• Biller

    Corewell Health (Caledonia, MI)
    …compliance. + Follow up on denied claims and make necessary corrections or appeals . + Maintain accurate and confidential records of billing and payment transactions ... Diploma or equivalent + 2 years of relevant experience related field Preferred + Associate 's degree related field About Corewell Health As a team member at Corewell… more
    Corewell Health (10/03/25)
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  • Regional Manager Denial Management - McLaren…

    McLaren Health Care (Grand Blanc, MI)
    …metrics, and key performance indicators (KPIs). **Qualifications:** **_Required:_** + Associate 's degree in nursing or healthcare related field **.** Current ... **4 years of utilization management, case management, clinical documentation, and/or denials/ appeals experience in an acute healthcare facility** **.** American Case… more
    McLaren Health Care (09/26/25)
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  • Community Connector - Hybrid (must reside…

    Molina Healthcare (Detroit, MI)
    …Active and unrestricted Community Health Worker (CHW) Certification. **PREFERRED EDUCATION:** Associate 's Degree in a health care related field (eg, nutrition, ... and acute gaps in care and access. Assist members with filing grievances and appeals . * Connects members to CCEs, the OhioRISE Plan,or Molina Care Management if the… more
    Molina Healthcare (09/18/25)
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  • Coder IV, Inpatient (Remote)

    Trinity Health (Livonia, MI)
    …(PBS) teams, when needed, to help resolve billing, claims, denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as appropriate for coding ... behavior MINIMUM QUALIFICATIONS: 1. Completion of an AHIMA-approved coding program or Associate 's degree in Health Information Management or a related field or an… more
    Trinity Health (09/17/25)
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  • Medical Director - Mid West Region

    Humana (Lansing, MI)
    …population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (09/16/25)
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  • Pharmacy Coordinator

    Highmark Health (Lansing, MI)
    …through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. + ... + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification certificate + Experience… more
    Highmark Health (09/09/25)
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  • Care Manager Assistant (CMA) Pavilion (Full-time)

    University of Michigan (Ann Arbor, MI)
    …obtaining insurance authorization. + Facilitate timely submission of documentation for appeals . + Schedule and confirm transportation as directed by Care Management ... so prioritization of workflow can be achieved effectively **Desired Qualifications + An Associate degree in social sciences or other health related field or an… more
    University of Michigan (08/25/25)
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  • Medical Director - Northeast Region

    Humana (Lansing, MI)
    …population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (07/25/25)
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