient care in compliance with physician orders.
* Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate.
* Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered.
* Participate, implement and update the nursing care plan.
* Takes appropriate nursing action based on assessment and achieves expected outcomes.
* Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk.
* Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act.
* Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards.
* Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient's nursing needs.
* Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations.

Requirements

* Graduate of an accredited school of nursing.
* Current, unrestricted state license as a Licensed Nurse in the state of practice
* Current CPR certification
* Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures

Additional state specific requirements:

* South Carolina - One (1) year of pediatrics experience
* California - One (1) year of experience required working under current nursing license
* Louisiana - One (1) year of experience required working as a licensed nurse
* Continuing Education as required by state

Preferences

* Six (6) months of recent experience as a Licensed Nurse in a clinical care setting
* Home health experience

Other Skills/Abilities

* Attention to detail
* Time Management
* Effective problem-solving and conflict resolution
* Good organization and communication skills

Physical Requirements

* Must be able to speak, write, read and understand English
* Must be able to travel
* Must be able to lift 50 pounds
* Must be able to sufficiently reposition patients and move equipment without assistance
* Prolonged walking, standing, bending, kneeling, reaching, twisting
* Must be able to sit and climb stairs
* Must have visual and hearing acuity
* Must have strong sense of smell and touch
* Must be able to sufficiently reposition patients and move equipment without assistance
* Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport

Environment

* Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
* Possible exposure to blood, bodily fluids and infectious diseases

Other Duties

* Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

**JOB DESCRIPTION**

**Job Summary**

Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.

**KNOWLEDGE/SKILLS/ABILITIES**

The Program Director is a key Quality Improvement (QI) leader within the organization, empowered to advise senior management and other departments on Quality strategies and initiatives. This is an individual contributor role that leads programs/projects in one or more of the following critical QI functional areas: HEDIS Performance Measurement, which conducts data collection, reporting and monitoring for key performance measurement activities; Quality Reporting, which develops reports to meet QI requirements and oversees the use of automated software tools and processes; Clinical Quality Interventions, which develops, implements and monitors the success of QI activities; and QI Compliance, which provides the strategic direction and implementation of corporate and/or Molina plan NCQA accreditation surveys and federal and state QI Compliance activities.

+ Serves as a QI subject matter expert and leads programs to meet critical Quality needs.

+ Manages QI programs with oversight from the Director, AVP and VP as needed.

+ Collaborates and facilitates activities with other units at Corporate and within Molina State Plans.

+ Provides direction for QI program activities with department leadership including leading Corporate quality initiatives that require timely follow-up, tracking and communication on an on-going basis.

+ Communicates with and escalates gaps and barriers in implementation and compliance to department leadership, including proposed resolution.

+ Monitors and tracks key quality indicators, programs, and initiatives to reflect the value and effectiveness of the quality program.

+ Develops and ensures that automated reporting and interventions tools are implemented effectively (through development, training and roll out).

+ Collaborates with Molina State Plans to identify areas and strategies for improved reporting and use of reporting tools.

+ Leads key Clinical Intervention activities including implementation of national and state-based Quality interventions, meeting state and federal intervention rules and aligned with best practices identified in literature and within Molina plans.

+ Works with Molina Plans and QI leadership to ensure that interventions are communicated, monitored, and reported on a timely basis to demonstrate program effectiveness.

+ Facilitates and builds high quality clinical care/services through relationships with key departments within Molina and at Molina plans.

+ Leads HEDIS Performance Measurement programs using knowledge, skills and technical expertise in performance measurement, data collection and reporting.

+ Maintains confidentiality and complies with the Health Insurance Portability and Accountability Act (HIPAA).

**JOB QUALIFICATIONS**

**Required Education**

Bachelor's Degree or equivalent combination of education and work experience.

**Required Experience**

+ Minimum of 7+ years relevant experience, including at least 5 years in health plan quality improvement.

+ Demonstrated knowledge of and experience with HEDIS programs.

+ 2 years Medicaid experience

+ 2 years Medicare experience

+ 3 years management experience

+ Operational knowledge and experience with Excel and Visio (flow chart equivalent).

+ Proficiency with data manipulation and interpretation.

+ NCQA Accreditation experience.

**Preferred Education**

Master's Degree or higher in a clinical field, IT, Public Health or Healthcare Administration.

**Preferred Experience**

+ HEDIS reporting or collection experience

+ CAHPS improvement experience

+ State QI experience

+ 3 years' experience in Reporting & Analytics

+ 3 years' experience in Health Care Industry

+ Quality program leadership and direction

**Preferred License, Certification, Association**

+ Certified Professional in Health Quality (CPHQ)

+ Nursing License (RN may be preferred for specific roles)

+ Certified HEDIS Compliance Auditor (CHCA)

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: $80,412 - $188,164 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Employment Type:**

Full time

**Shift:**

**Description:**

Responsible for coordinating denials with Patient Business Service (PBS) center and ensures compliant and complete clinical documentation, assists with denials and related audits, and identifies opportunities for revenue optimization. Investigates denials and root causes, which includes performing thorough chart reviews, providing education to clinical colleagues, and tracking of identified trends. Leverages clinical knowledge and standard procedures to ensure timely attention to denials as requested by PBS and applicable appeal data gathering. Responsible for retrospective charge reviews, and Outpatient CDI reviews and assistance with third party charge audits. May require travelling between locations within the region.

**MINIMUM QUALIFICATIONS**

**Licensure/Certification:**

Registered Nurse or Licensed Vocational Nurse/ Licensed Practical Nurse and graduate of an accredited school of nursing, plus at least four (4) years of nursing experience and two (2) years of charge audit, managed care or comparable patient payment processing experience preferred.

Must have current registration with the State Board of Nursing Examiners or have a temporary permit to practice nursing in the assigned state.

Bachelor's Degree preferred.

Must possess a demonstrated knowledge of revenue cycle and denial management functions. AAPC, AHIMA, CHRI certification/membership strongly preferred.

Knowledge of and experience in health care including government payers, applicable federal and state regulations, healthcare financing and managed care.

Knowledge of and experience in case management and utilization management.

Outpatient CDI experience preferred.

Knowledge of insurance and governmental programs, regulations, and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is required. Working knowledge of medical terminology, and medical record coding experience (ICD-9, CPT, HCPCS) are highly desirable.

Customer service background is required. Working knowledge of Electronic Health Records (EHR) is preferred.

Ability to interact effectively with multidisciplinary teams, including physicians and other clinical professionals internally and externally.

Must possess in-depth familiarity with third party billing requirements and regulations.

Excellent verbal and written communication and organizational abilities. Accuracy, attentiveness to detail and time management skills are required.

Must be comfortable operating in a collaborative, shared leadership environment.

Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

**Our Commitment**

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran