- Evolent (Lansing, MI)
- …provider and vendor contracting, compliance, population health (including utilization management ), Medicare, and Medicaid. + Draft, review and negotiate ... the Senior Vice President, Deputy General Counsel, the Attorney will prepare and review a variety of complex contracts and provide legal counsel, guidance, and… more
- University of Michigan (Ann Arbor, MI)
- …focus on aspects such as disease management , physician practice patterns, and case management . Working closely with team leads and clients this role will ... in healthcare quality and operations. **Additional Responsibilities:** + **Project Management :** Oversee project planning and execution, including creating timelines,… more
- CVS Health (Lansing, MI)
- …Director will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... As a Medical Director you will focus primarily on review appeal cases for denied medical services. This includes...eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state… more
- General Motors (Warren, MI)
- …equipment/tooling alternatives, sequence, and flow of operations for the effective utilization of personnel, material, machines and facilities necessary for the ... as 'One Team' to execute new Product Programs changes, develop business case for material strategies and automation initiatives. Develop long-term material flow… more
- Deloitte (Midland, MI)
- …+ Prepare self-insured financial projections and support health plan management , including financial reporting, premium rate setting, and employee contributions. ... evaluation, vendor selection, negotiation, and implementation. + Assist in the review and negotiation of premium rate/administrative fee renewals. + Advise clients… more