Engineering Structures Jobs in Wayne County, MI
80 positions found — Page 4
Director of Quality
🏢 Adient
Salary not disclosed
Summary
The Director of Quality position has direct responsibility for the execution of Quality deliverables for their assigned Business Group. They will be responsible for Customer Interface, Craftsmanship and Warranty performance. Additional responsibilities include AQE, QE and QM staffing, training and performance reviews. Responsible for Supplier management and Quality performance.
Responsibilities:
- Prepare a monthly assessment of all quality deliverables for each program within the BU areas. Mitigate the risk of any missed quality deliverables with the execution of appropriate corrective action plans and glide paths.
- Review and approve Quality deliverables.
- Actively participate in Program Reviews, and Phase Exit Reviews, as well as PSMC and SSO in alignment with program timing.
- Function as the primary point of contact to the particular Customer for responding to quality issues, Potential Product Safety Concerns (PPSC), Quality Key measure performance and other “Customer Specific” initiatives. Develop key Customer relationships in the Supplier Quality Area.
- Communicate Customer issues, Adient‘s performance in the eyes of the Customer, and unique Customer quality systems / procedures to the appropriate individuals within Adient, and assure that appropriate actions are taken. Work for improvement in or maintaining Green Customer Score Cards.
- Ensure the successful implementation of Adient Quality Systems, and ensure continued certification to / complaints with IATF 16949, including customer specific requirements.
- Drive continuous improvement of Customer specific Warranty performance data. Ensure that the appropriate issues are identified, root cause determined and corrective actions implemented. Assure that known product quality concerns are addressed and improvement is measured on Glide path for Warranty.
- Develop QE resource budgets and staffing needs. Participate in the interview process, and add resources, as they are needed.
- Develop and execute Annual Development Plans, Performance Reviews, and succession plans for each AQE, QE and QM that is in the Business Unit.
- Participate in the quoting process to ensure that the appropriate quality resources and objectives are considered prior to receiving the business award.
- Ensure that all deliverables are completed on time and that any critical issues are identified and resolved in a timely manner.
- Support maintaining AMS Level 3 in production plans and develop plan to progress to Level 5 in alignment with Continuous Improvement plans.
Perform job functions in accordance with set policies and procedures to ensure preservation of the Company Quality Policy.
Education:
- A Bachelor’s Degree in a technical area is required (or equivalent experience).
- Specific education and training in Quality disciplines including (minimum) IATF 16949, VDA, Continuous Improvement, Total Quality Management, PPAP, FMEA, Control Plans, DOE, and SPC are also required.
- People development and leadership experience is required.
Experience:
- Advanced Quality Planning including familiarity with the AIAG Advanced Quality Planning and Control Plan standard, FMEA’s, PPAPs, Dimensional layouts, gage/fixture design, SPC, and Performance/Material testing.
- Advanced statistical concepts, design of experiments, and problem solving methodology
- Qualified as a Quality Systems auditor
- Certified in Six Sigma is preferred
- Professional Certification in Quality Engineering/Quality Management is preferred.
Not Specified
B
Components and Outsourced Manufacturing Buyer
Salary not disclosed
The candidate will be:
- Responsible for a group of Sub-Commodities for Components (springs, stamping, turned parts, plastic, rubber parts, pistons, electromechanical parts etc) and Outsourced Manufacturing (painting, coating materials, heating treatments etc);
- Working in a cross functional Team with the Global Purchasing Dept, Local Operations, Quality and Logistics;
- Responsible to develop and implement the purchasing strategy on Components and Outsourced Manufacturing in order to maximize the company’s results;
- Responsible to develop and design a proper supplier base in USA and Mexico in accordance to the guidelines of the Global Purchasing Manager, in terms of cost competitiveness, quality, service & innovation;
- Responsible to identify risks and opportunities involved in each sourcing process.
Professional Qualifications & experiences (Hard Skills)
- In-depth experience of Purchasing (NOT LOGISTICS OR PLANNING), at least 5 years, in a multi-country environment and complex Purchasing Organizations.
- Good knowledge and understanding of Purchasing best practice. Experience in buying Components and Outsourced Manufacturing services in an Automotive Companies and in-depth knowledge of the NA supply chain market.
- Ability to work in a truly global organization. Proven experience of working in a fast moving and result driven environment which demands to work under pressure most of the time.
Education / Languages
- Bachelor's degree preferably in Engineering, Manufacturing, Finance, Business or other relevant discipline.
Personal attributes
- Entrepreneurial skills in terms of innovation and problem solving
- Tenacity, tough-mindedness
- Ability to demonstrate strong commitment and team working abilities
- Strong level of autonomy
- Results- driven
- High level of negotiation, influencing and communication skills.
Not Specified
S
Purchaser
🏢 Sames
Salary not disclosed
Job Purpose
Responsible for purchase order entry, change orders, expediting, invoice and receipt discrepancy resolution, material planning and addressing supplier quality issues within the Purchasing and Materials Management department. Conduct all business in accordance with Sames Policy & Procedures and Materials Management procedures and philosophy.
Duties and Responsibilities
- Process purchase orders by entering data into our ERP system from material requirement programs and/or Buy Now requisitions.
- Monitor the Purchasing Inbox for supplier order confirmations and enter the confirmed dates into the ERP Purchasing system.
- Consult with Purchasing Management when order confirmations are not received or when expedite requests seem unfeasible.
- Monitor the Purchasing Expedite Inbox for internal expedite requests and attempt to implement those requests with suppliers.
- Support procedures on standard cost maintenance.
- Identify items requiring revisions in ordering quantity, re-order level, or economic order quantity, and refer them to Purchasing Management for review.
- Obtain and analyze quotations and recommend the best supplier for purchase order placement to Purchasing Management when it differs from the ERP system’s default supplier.
- Act as a liaison between suppliers and the internal engineering department for alternative substitutions when expediting orders.
- Work with Receiving, Payables, and suppliers to resolve paperwork or process discrepancies.
- Communicate Supplier Scorecard results to suppliers and work with them to improve performance in all areas of business.
- Occasionally visit suppliers to foster good working relations.
- Recommend new sources of supply or the removal of poorly performing suppliers.
- Arrange materials transport to ensure timely, cost-effective delivery, including handling vendor returns.
- Manage stocking levels and ordering of office, kitchen, and cleaning supplies.
- Department programs & initiatives: Participate in the annual inventory count and other programs.
Required Knowledge, Skills, and Abilities
- Proficient with computers, with intermediate skills in Microsoft Outlook, Word, and Excel, or strong beginner skills with the ability to learn quickly. Macola software a plus.
- 5+ years of Experience in Purchasing.
- Experience with ERP software for material planning and procurement. IFS software a plus.
- Experience with DDMRP, B2Wise software a plus.
- Excellent verbal and written communication skills.
- Integrity and ethical behavior adhere to the code of conduct and best practices. Takes accountability and shows initiative.
- Strong customer focus.
- Excellent response time and attention to detail.
- Ability to multi-task with outstanding organizational skills.
- Problem-solving skills. Leadership skills/training a plus.
- Strong supplier relationship management and negotiation skills.
- Experiencing analyzing spend, evaluating quotations beyond price (total cost of ownership).
- Ability to manage and adjust planning parameters (MOQ, lead time, safety stock).
- Proficiency in ERP systems with ability to extract/analyze data.
- Ability to interpret basic technical specifications or drawings (if applicable).
- Project management and cross-functional collaboration skills.
Formal Education and/or Training Required
- High school diploma or equivalent; associate degree or training in supply chain preferred.
- Leadership training a plus.
Working Environment and Physical Requirements
- Full-time in the office.
- Sitting for extended periods. Extensive computer work.
Direct Reports
- None.
SAFETY / HSE (required authorizations + broader needs)
- Know how to identify and react in dangerous situations
- Know how to analyze priority environmental and safety aspects and implement relevant actions
Sames North America is an equal opportunity employer. It is the policy of Sames to treat all applicants for employment and all team members in a manner that does not discriminate against them because of their race, religion, color, citizenship status, ancestry, sex, sexual orientation, gender identity, marital status, height, weight, arrest record, pregnancy, age, physical or mental disability, genetic information, or military or veteran status.
Not Specified
Houseparents, Full-Time - Relocation to Hershey, PA Required
Salary not disclosed
Description:
Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible by the generosity of Milton and Catherine Hershey, who established the school in 1909 and ensured it was fully endowed. Thanks to their foresight and generosity, the school has over 12,000 graduates and continues to expand to serve more students.MHS is hiring married couples to serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital role in creating a structured, family-like environment that fosters students’ academic, emotional, and social development so they can reach their full potential.Responsibilities include:
Providing daily supervision and mentorship
Managing household routines and student schedules
Administering medications and ensuring student wellness
Driving students to activities, as well as planning and actively engaging in developmental and recreational activities with students
Leading daily devotions and accompanying students to Sunday Chapel
Overseeing budgeting and household reporting
Upon hire, Flex Houseparents initially support various student homes and follow a working schedule of nine consecutive days on duty, followed by three days off. On weekdays, houseparents have unscheduled time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with the same group of students in their own student home.Benefits include:
Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more)
Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings
Relocation assistance and paid training provided
Paid time off provided at designated times throughout the year
Qualifications:
Qualifications include:
Experience working or volunteering with youth
This is a two-person role for couples legally married for at least two years
Both spouses must be age 27 or older
No more than three dependent children may reside in the student home
Commitment to a smoke-free and weapon-free campus; no alcohol permitted while on duty
Pet limitations: only fish and one dog of approved breeds allowed
Valid U.S. driver’s license and ability to become certified to drive student home vans
Comfort leading students in daily devotions and accompanying them to Judeo-Christian Sunday Chapel services (proselytizing prohibited)
High school diploma or GED required
Ability to lift to 50 lbs.
Demonstrated integrity and professionalism; MHS staff serve as role models for students
This is a unique, challenging, and rewarding career and life choice that requires a high level of commitment to student success from both spouses. For consideration, both spouses must complete individual employment applications. To learn more and apply, visit
Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible by the generosity of Milton and Catherine Hershey, who established the school in 1909 and ensured it was fully endowed. Thanks to their foresight and generosity, the school has over 12,000 graduates and continues to expand to serve more students.MHS is hiring married couples to serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital role in creating a structured, family-like environment that fosters students’ academic, emotional, and social development so they can reach their full potential.Responsibilities include:
Providing daily supervision and mentorship
Managing household routines and student schedules
Administering medications and ensuring student wellness
Driving students to activities, as well as planning and actively engaging in developmental and recreational activities with students
Leading daily devotions and accompanying students to Sunday Chapel
Overseeing budgeting and household reporting
Upon hire, Flex Houseparents initially support various student homes and follow a working schedule of nine consecutive days on duty, followed by three days off. On weekdays, houseparents have unscheduled time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with the same group of students in their own student home.Benefits include:
Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more)
Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings
Relocation assistance and paid training provided
Paid time off provided at designated times throughout the year
Qualifications:
Qualifications include:
Experience working or volunteering with youth
This is a two-person role for couples legally married for at least two years
Both spouses must be age 27 or older
No more than three dependent children may reside in the student home
Commitment to a smoke-free and weapon-free campus; no alcohol permitted while on duty
Pet limitations: only fish and one dog of approved breeds allowed
Valid U.S. driver’s license and ability to become certified to drive student home vans
Comfort leading students in daily devotions and accompanying them to Judeo-Christian Sunday Chapel services (proselytizing prohibited)
High school diploma or GED required
Ability to lift to 50 lbs.
