- Morley (Saginaw, MI)
- …training on site)_ Join Morley's legal team as a Contracts and Legal Specialist , where you'll play a critical role in supporting our legal operations, contracts ... family or school obligations **_What You'll Do_** + **Assist with contract review and management, legal research, policy development and compliance** + Provide… more
- Walgreens (Rochester Hills, MI)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- University of Michigan (Ann Arbor, MI)
- Civil Rights Investigation Resolution Specialist (Title VI) Apply Now **Job Summary** The University of Michigan seeks a creative, innovative, and thoughtful person ... IX Office (ECRT). The successful candidate's primary responsibilities are to review and assessallegations of discrimination and harassment based on protected… more
- Defense Logistics Agency (Battle Creek, MI)
- …information regarding this job. Responsibilities Serves as a Supply Management Specialist (Course Instructor) for DLA Logistics Operations and is responsible for ... functional training and training documentation. Primary areas of responsibility include review , delivery and maintenance of assigned systems, programs and processes… more
- Henry Ford Health System (Jackson, MI)
- …teams for reimbursement and billing purposes. The CBO Coding Certified Specialist accurately abstracts information from the electronic health record for compilation ... RESPONSIBILITIES: + Successfully executes resolving accounts in SVC, claim edit, charge review , follow up, and denial work queues. + Identifies patterns and trends… more
- McLaren Health Care (Flint, MI)
- We are looking for a Intake Specialist , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren ... health care setting. **Preferred:** + One (1) year Managed Care Utilization review experience. + Experience and knowledge of the preauthorization process for medical… more
- Prime Therapeutics (Lansing, MI)
- …drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description** Delivers against business ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- Molina Healthcare (MI)
- …requests for appeal into information system and prepares documentation for further review . + Research issues utilizing systems and other available resources. + ... to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues… more
- GAP Solutions Inc (Lansing, MI)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- Intermountain Health (Lansing, MI)
- …Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review complex facility encounters and assign International Classification of Diseases ... ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital....reviews while patients are hospitalized. It aids in the review of quality measures including Patient Safety Indicators and… more