- Norstella (Lansing, MI)
- Sr. Director , RWD Analytics and Innovation ( Healthcare & Life Sciences) Company: Norstella Location: Remote, United States Date Posted: Jul 30, 2025 Employment ... India. **Job Description :** We are seeking a dynamic and visionary Senior Director of RWD (Real-World Data) Analytics and Innovation to lead real-world data special… more
- Munson Healthcare (Traverse City, MI)
- … HEALTHCARE 'S OCCUPATIONAL HEALTH TEAM! Full-Time | Monday-Friday | No Call Munson Healthcare is seeking a Medical Director for Occupational Medicine to lead ... injury/illness care, follow-up, and referral. Provide case management support for complex /long-term claims . + Provide leadership, direction and coordination of… more
- Trinity Health (Farmington Hills, MI)
- …activities or an equivalent combination of education and experience. Experience in a complex multi-entity healthcare organization or large complex revenue ... government accounts at an assigned PBS location. Monitors timeliness of claims billed, paid/settled, and reviews documentation in appropriate system(s). Ensures… more
- Kyndryl (Lansing, MI)
- …a key leadership role across multi-disciplinary teams, guiding them through complex consulting engagements and be responsible for creating and positioning strategic ... Kyndryl's largest accounts across the C-suite, spanning the intersection between complex Business and IT customer solutions, transformations that impact across the… more
- Humana (Lansing, MI)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- Humana (Lansing, MI)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Evolent (Lansing, MI)
- …Management** and **Product Management** , leveraging advanced analytics to solve complex healthcare challenges and support impactful decision-making that ... Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- Evolent (Lansing, MI)
- …or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...+ At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider,… more
- Humana (Lansing, MI)
- …Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness and… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …other. It's this deep-rooted dedication that drives us to uncover answers to complex , underserved medical needs, so that patients can push past the limitations of ... was possible each and every day. **Position Overview:** The Director of Field Strategy and Operations serves as the...regulations and guidelines including PhRMA Code on Interactions with Healthcare Professionals as well as complying with all OAPI… more
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