Demonstrated integrity and professionalism; MHS staff serve as role models for students
This is a unique, challenging, and rewarding career and life choice that requires a high level of commitment to student success from both spouses. For consideration, both spouses must complete individual employment applications. To learn more and apply, visit
permanent
Houseparents - Relocation to Hershey, PA Required
✦ New 🏢 Milton Hershey School
Salary not disclosed
Description:
Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible by the generosity of Milton and Catherine Hershey, who established the school in 1909 and ensured it was fully endowed. Thanks to their foresight and generosity, the school has over 12,000 graduates and continues to expand to serve more students.MHS is hiring married couples to serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital role in creating a structured, family-like environment that fosters students’ academic, emotional, and social development so they can reach their full potential.Responsibilities include:
Providing daily supervision and mentorship
Managing household routines and student schedules
Administering medications and ensuring student wellness
Driving students to activities, as well as planning and actively engaging in developmental and recreational activities with students
Leading daily devotions and accompanying students to Sunday Chapel
Overseeing budgeting and household reporting
Upon hire, Flex Houseparents initially support various student homes and follow a working schedule of nine consecutive days on duty, followed by three days off. On weekdays, houseparents have unscheduled time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with the same group of students in their own student home.Benefits include:
Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more)
Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings
Relocation assistance and paid training provided
Paid time off provided at designated times throughout the year
Qualifications:
Qualifications include:
Experience working or volunteering with youth
This is a two-person role for couples legally married for at least two years
Both spouses must be age 27 or older
No more than three dependent children may reside in the student home
Commitment to a smoke-free and weapon-free campus; no alcohol permitted while on duty
Pet limitations: only fish and one dog of approved breeds allowed
Valid U.S. driver’s license and ability to become certified to drive student home vans
Comfort leading students in daily devotions and accompanying them to Judeo-Christian Sunday Chapel services (proselytizing prohibited)
High school diploma or GED required
Ability to lift to 50 lbs.
Demonstrated integrity and professionalism; MHS staff serve as role models for students
This is a unique, challenging, and rewarding career and life choice that requires a high level of commitment to student success from both spouses. For consideration, both spouses must complete individual employment applications. To learn more and apply, visit
Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible by the generosity of Milton and Catherine Hershey, who established the school in 1909 and ensured it was fully endowed. Thanks to their foresight and generosity, the school has over 12,000 graduates and continues to expand to serve more students.MHS is hiring married couples to serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital role in creating a structured, family-like environment that fosters students’ academic, emotional, and social development so they can reach their full potential.Responsibilities include:
Providing daily supervision and mentorship
Managing household routines and student schedules
Administering medications and ensuring student wellness
Driving students to activities, as well as planning and actively engaging in developmental and recreational activities with students
Leading daily devotions and accompanying students to Sunday Chapel
Overseeing budgeting and household reporting
Upon hire, Flex Houseparents initially support various student homes and follow a working schedule of nine consecutive days on duty, followed by three days off. On weekdays, houseparents have unscheduled time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with the same group of students in their own student home.Benefits include:
Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more)
Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings
Relocation assistance and paid training provided
Paid time off provided at designated times throughout the year
Qualifications:
Qualifications include:
Experience working or volunteering with youth
This is a two-person role for couples legally married for at least two years
Both spouses must be age 27 or older
No more than three dependent children may reside in the student home
Commitment to a smoke-free and weapon-free campus; no alcohol permitted while on duty
Pet limitations: only fish and one dog of approved breeds allowed
Valid U.S. driver’s license and ability to become certified to drive student home vans
Comfort leading students in daily devotions and accompanying them to Judeo-Christian Sunday Chapel services (proselytizing prohibited)
High school diploma or GED required
Ability to lift to 50 lbs.
Demonstrated integrity and professionalism; MHS staff serve as role models for students
This is a unique, challenging, and rewarding career and life choice that requires a high level of commitment to student success from both spouses. For consideration, both spouses must complete individual employment applications. To learn more and apply, visit
Not Specified
D
staff - Registered Nurse (RN) - Case Management - $31-42 per hour
✦ New
Salary not disclosed
Detroit Medical Center is seeking a Registered Nurse (RN) Case Management for a nursing job in Detroit, Michigan.
Job Description & Requirements Specialty: Case Management Discipline: RN Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type: Staff Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At DMC Detroit Receiving Hospital , we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
Benefits Statement At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals.
That's why we offer more than a job
- we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance.
The available plans and programs include:
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off (PTO)
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
Note: Eligibility for benefits may vary by location and is determined by employment status Summary Description Oversees hospital utilization performance improvement and operational management of the site Case Management Department to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.
Integrates national standards for case management scope of services including:
- Utilization Management supporting medical necessity and denial prevention
- Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
- Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
- Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
- Education provided to physicians, patients, families, and caregivers Responsibilities include the following activities: a) manages department operations to assure effective throughput and reimbursement for services provided, b) leads the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement, c) ensures medical necessity review processes are completed accurately and in compliance with CMS regulations and Tenet policy, d) ensures timely and effective patient transition and planning to support efficient patient throughput, e) implements and monitors processes to prevent payer disputes, f) develops and provides physician education and feedback on hospital utilization, g) ensures compliance with state and federal regulations and TJC accreditation standards, and h) other duties as assigned.
Drafts policy provisions and provides interpretation of department policies, in accordance with the DMC Utilization Review Plan.
Identifies the need for and drafts or defines procedures/protocols in collaboration with higher management input, goals, and objectives; modifies procedures/protocols, as necessary.
Monitors the quality and productivity of staff to ensure work is completed.
Implements performance improvement activities to insure consistency and safety within departmental activities.
Initiates or recommends personnel actions such as hires, fires, disciplines, etc.
Completes performance appraisals and ensures competency of staff.
Assists in the development of daily, monthly, and/or yearly goals and measures for department, and as requested, assists in assessment of goal attainment.
Assists in developing and monitoring budget.
Monitors activities for and ensures compliance with laws, government regulations, Joint Commission requirements and DMC policies relating to areas of responsibility.
