Medical Staff Supervisor Full-Time

4 weeks ago


Grand Rapids, Michigan, United States Corewell Health Full time
Job Summary

We are seeking a highly skilled Medical Staff Supervisor Full-Time to join our team at Corewell Health. This role is responsible for supervising the provider contract reimbursement set up and ensuring the configuration aligns with the provider payment and billing policies.

Key Responsibilities
  • Supervise Provider Contract Reimbursement: Ensure the configuration aligns with provider payment and billing policies.
  • Manage Department Objectives: Create, maintain, and monitor policies, procedures, metrics, and guidelines.
  • Collaborate with Teams: Work with provider network contracting and provider enrollment teams to ensure high levels of quality and efficient work.
  • Lead Problem-Solving: Accountable for resolution of implementation and support issues, and lead collaboration with support teams to troubleshoot and resolve escalated incidents.
  • Mentor and Train: Mentor new staff and less experienced team members, and serve as a role model for customer service excellence.
  • Stay Up-to-Date: Monitor federal regulatory changes and other appropriate sources for rule revisions associated with payment policies.
  • Lead Small-Scale Projects: Identify tasks, dependencies, responsibilities, quality checks, and milestones for small-scale project and process implementation.
  • Support Value Stream Teams: Analyze business functional details requirements for complex corporate initiatives and help articulate technical and business non-functional requirements.
  • Extensive Knowledge: Have extensive and comprehensive knowledge of business processes, including provider reimbursement methodologies, provider data, provider networks, and claims processing.
  • Strong Analytical Skills: Possess strong analytical and systems/relational analysis skills.
  • Facets Medical Agreement Application: Have knowledge of Facets Medical Agreement application and NetworX application.
Requirements
  • Bachelor's Degree: Bachelor's Degree or equivalent.
  • Experience: 3 years of relevant experience working with UB04 facility billing or professional CMS-1500 billing, 3 years of relevant experience working with provider reimbursement methods in Medicare/Medicaid/Commercial spaces, and 7 years of relevant experience using Microsoft applications including Word, PowerPoint, Excel, and Business Objects.
  • Skills: In-depth knowledge of Facets data structures, systems flows, and process flows, including knowledge of third-party integrated and target systems, and ability to use SQL for data to support decision-making.


  • Grand Rapids, Michigan, United States JW Marriott Downtown Full time

    Job OverviewAHC Hospitality is seeking a skilled Houseperson to join our team at the JW Marriott Downtown. As a key member of our housekeeping team, you will be responsible for maintaining the highest standards of cleanliness and organization in our guest floors and back-of-house areas.This is a full-time position with 1st shift hours, requiring weekend...


  • Grand Rapids, Michigan, United States Pine Rest Christian Mental Health Services Full time

    About the Role:We are seeking a dedicated and compassionate Part-time Assistant Supervisor to join our team at Pine Rest Christian Mental Health Services. As a key member of our staff, you will play a vital role in providing exceptional care and support to individuals with mental health needs.Key Responsibilities:Under general supervision, provide physical...

  • Front Line Supervisor

    4 weeks ago


    Grand Rapids, Michigan, United States Community West Credit Union Full time

    Job OverviewCommunity West Credit Union is seeking a highly skilled Front Line Supervisor to join our team at the Kentwood Branch. As a key member of our operations team, you will be responsible for training and supervising front-line staff, assisting the manager with daily operations, and providing exceptional member service.Key Responsibilities:Train and...


  • Grand Rapids, Michigan, United States Commonwealth Senior Living at Grand Rapids Full time

    Staff Scheduler/Medication AideThe Staff Scheduler/Medication Aide is a vital member of our team at Commonwealth Senior Living at Grand Rapids. This role is responsible for preparing and publishing the community schedule while ensuring proper staffing levels are maintained per regulation and overtime is minimized.Key Responsibilities:• Create and maintain...


  • Grand Rapids, Michigan, United States Wedgwood Christian Services Full time

    Job Title: Evening Campus SupervisorJob Summary:The Evening Campus Supervisor is responsible for managing the operations of all residential units during evening and weekend hours. This role requires strong leadership and communication skills, as well as the ability to work effectively with interdisciplinary teams.Key Responsibilities:Make regular rounds to...


  • Grand Rapids, Michigan, United States National Medical Association Full time

    OPPORTUNITY SUMMARYTrinity Health Medical Group is seeking a full-time inpatient Hematologist/Oncologist Physician Assistant or Nurse Practitioner to join our Lacks Cancer Center in Grand Rapids, Michigan.Key Highlights:Comprehensive, multi-disciplinary oncology service line with access to subspecialties including Radiation Oncology, Neuro Oncology, Surgical...


  • Grand Rapids, Michigan, United States Optalis Healthcare Full time

    Night Shift Supervisor Job SummaryThe Weekend Supervisor oversees the care management of a population of patients within an assigned clinical function. This role conducts the nursing process under the scope of the State's Nurse Practice Act of Registered Nurse or Licensed Practical Nurse licensure.The position coordinates resource utilization, timely and...


