- Molina Healthcare (Ann Arbor, MI)
- …for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and ... **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the Appeals & Grievances unit that is responsible for reviewing and resolving… more
- McLaren Health Care (Mount Clemens, MI)
- …. Provides support to both internal and external customers for denial/ appeals activities and audits. Assists with monitoring and auditing activities, reviews ... of the role to support the clinical team. 3. Collaborates with the Denials Appeals RN to ensure payer appeal/filing deadlines are met and achieve optimal payment for… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Appeals Representative 4 - IRT (Internal Review Team) Investigates and resolves member and ... documentation to determine if an appeal or further request is warranted. The Appeals Representative 4 IRT (Internal Review Team) + Review documents + Building cases… more
- CenterWell (Lansing, MI)
- …our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive ... with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
- Humana (Lansing, MI)
- …Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Lansing, MI)
- …Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Michigan State University (East Lansing, MI)
- Working/Functional Title Associate Director of Devel, Social Sci Position Summary Join the College of Social Science Team: Seeking a Dynamic Associate Director ... efforts to new heights! But that's not all - as our Associate Director of Development, you'll dive headfirst into face-to-face interactions with high-capacity… more
- City of Detroit (Detroit, MI)
- Associate Assistant Corporation Counsel - (Transactional & Economic Development) Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4969306) Apply ... Associate Assistant Corporation Counsel - (Transactional & Economic Development)...the City's zoning ordinance, advising the board of Zoning Appeals , City Planning and Development Department, and Historic District… more
- Meta (Lansing, MI)
- …Job" online on this web page. **Required Skills:** Business Integrity Associate Responsibilities: 1. Develop compelling analyses to execute data-informed initiatives ... tradeoffs 13. 4. Operational process development with end-to-end enforcement- appeals infrastructure process, policy/process development, escalations and investigations of… more
- Trinity Health (Livonia, MI)
- …to HR and RHM management. 6. Oversee complex, escalated cases and acts to adjudicate appeals within the limits of the IRS Section 125 Plan and Trinity Health HR ... procedures, plans and systems. 17. Maintains confidentiality of department and associate information according to established practice within HIPAA and NPPI… more