As directed, implements external and internal audit recommendations.
POSITION SPECIFIC RESPONSIBILITIES: Department Operations
- Maintains an adequate number and skill mix over seven days a week to serve the patient population and meet the goals of the department
- Implements and supports with business case staffing requests utilizing the Tenet Case Management staffing recommendations and hospital budgetary guidelines
- Holds regular departmental meetings with staff to provide updates and provides for ongoing education
- Completes initial and annual competency and evaluation review on all case management staff
- Follows the InterQual Inter-rater Reliability (IRR) Policy to determine initial and yearly competency for all employees performing InterQual reviews
- Develops action plan for case managers that fail to meet the IRR acceptable "match" rate to ensure improvement in the accurate application of InterQual criteria
- Ensures new case management staff complete department orientation including review of Tenet Case Management and Compliance policies and Allscripts training.
- Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials documented and followed up, and that transition planning assessments are completed timely.
Utilization Management Implements and monitors processes to ensure medical necessity review processes are in place for patients to be in the appropriate status and level of care per Tenet policy.
Oversees submission of cases to Physician Advisor review to ensure timely referral, follow up and documentation.
Implements and monitors utilization review process in place to communicate appropriate clinical data to payers to support admission, level of care, length of stay and authorization for post-acute services.
- Advocates for the patient and hospital with payers to secure appropriate payment for services rendered
- Participates in Revenue Cycle meeting, researching disputes, uncovering patterns/trends, and educating hospital and medical staff on actionable items
- Implements and monitors physician "peer to peer" review process with payers to resolve denials or downgrades concurrently.
- Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes
- Monitors, analyzes, and reports Avoidable Days using the data to address opportunities for improvement
- Participates and/or serves as lead for hospital Medicare Performance Improvement (MPI) initiatives.
- Utilizes Crimson data to provide timely and meaningful information to the Utilization Management Committee and physician staff for performance improvement.
- Monitors to ensure that CMS Follow-up Important Message (IM) and HINN letters are delivered and documented per federal regulations and Tenet policy.
Transition Management
- Implements and monitors process to ensure that a transition plan assessment is completed within 24 hours of patient admission to identify and document the anticipated transition plan for patients
- Ensures case management staff use electronic referral request process for patient placements
- Monitors to ensure that patient choice is documented per CMS regulations and Tenet policy
- Identifies and reports variances in appropriateness of medical care provided over/under utilization of resources compared to evidence-based practice and external requirements.
- Monitors to ensure case management staff document in the Tenet Case Management system to communicating information through clear, complete, and concise documentation Care Coordination
- Works with Nursing and hospital leadership to ensure Patient Care Conferences and Complex Case Review processes are in place to promote timely and appropriate throughput
- Participates in daily bed management meeting to support timely and effective patient placement and transfer within the hospital
- Monitors to ensures that patients have a plan of care that is clinically appropriate, consistent with patient choice and available resources
- Monitors to ensures consults, testing and procedures are sequenced to support clinical needs with timely and efficient care delivery
- Ensures patient needs are communicated and that the healthcare team is mutually accountable to achieve the patient plan of care
- Effectively collaborates with physicians, nurses, ancillary staff, payors, patients, and families to achieve optimum clinical outcomes Education
- Provides education to physicians regarding medical necessity, complete and accurate documentation, and compliance with related regulatory requirements
- Prepares and provides data to physicians and the hospital on utilization of resources
- Provides education to case management staff, physicians, and the healthcare team relevant to the o Effective progression of care, o Appropriate level of care, and o Safe and timely patient transition Compliance
- Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services
- Ensures that the department structure and staffing, policies, and procedures to comply with the CMS Conditions of Participation and Tenet policies
- Operates within the RN scope of practice as defined by state licensing regulations
- Implements and monitors compliance with Tenet Case Management practices Qualifications: Minimum Qualifications 1.
Bachelor's degree in Nursing or other health-related field, or the equivalent combination of education and/or related experience or Master's in Social Work for MSW.
Master's degree in Nursing, Business Administration or Hospital Administration preferred.
2.
Registered Nurse or LCSW/LMSW license.
Must be currently licensed, certified, or registered to practice profession as required by law or regulation in state of practice or policy.
Active RN or LCSW/LMSW license for state(s) covered.
3.
Three to five years of acute hospital case management leadership experience.
Five years acute hospital case management experience preferred.
McKesson InterQual® experience preferred.
Business planning experience preferred.
4.
Accredited Case Manager (ACM) preferred.
Skills Required 1.
Analytical ability to serve in an advisory/consultative role in determining and/or developing strategies, policies, processes, protocols and methods, frequently in the absence of guidelines or technical assistance, and to evaluate and direct complex systems that foster innovative approaches to procedures/processes.
2.
Fiscal skills to monitor and control costs and revenue.
3.
Ability to cope with stressful situations, manage multiple and sometimes conflicting priorities simultaneously.
4.
Strong communication and interpersonal skills for frequent contacts with internal customers as well as stakeholders external to the DMC to persuade or negotiate on a wide range of subjects in situations which may be controversial, sensitive and/or lead to confrontation.
A mastery of a variety of communication modalities is required to include leading meetings, making formal presentations, and writing complex documents and managing complex relationships over time.
5.
Teaching abilities to conduct educational programs for staff.
6.
Project management skills including the ability to define program, project, or process objectives, identify stakeholders and their interests, plan steps, coordinate and allocate human, technological and fiscal resources to accomplish goals and objectives in a resourceful yet timely manner.
7.
Leadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forge alliances and garner support.
8.
Technical knowledge of community resources, regulatory requirements, reimbursements, and utilization management procedures in order to function Facility Description 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.
EEO Statement: Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program.
Follow the link below for additional information.
E-Verify: employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
Job: Case Management Primary Location: Detroit, Michigan Facility: DMC Receiving Hospital Job Type: Full Time Shift Type: Day Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program.
