- CVS Health (Lansing, MI)
- …criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review . + Conduct clinical reviews via phone and electronic ... experience in a managed care organization (MCO). + Experience in a high-volume clinical call center or prior remote work environment. **Education** + Associate's… more
- Michigan State University (East Lansing, MI)
- …of three references. Special Instructions Online application via careers.msu.edu is required Review of Applications Begins On 12/01/2024 Remote Work Statement ... to research, teaching, and practice that promote the enhanced quality of life of individuals with diverse needs (mental...supervision programs, as well as our newly established master's clinical mental health counseling program + Clinical … more
- Michigan State University (East Lansing, MI)
- …administration, health care management, or related field + Demonstrated excellence in clinical care + Experience in quality , safety, and continuous improvement ... leader in innovation, education, and the delivery of safe, quality health care for our community and beyond. With...potential of the partnership, we are also integrating our clinical operations. The MSU Health Care CMO will play… more
- Fujifilm (Lansing, MI)
- …Manager is to understand and define our internal and external endoscopic customers' clinical needs and assist with the development and implementation of clinical ... and education solutions. Additionally, this role builds and nurtures relationships with clinical customers as it relates to participating in clinical studies… more
- Sumitomo Pharma (Lansing, MI)
- …Characteristics (SmPC), and Canadian Product Monograph (PM) + Ensures timely and quality review and assessment of ICSRs, including seriousness, expectedness, ... products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), including… more
- Humana (Lansing, MI)
- …your best at Humana. Join Us!** The UM Administration Coordinator provides non- clinical support for the policies and procedures ensuring best and most appropriate ... hiring for a UM Administration Coordinator that will provide non- clinical support for the policies and procedures ensuring best...the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to… more
- Michigan State University (Flint, MI)
- …Search Committee Chair, (###@msu.edu). Learn more about the Department at publichealth.msu.edu. Review of Applications Begins On 08/19/2025 Remote Work Statement ... by the MSU Provost's 1855 Professorships initiative that seeks to elevate the academic quality and reputation at MSU. The new faculty member will be expected to… more
- University of Michigan (Ann Arbor, MI)
- …the strongest cardiac research cores in the country. M-CHORD is a multidisciplinary clinical research, quality and data science unit which supports work spanning ... along with a current CV to Dr. Mike Quasney ( [email protected] ). Review of applications will begin immediately and will continue until the position is filled.… more
- Humana (Lansing, MI)
- …within Humana's population health strategy, education, utilization management, and quality improvement activities for the clinical team. + ... programs and initiatives designed to improve the health and quality of life of our Enrollees. + Ensures best...the planning, directing, and successful management of the LTSS Clinical Strategy for The Michigan Department of Health and… more
- Integra Partners (Troy, MI)
- …and medical necessity criteria (eg, InterQual, CMS, health plan policies). + Review and process clinical and administrative appeals; coordinate with Medical ... accountability, and continuous improvement. + Monitor team productivity, timeliness, and quality of work through reporting and audits. + Take accountability for… more