- ThermoFisher Scientific (Detroit, MI)
- …impactful software features that exceed customer expectations. + Deep understanding of clinical trial processes, clinical data management, and leveraging ... as a deep understanding of clinical -trial operations (recruitment, start-up, clinical operations, data management, RBM, safety) and associated regulations.… more
- Evolent (Lansing, MI)
- …Analytics & Insights: Lead advanced analyses of healthcare authorization, claims, membership data , and clinical outcomes to uncover cost drivers, utilization ... product, and operational leaders to deliver client-specific insights and drive data -informed decision-making. Our team serves as strategic advisors, analysts, and… more
- Humana (Lansing, MI)
- …state. + **Direct Reports:** Up to 5 associates. **WAH Internet Statement** To ensure Home or Hybrid Home / Office employees' ability to work effectively, the ... put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication skills, and independent critical thinking skills...self-provided internet service of Home or Hybrid Home / Office employees… more
- Prime Therapeutics (Lansing, MI)
- …research and coordination to decrease member out of pocket financial responsibility in an office or home setting for drug services. + Will actively maintain a ... independent physician offices with maintaining member drug infusions in office or to help offices locate a lower cost...offices locate a lower cost alternative treatment site (eg, home infusion) for drug infusion services versus the hospital… more
- Evolent (Lansing, MI)
- …and expansion of OKRs for the Risk Adjustment coding support team. + Use data to identify areas of improvement for individual employees and that impact the team. ... Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. + Oversee and manage day-to-day risk… more
- Evolent (Lansing, MI)
- …management and care coordination across multiple specialties + Implement real-time data synchronization that enables timely clinical decision-making **Lead ... platforms + Create technical specifications and system architecture that support clinical evidence alignment and quality improvement initiatives + Lead API design… more
- Sunrise Senior Living (Grand Rapids, MI)
- …team members. Quality Assurance and Regulatory Compliance: + Tracks, trends, and reports clinical quality data to identify risk. + Participates actively as a ... experience with at least one (1) year experience in home health, assisted living, or long-term care environment preferred....regulations. + Experience in tracking, trending, and analysis of clinical performance data preferred. + Experience in… more
- Humana (Lansing, MI)
- …outside the state. + **Direct Reports:** Up to 8. **WAH Internet Statement** To ensure Home or Hybrid Home / Office employees' ability to work effectively, the ... education, utilization management, and quality improvement activities for the clinical team. + Develops, implements, measures, analyzes, and reports...self-provided internet service of Home or Hybrid Home / Office employees… more
- Evolent (Lansing, MI)
- …candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy, ... and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims… more
- Humana (Lansing, MI)
- …rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality, and the ... Work at Home /Remote Requirements **Work-At- Home Requirements** + To ensure Home or Hybrid Home / Office associates' ability to work effectively, the… more