Follow the link below for additional information.
E-Verify: /> The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
Detroit Medical Center Job ID 43690.
Posted job title: Director
- Case Management About Detroit Medical Center The Detroit Medical Center (DMC) is the leading academically-integrated hospital system in Metro Detroit, and one of the largest health care providers in Southeast Michigan.
During our 150 years of caring for the community, we have been recognized nationally with top awards in many aspects of hospital operations and patient care.
The DMC is able to achieve these awards because of our exceptional employees.
The Detroit Medical Center is one the largest academic medical centers in the United States, with a long and rich history of medical education, for more than 100 years.
We train more physicians than any other hospital in Detroit.
Our evidence-based approach inspires confidence and spurs innovation.
It ensures that we are making treatment decisions based on our experience, on the best available research and our understanding of each patient as an individual.
Our commitment to our patients Our commitment to patient care and improving patient outcomes is part of everything we do.
It's our mission.
It's our promise to every patient and every family who entrusts their care to us.
To meet the needs of our community, we operate 8 hospitals and more than 140 clinics and outpatient facilities across southeast Michigan, including a nationally recognized dedicated pediatric hospital (Children's Hospital of Michigan) as well as a nationally recognized rehabilitation hospital (Rehabilitation Institute of Michigan).
We offer an inclusive, diverse and supportive environment.
Knowing that we are better together, our teams are highly collaborative and integrated to deliver the high quality and compassionate care our patients expect and deserve.
Staff members have a voice in forming our culture; one that is often referred to as "my forever family" and "colleagues who have my back".
The DMC has a proud legacy of caring for the people and the families that call Metro Detroit home; they're our neighbors, our friends, and our community.
That's why the DMC serves everyone in the community who needs us; no one gets turned away who comes to us for care.
From local food drives to our long-standing commitment to educate and empower our community towards better health, you can count on the DMC.
There's a spirit of caring and togetherness that you will experience when you join the DMC family.
We are a community build on care.
At the DMC, we are committed to maintaining an environment of Equal Opportunity and Affirmative Action.
If you need a reasonable accommodation to access the information provided on this web site, please contact the DMC facility where the position is available, for further assistance.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status or status as an individual disability.
Employee Benefits At the DMC, health and well-being are important to us, so we provide a range of benefits and options to help meet the needs of all eligible employees.
In addition to a range of healthcare plans, including higher and lower deductible options, we offer dental, vision and an employee assistance plan.
Basic life insurance and Accidental Death and Dismemberment insurance are provided for free to eligible plan members.
Employees can also choose to participate in one of several supplemental life insurance and/or disability plans, a legal services plan and an identity protection plan.
For those employees who are looking for support to care for family members, we also offer child and elder care programs.
To help employees prepare for retirement, we offer a 401K savings plan, and an employee discount plan that includes discounts for a wide variety of products, including auto and home insurance and mobile plans.
Benefits Medical benefits Dental benefits Vision benefits Employee assistance programs Life insurance Discount program5c143e31-5e48-4549-b638-05792d185386
Job Description & Requirements Specialty: Case Management Discipline: RN Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type: Staff Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At DMC Detroit Receiving Hospital , we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
Benefits Statement At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals.
That's why we offer more than a job
- we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance.
The available plans and programs include:
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off (PTO)
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
Note: Eligibility for benefits may vary by location and is determined by employment status Summary Description Oversees hospital utilization performance improvement and operational management of the site Case Management Department to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.
Integrates national standards for case management scope of services including:
- Utilization Management supporting medical necessity and denial prevention
- Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
- Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
- Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
- Education provided to physicians, patients, families, and caregivers Responsibilities include the following activities: a) manages department operations to assure effective throughput and reimbursement for services provided, b) leads the implementation and oversight of the hospital Utilization Management Plan using data to drive hospital utilization performance improvement, c) ensures medical necessity review processes are completed accurately and in compliance with CMS regulations and Tenet policy, d) ensures timely and effective patient transition and planning to support efficient patient throughput, e) implements and monitors processes to prevent payer disputes, f) develops and provides physician education and feedback on hospital utilization, g) ensures compliance with state and federal regulations and TJC accreditation standards, and h) other duties as assigned.
Drafts policy provisions and provides interpretation of department policies, in accordance with the DMC Utilization Review Plan.
Identifies the need for and drafts or defines procedures/protocols in collaboration with higher management input, goals, and objectives; modifies procedures/protocols, as necessary.
Monitors the quality and productivity of staff to ensure work is completed.
Implements performance improvement activities to insure consistency and safety within departmental activities.
Initiates or recommends personnel actions such as hires, fires, disciplines, etc.
Completes performance appraisals and ensures competency of staff.
Assists in the development of daily, monthly, and/or yearly goals and measures for department, and as requested, assists in assessment of goal attainment.
Assists in developing and monitoring budget.
Monitors activities for and ensures compliance with laws, government regulations, Joint Commission requirements and DMC policies relating to areas of responsibility.
As directed, implements external and internal audit recommendations.
POSITION SPECIFIC RESPONSIBILITIES: Department Operations
- Maintains an adequate number and skill mix over seven days a week to serve the patient population and meet the goals of the department
- Implements and supports with business case staffing requests utilizing the Tenet Case Management staffing recommendations and hospital budgetary guidelines
- Holds regular departmental meetings with staff to provide updates and provides for ongoing education
- Completes initial and annual competency and evaluation review on all case management staff
- Follows the InterQual Inter-rater Reliability (IRR) Policy to determine initial and yearly competency for all employees performing InterQual reviews
- Develops action plan for case managers that fail to meet the IRR acceptable "match" rate to ensure improvement in the accurate application of InterQual criteria
- Ensures new case management staff complete department orientation including review of Tenet Case Management and Compliance policies and Allscripts training.
- Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent, and authorizations or denials documented and followed up, and that transition planning assessments are completed timely.
