- Molina Healthcare (Grand Rapids, MI)
- …of business as it relates to audits. * Delegation Oversight; voting representative for delegation oversight committees. * Liaison to Special Investigative Unit ... 5 years of experience in Medicare, DSNP and CSNP population, Enrollment, A&G, Claims , Compliance, or other Operations experience To all current Molina employees: If… more
- Canon USA & Affiliates (Lansing, MI)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more
- Humana (Lansing, MI)
- …across the department. **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & ... skills to make an impact** **WORK STYLE:** Work at home/ remote with 15-20% travel required **WORK HOURS:** Regular business...Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of… more