  • Grand Rapids, Michigan, United States United Methodist Retirement Communities Full time

    Job SummaryWe are seeking a skilled Direct Care Supervisor to join our team at Porter Hills Village. As a Direct Care Supervisor, you will be responsible for providing leadership and support to our team members, ensuring the unique needs of each resident are met with the highest degree of quality care.Key ResponsibilitiesProvide clinical guidance to Resident...


  • Grand Rapids, Michigan, United States Pine Rest Christian Mental Health Services Full time

    About the Role:We are seeking a skilled Mental Health Care Supervisor to join our team at Pine Rest Christian Mental Health Services. As a key member of our care team, you will be responsible for providing exceptional care and support to individuals with mental illness and developmental delays.Key Responsibilities:Provide physical and emotional care to...

  • Production Supervisor

    4 weeks ago


    Grand Rapids, Michigan, United States West Pharmaceutical Services Full time

    Job Summary:As a Production Lead at West Pharmaceutical Services, you will be responsible for self-directing operators with good leadership skills and assisting the Production Shift Supervisor in daily scheduling, operation, and evaluation of production staff. You will coordinate and assist in materials, production, quality, and documentation of raw...


  • Grand Rapids, Michigan, United States Grand River Aseptic Manufacturing Full time

    Job SummaryThe QC Supervisor - Microbiology is responsible for supporting and managing quality systems related to the manufacturing and testing of cGMP drug products. This role requires a strong understanding of pharmaceutical regulations and quality control procedures.Key ResponsibilitiesManage day-to-day prioritization of routine, in-process, stability,...


  • Grand Rapids, Michigan, United States Pine Rest Christian Mental Health Services Full time

    Job SummaryPine Rest Christian Mental Health Services is seeking an Assistant Supervisor to join our team. As an Assistant Supervisor, you will be responsible for providing a safe and secure environment for persons served and staff in both individual and group settings.You will collaborate in day-to-day planning/development of person served programming and...


  • Grand Rapids, Michigan, United States University of Michigan Health-West Full time

    University of Michigan Health-West is seeking a Practice Supervisor Office Team to oversee the administrative functions of the assigned practice site.The successful candidate will coordinate and supervise administrative, billing, and business functions, ensuring services contribute to the practice's efficiency and success.Key Responsibilities:Coordinate...


  • Grand Rapids, Michigan, United States Universal Health Services Full time

    Outpatient PHP Clinical Services SupervisorForest View Hospital is seeking a highly skilled Outpatient PHP Clinical Services Supervisor to join our team. As a key member of our clinical leadership team, you will be responsible for coordinating and overseeing the day-to-day delivery of PHP outpatient clinical provisions. This role requires strong clinical...

  • Production Supervisor

    1 month ago


    Grand Rapids, Michigan, United States Grand Traverse Container Full time

    Job SummaryGrand Traverse Container seeks a skilled Production Supervisor to lead our corrugated manufacturing department. As a key member of our team, you will be responsible for directing and coordinating activities to ensure timely and quality production.Key Responsibilities:Plan and execute manufacturing scheduling to meet customer needs.Communicate...

  • Medical Technician

    4 weeks ago


    Grand Rapids, Michigan, United States Alger Heights Full time

    Responsibilities and QualificationsWe are seeking a skilled Medical Technician to join our team at Alger Heights Senior Living Facility in Grand Rapids. As a Med Tech, you will play a vital role in providing exceptional care and support to our valued residents.Key Responsibilities:Assist residents with daily living activities such as transferring in and out...


  • Grand Rapids, Michigan, United States Pine Rest Christian Mental Health Services Full time

    Career Opportunity:Pine Rest Christian Mental Health Services is seeking a dedicated and compassionate Assistant Supervisor to join our team. As an Assistant Supervisor, you will play a vital role in providing exceptional care and support to our clients with mental illness and/or developmental delays.Key Responsibilities:Provide a safe and secure environment...


  • Grand Rapids, Michigan, United States The Salvation Army USA Central Territory Full time

    Job Summary:The Salvation Army USA Central Territory seeks an experienced Administrative Supervisor to oversee daily operations of the office. This role involves supervising staff, volunteers, and assisting with various duties.Key Responsibilities:• Welcome and direct visitors to the office• Maintain office equipment and order necessary supplies•...


  • Grand Rapids, Michigan, United States Allied Universal® Full time

    Job DescriptionSecure Your Future with Allied UniversalWe are seeking a highly skilled Security Site Supervisor to join our dynamic team at Allied Universal. As a Security Site Supervisor, you will be responsible for supervising and coordinating the delivery of quality security services to our valued customers.Key Responsibilities:Supervise site staff and...

  • Neuroscience Nurse

    4 weeks ago


    Grand Rapids, Michigan, United States Trinity Health Michigan Full time

    Job Summary:We are seeking a Registered Nurse, RN to join our Neuroscience Medical Surgical Unit at Trinity Health Grand Rapids. As a member of our interdisciplinary team, you will provide excellent patient care and facilitate all aspects of the patient visit experience.Responsibilities:Deliver evidence-based medicine and individualized patient...