Utilization Management Implements and monitors processes to ensure medical necessity review processes are in place for patients to be in the appropriate status and level of care per Tenet policy.
Oversees submission of cases to Physician Advisor review to ensure timely referral, follow up and documentation.
Implements and monitors utilization review process in place to communicate appropriate clinical data to payers to support admission, level of care, length of stay and authorization for post-acute services.
- Advocates for the patient and hospital with payers to secure appropriate payment for services rendered
- Participates in Revenue Cycle meeting, researching disputes, uncovering patterns/trends, and educating hospital and medical staff on actionable items
- Implements and monitors physician "peer to peer" review process with payers to resolve denials or downgrades concurrently.
- Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes
- Monitors, analyzes, and reports Avoidable Days using the data to address opportunities for improvement
- Participates and/or serves as lead for hospital Medicare Performance Improvement (MPI) initiatives.
- Utilizes Crimson data to provide timely and meaningful information to the Utilization Management Committee and physician staff for performance improvement.
- Monitors to ensure that CMS Follow-up Important Message (IM) and HINN letters are delivered and documented per federal regulations and Tenet policy.
Transition Management
- Implements and monitors process to ensure that a transition plan assessment is completed within 24 hours of patient admission to identify and document the anticipated transition plan for patients
- Ensures case management staff use electronic referral request process for patient placements
- Monitors to ensure that patient choice is documented per CMS regulations and Tenet policy
- Identifies and reports variances in appropriateness of medical care provided over/under utilization of resources compared to evidence-based practice and external requirements.
- Monitors to ensure case management staff document in the Tenet Case Management system to communicating information through clear, complete, and concise documentation Care Coordination
- Works with Nursing and hospital leadership to ensure Patient Care Conferences and Complex Case Review processes are in place to promote timely and appropriate throughput
- Participates in daily bed management meeting to support timely and effective patient placement and transfer within the hospital
- Monitors to ensures that patients have a plan of care that is clinically appropriate, consistent with patient choice and available resources
- Monitors to ensures consults, testing and procedures are sequenced to support clinical needs with timely and efficient care delivery
- Ensures patient needs are communicated and that the healthcare team is mutually accountable to achieve the patient plan of care
- Effectively collaborates with physicians, nurses, ancillary staff, payors, patients, and families to achieve optimum clinical outcomes Education
- Provides education to physicians regarding medical necessity, complete and accurate documentation, and compliance with related regulatory requirements
- Prepares and provides data to physicians and the hospital on utilization of resources
- Provides education to case management staff, physicians, and the healthcare team relevant to the o Effective progression of care, o Appropriate level of care, and o Safe and timely patient transition Compliance
- Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services
- Ensures that the department structure and staffing, policies, and procedures to comply with the CMS Conditions of Participation and Tenet policies
- Operates within the RN scope of practice as defined by state licensing regulations
- Implements and monitors compliance with Tenet Case Management practices Qualifications: Minimum Qualifications 1.
Bachelor's degree in Nursing or other health-related field, or the equivalent combination of education and/or related experience or Master's in Social Work for MSW.
Master's degree in Nursing, Business Administration or Hospital Administration preferred.
2.
Registered Nurse or LCSW/LMSW license.
Must be currently licensed, certified, or registered to practice profession as required by law or regulation in state of practice or policy.
Active RN or LCSW/LMSW license for state(s) covered.
3.
Three to five years of acute hospital case management leadership experience.
Five years acute hospital case management experience preferred.
McKesson InterQual® experience preferred.
Business planning experience preferred.
4.
Accredited Case Manager (ACM) preferred.
Skills Required 1.
Analytical ability to serve in an advisory/consultative role in determining and/or developing strategies, policies, processes, protocols and methods, frequently in the absence of guidelines or technical assistance, and to evaluate and direct complex systems that foster innovative approaches to procedures/processes.
2.
Fiscal skills to monitor and control costs and revenue.
3.
Ability to cope with stressful situations, manage multiple and sometimes conflicting priorities simultaneously.
4.
Strong communication and interpersonal skills for frequent contacts with internal customers as well as stakeholders external to the DMC to persuade or negotiate on a wide range of subjects in situations which may be controversial, sensitive and/or lead to confrontation.
A mastery of a variety of communication modalities is required to include leading meetings, making formal presentations, and writing complex documents and managing complex relationships over time.
5.
Teaching abilities to conduct educational programs for staff.
6.
Project management skills including the ability to define program, project, or process objectives, identify stakeholders and their interests, plan steps, coordinate and allocate human, technological and fiscal resources to accomplish goals and objectives in a resourceful yet timely manner.
7.
Leadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forge alliances and garner support.
8.
Technical knowledge of community resources, regulatory requirements, reimbursements, and utilization management procedures in order to function Facility Description 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.
EEO Statement: Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program.
Follow the link below for additional information.
E-Verify: employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
Job: Case Management Primary Location: Detroit, Michigan Facility: DMC Receiving Hospital Job Type: Full Time Shift Type: Day Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program.
Follow the link below for additional information.
E-Verify: /> The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
Detroit Medical Center Job ID 43690.
Posted job title: Director
- Case Management About Detroit Medical Center The Detroit Medical Center (DMC) is the leading academically-integrated hospital system in Metro Detroit, and one of the largest health care providers in Southeast Michigan.
During our 150 years of caring for the community, we have been recognized nationally with top awards in many aspects of hospital operations and patient care.
The DMC is able to achieve these awards because of our exceptional employees.
The Detroit Medical Center is one the largest academic medical centers in the United States, with a long and rich history of medical education, for more than 100 years.
We train more physicians than any other hospital in Detroit.
Our evidence-based approach inspires confidence and spurs innovation.
It ensures that we are making treatment decisions based on our experience, on the best available research and our understanding of each patient as an individual.
Our commitment to our patients Our commitment to patient care and improving patient outcomes is part of everything we do.
It's our mission.
It's our promise to every patient and every family who entrusts their care to us.
