- Henry Ford Health System (Grand Blanc, MI)
- …ICD-10CM, CPT, Hierarchical Condition Categories (HCC), standards of compliance, and clinical knowledge to accurately abstract information from the electronic health ... which supports the Documentation & Coding Provider Education Program, data -driven resourcing, monthly provider performance scorecards, revenue cycle projects, KPI… more
- CVS Health (Lansing, MI)
- …in preparation of complaint trend reports. Assists in compiling claim data for customer audits. + Determines medical necessity, applicable coverage provisions ... + Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management. Performs review of member claim history to ensure accurate… more
- Eliassen Group (Lansing, MI)
- …production-ready software. + Maintain and enhance the tool's integration with industry data sets such as Bloomberg and Reuters. **Experience Requirements:** + Strong ... such as Postgres and Oracle. + Familiarity with industry data sets and financial market data . +...solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and… more
- Humana (Lansing, MI)
- …2 is a vital contributor to Humana's Workforce Management team, supporting the Clinical Intake and Support Medicare Inpatient segment. This role is responsible for ... are a vital contributor to Humana's Workforce Management team, supporting the Clinical Intake and Support Medicare Inpatient segment. This role is responsible for… more
- Cytel (Lansing, MI)
- …and integration of financial systems, including ERP, automation tools, and data analytics platforms. + Ensure effective integration between financial and operational ... on financial performance, compliance, and risk. + Partner cross-functionally with Clinical Operations, Software Development, Commercial, and Legal teams to align… more
- State of Michigan (MI)
- …Prison Facility -This is a senior Registered Nurse position which requires advanced clinical decision making skills and judgment. The senior level RN is first, and ... appropriate, as well as perform the full range of clinical nursing duties. The complexity of the work exceeds...program, on parole or felony probation status? (NOTE: an affirmative response to this question will NOT automatically result… more
- Merck (Lansing, MI)
- …record of operational excellence, with comprehensive knowledge of commercial and/or clinical operations + In-depth understanding of healthcare hospital systems and ... of operational excellence, with comprehensive knowledge of commercial and/or clinical operations + Broad cross-functional experience within the pharmaceutical… more
- State of Michigan (Jackson, MI)
- …Care Facility -This is a senior Registered Nurse position that requires advanced clinical decision-making skills and judgment. The senior level RN is a member of ... appropriate, as well as perform the full range of clinical nursing duties. The complexity of the work exceeds...program, on parole or felony probation status? (NOTE: an affirmative response to this question will NOT automatically result… more
- CenterWell (Lansing, MI)
- …development. + Foster a culture of accountability, continuous improvement and data -driven decision-making. + Support professional growth and career pathing for ... + Strong analytical and problem-solving abilities, with demonstrated success in using data to drive operational decisions. **To ensure Home or Hybrid Home/Office… more
- Humana (Lansing, MI)
- …& Operations, including tools, governance and organizational readiness + Partner with internal data science and clinical innovation teams to create proofs of ... automate incident response, predict system failures, summarize complex telemetry data , and develop intelligent copilots to support Operations teams...It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the… more