- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations ... month with compensated days off during the work week The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- University of Michigan (Ann Arbor, MI)
- …UMH-West, and Oakland County + Work in partnership with Head Orthopedic Team Physician for UM Athletics and Medical Director for UM Athletics to assure ... Associate Director , Sports Medicine **Extended Site Maintenance** We are...Apply Now **Job Summary** Leadership of Sports Medicine at UM Health will be vested in a multi-disciplinary triad… more
- Integra Partners (Troy, MI)
- …Strategic and Operational Leadership + Collaborate with the SVP of Operations, UM Director , Credentialing leadership, and other internal teams to drive ... clinical leadership and oversight to the Utilization Review Medical Director (s) and clinical UM team. + Ensure consistent, accurate, and compliant application of… more
- CVS Health (MI)
- …regional role that primarily supports the Aetna Better Health Plan of Oklahoma. This UM (Utilization Management) Medical Director will be a "Work from Home" ... Oklahoma. Support for other regions may occasionally be required. The UM Medical Director will ensure timely and consistent responses to members and providers… more
- Integra Partners (Troy, MI)
- …call center and other internal & external sources + Other duties as assigned by UM Director + Strong organizational skills, ability to adapt quickly to change ... The UM Coordinator assists and supports the clinical team ( UM Nurses/Medical Director ) with administrative and non-clinical tasks related to processing… more
- Evolent (Lansing, MI)
- …participate in meetings as assigned with practices and/or payers. + Will work with the Director of UM to ensure client satisfaction. + Perform all peer clinical ... one of the Vascular Surgeons or Cardiologists. + Responsible for coordinating with UM staff to ensure timely and accurate communication of clinical decisions. +… more
- University of Michigan (Dearborn, MI)
- …Islander (AAPI) communities on campus. Working under the guidance of the IHP Director of Research for UM -Dearborn, the Research Fellow will be responsible ... The IHP Research Fellow will report to the IHP Director of Research for the Dearborn campus, Camron Amin....UM -Dearborn campus history, working in collaboration with the Director of Research and the IHP Program Coordinator for… more
- Integra Partners (Troy, MI)
- The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra's ... Utilization Management ( UM ) operations. This full-time, salaried role functions within a...timelines, clinical accuracy standards, and productivity expectations. The Medical Director ensures determinations are made in accordance with Medicare… more
- University of Michigan (Ann Arbor, MI)
- Senior Director , Operations & Ancillary Services **Extended Site Maintenance** We are performing updates and maintenance to our applicant experience. As a result, ... position. **Job Summary** Operations, Ancillary Services, and Safety Preparedness at UM Health is seeking a strategic, highly motivated, results-oriented leader to… more
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