To meet the needs of our community, we operate 8 hospitals and more than 140 clinics and outpatient facilities across southeast Michigan, including a nationally recognized dedicated pediatric hospital (Children's Hospital of Michigan) as well as a nationally recognized rehabilitation hospital (Rehabilitation Institute of Michigan).
We offer an inclusive, diverse and supportive environment.
Knowing that we are better together, our teams are highly collaborative and integrated to deliver the high quality and compassionate care our patients expect and deserve.
Staff members have a voice in forming our culture; one that is often referred to as "my forever family" and "colleagues who have my back".
The DMC has a proud legacy of caring for the people and the families that call Metro Detroit home; they're our neighbors, our friends, and our community.
That's why the DMC serves everyone in the community who needs us; no one gets turned away who comes to us for care.
From local food drives to our long-standing commitment to educate and empower our community towards better health, you can count on the DMC.
There's a spirit of caring and togetherness that you will experience when you join the DMC family.
We are a community build on care.
At the DMC, we are committed to maintaining an environment of Equal Opportunity and Affirmative Action.
If you need a reasonable accommodation to access the information provided on this web site, please contact the DMC facility where the position is available, for further assistance.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status or status as an individual disability.
Employee Benefits At the DMC, health and well-being are important to us, so we provide a range of benefits and options to help meet the needs of all eligible employees.
In addition to a range of healthcare plans, including higher and lower deductible options, we offer dental, vision and an employee assistance plan.
Basic life insurance and Accidental Death and Dismemberment insurance are provided for free to eligible plan members.
Employees can also choose to participate in one of several supplemental life insurance and/or disability plans, a legal services plan and an identity protection plan.
For those employees who are looking for support to care for family members, we also offer child and elder care programs.
To help employees prepare for retirement, we offer a 401K savings plan, and an employee discount plan that includes discounts for a wide variety of products, including auto and home insurance and mobile plans.
Benefits Medical benefits Dental benefits Vision benefits Employee assistance programs Life insurance Discount program5c143e31-5e48-4549-b638-05792d185386
Not Specified
Workforce Specialist
🏢 Akkodis
Salary not disclosed
Akkodis is seeking a Workforce Manager for a Contract job with a client in Dearborn, MI. "The ideal candidate should have experience with at least WorkForce Software Deployment Lead to support the ATLAS program."
Rate Range: $74/hour to $79/hour; The rate may be negotiable based on experience, education, geographic location, and other factors.
Workforce Manager Job responsibilities include:
- Lead and support end-to-end SDLC activities including requirements gathering, design, build & configuration, testing, training, deployment, and post-go-live support.
- Configure and implement Workforce Software modules including Time & Attendance, Standard Scheduling, and Job Scheduling.
- Manage Absence, Case Tracking, and Reporting module configuration to align with business requirements.
- Collaborate with cross-functional stakeholders to ensure successful implementation, system optimization, and ongoing production support.
Desired Qualifications:
- Bachelor’s Degree in Computer Science or a related field.
- 8+ years of combined experience WorkForce Software Deployment Lead to support the ATLAS program
- Lead end-to-end Program & Project Management, overseeing PM governance, budgets, timelines, risk tracking, and delivery milestones while ensuring alignment with business objectives.
- Drive full Software Development Lifecycle (SDLC) execution for Workforce Management Systems, including planning, requirements analysis, technical design, build, testing, deployment, and post-implementation support.
- Manage financial reporting, project planning, documentation, and technical/program analysis, ensuring accurate forecasting, performance tracking, and structured delivery using Jira for workflow management.
- Provide strong cross-functional team leadership, facilitating collaboration across business, technical, and vendor teams to drive problem-solving, solution delivery, and continuous process improvement.
If you are interested in this role, then please click APPLY NOW. For other opportunities available at Akkodis, or any questions, feel free to contact me at 61 or
Equal Opportunity Employer/Veterans/Disabled
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, an EAP program, commuter benefits, and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Disclaimer: These benefit offerings do not apply to client-recruited jobs and jobs that are direct hires to a client.
To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
· The California Fair Chance Act
· Los Angeles City Fair Chance Ordinance
· Los Angeles County Fair Chance Ordinance for Employers
· San Francisco Fair Chance Ordinance
Not Specified
A
Director, Enterprise Fraud Strategy & Investigations
✦ New
Salary not disclosed
Overview
Join us in revolutionizing an entire industry's customer engagement! We prioritize human connection through technology. If you're driven by purpose and want to make a meaningful impact on people's lives, this is the place for you. Our team challenges norms with the support of a trusted American brand.
Purpose: A leading professional services firm found that AAA Life associates demonstrate some of the highest levels of commitment, empathy, and dedication when compared to top U.S. companies in a benchmark analysis.
Growth: We have the privilege to offer our products to tens of millions of Americans that make up the AAA member base
Focus is on \"working families\", \"everyday Americans\", \"ordinary citizens\", \"mainstream population\" \"average income households\", providing life insurance products that truly impact people's lives (more information will be provided in the interview).
Team (Culture): USA Today named us a 2024 and 2025 top US workplace
Who are we looking for?
The Director, Enterprise Fraud Strategy & Investigations leads the enterprise-wide fraud prevention and detection strategy across all life insurance products and services. This senior leader will design, implement, and oversee a best-in-class fraud program that ensures regulatory compliance, protects company assets, and preserves stakeholder trust. The Director will partner cross-functionally to influence organizational strategy, drive innovation in fraud analytics, and lead high-impact investigations involving complex financial fraud, insurance fraud, and identity theft.
ResponsibilitiesHow will you contribute?
Fraud Program Strategy & Governance- Develop and oversee the enterprise fraud program including policies, procedures, and governance structures.
- Define the vision, roadmap, and performance metrics for fraud prevention and detection capabilities.
- Ensure alignment with regulatory expectations, industry best practices, and enterprise risk appetite.
- Lead and mentor a team of investigators, analysts, and program managers.
- Build a culture of integrity, accountability, and continuous improvement.
- Establish clear goals and performance indicators to drive individual and team success.
- Oversee complex and sensitive investigations related to claims misrepresentation, application fraud, identity theft, and internal fraud.
- Direct case prioritization, resource allocation, and escalation strategies.
- Collaborate with Legal, Compliance, HR, and Law Enforcement to ensure appropriate resolution and reporting.
- Lead efforts to evaluate, implement, and optimize advanced fraud detection tools (e.g., AI/ML, behavioral analytics, case management systems).
- Oversee the development of dashboards and reporting for executive leadership and board-level committees.
- Champion data-driven decision-making and continuous innovation.
- Serve as the company's subject matter expert and external liaison to NICB, IASIU, regulators, and industry task forces.
- Coordinate with Underwriting, Claims, Operations, and Technology to drive alignment on fraud controls.
- Represent the organization in regulatory reviews, audits, and legal proceedings as required.
- Oversee the design and delivery of fraud prevention training programs across the enterprise.
- Promote organizational awareness through internal communications, campaigns, and leadership engagement.
What do you offer?
- Bachelor's degree in Criminal Justice, Finance, Insurance, or related field; advanced degree or MBA preferred.
- Minimum of 10 years of progressive fraud investigation experience, including 5+ years in a leadership role within the life insurance industry.
- In-depth knowledge of life insurance products, the policy lifecycle, and regulatory frameworks.
- Certifications strongly preferred (e.g., CFE, FCLS, AHFI).
- Experience managing sensitive investigations, preparing executive-level reports, and testifying in legal/regulatory proceedings.
- Expertise in fraud detection platforms and data analytics tools (e.g., SAS, i2 Analyst Notebook, FRISS).
Preferred Attributes
- Law enforcement or regulatory liaison experience is a plus.
- Active involvement in industry fraud prevention organizations and a strong network of investigative contacts.
What can we offer?
- Enjoy a hybrid work environment that promotes work-life balance.
- Comprehensive medical, dental, and vision coverage starting from your first day.
- Employer 401k match and employer contribution to a pension plan.
- Generous PTO and paid parental leave to support your family needs.
Not Specified
D
Design Engineer
Salary not disclosed
SOLIDWORKS Designer – Modular Systems
An exciting opportunity exists for a Design Engineer to join one of the world's leading manufacturers of modular solutions. Trilogiq USA is part of a global network with a successful history of providing customized tube and joint material handling solutions for a wide range of business. Our customers value our product to implement change; support innovative ideas, maintain standardized practice, and improve work flow.
The role is based in the USA Office located in Livonia, MI.
Job responsibilities;
· Produce proposal and detailed production drawings using primarily Solidworks. An understanding of Sketchup design package would also be desirable but not essential.
· Interact with sales team, customers and suppliers regarding design specifics.
· Complete costing sheets for sales team.
· Produce detailed package of works including BOM’s for issue to shop floor.
· Liaise with assembly team to resolve issues during the production process.
· Capture changes to structures during the assembly process and update drawings and documentation to reflect “as built”.
· Update and maintain internal databases, CRM software and communicate relevant matters to colleagues.
The successful applicant will have the following attributes;
· 1-2 years relevant work experience is preferred but applications from recently qualified designers will be considered;
· 3D CAD Solidworks qualification;
· Competence in Microsoft Office suite;
· Ability to work well in a small team;
· You'll be an excellent communicator and be able to respond to customer enquiries with a confident manner; The candidate will need to demonstrate the ability to deliver high levels of customer service both externally and internally.
· Some knowledge of Lean Manufacturing techniques would be desirable but not essential.
A stable career with the ability to make a difference to customer’s businesses is on offer. Remuneration will be salary, health care plan, 401(k) plan with company matching, and PTO/holiday. Equal Opportunity Employer
Not Specified
W
Pediatric Dentist
Salary not disclosed
Full-Time Pediatric Dentist Opportunity
Wave Dental Specialists – Dearborn Heights, Michigan
Wave Dental Specialists is growing! We are seeking a full-time Pediatric Dentist to join our thriving, multi-specialty practice in Dearborn Heights, MI.
This is an incredible opportunity to step into a state-of-the-art, modern clinic with strong internal referral flow and a highly supportive clinical team.
About Wave Dental Specialists
Wave Dental Specialists is a multi-specialty dental clinic designed to provide comprehensive care under one roof. Our collaborative environment allows providers to work alongside other specialists while delivering high-quality, patient-centered care.
Our technology includes:
- Open Dental practice management software
- iTero digital scanning
- Modern operatories with advanced equipment
- Streamlined digital workflows
We are committed to clinical excellence, efficiency, and creating a positive experience for both our patients and providers.
Position Highlights
- Full-time schedule (3-4 days per week)
- Strong internal referral base
- Established patient flow
- Fully equipped pediatric operatories
- Supportive, experienced clinical team
- Collaborative multi-specialty environment
- Opportunity to grow and shape the pediatric department
Compensation & Benefits
We offer a competitive compensation package along with full benefits, including:
- Medical insurance
- Dental benefits
- Vision insurance
- 401(k)
- Paid time off
- CE allowance
Compensation structure is competitive!
We’re Looking For
- DDS/DMD from an accredited program
- Completion of Pediatric Dental Residency
- Licensed or eligible for licensure in Michigan
- Passion for treating children and building lasting patient relationships
- Team-oriented mindset
- Comfortable in a fast-paced, growing practice
Why Dearborn Heights?
Dearborn Heights offers a strong, diverse community with steady patient demand and excellent growth potential. Our location provides easy access to surrounding Metro Detroit communities.
If you’re looking for a modern, growth-focused environment where you can build a thriving pediatric practice within a collaborative multi-specialty setting, we would love to connect.
Apply today and grow with Wave Dental Specialists!
Not Specified
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