- Humana (Lansing, MI)
- …teams to integrate database solutions within the enterprise architecture. Develop Python- based automation and data workflows. Document processes and solutions ... and develop strong working relationships with cross-functional stakeholders. + Review Humana's enterprise architecture, DevOps governance, and cloud security… more
- Humana (Lansing, MI)
- …QDP with respect to Exchange operations and integration for Federal and State Based health insurance exchange platforms. + Research, review , analyze, and ... (QDP) issuer, to meet all federal Affordable Care Act (ACA) and state- based requirements to participate in their respective programs on the Federally-facilitated… more
- Intertek (Detroit, MI)
- …to Certification Documents to determine compliance with the certification documents created based on tested products + Review Intertek label inventory and ... work schedule and the ability to work both from home and at client locations in the Michigan area....the Michigan area. ESSENTIAL JOB DUTIES AND RESPONSIBLITIES + Document manufacturer's production and quality processes in an Initial… more
- Tenet Healthcare (Detroit, MI)
- …and critical illness insurance, long term care, elder & childcare, auto & home insurance. Note: Eligibility for benefits may vary by location and is determined ... to drive hospital utilization performance improvement, c) ensures medical necessity review processes are completed accurately and in compliance with CMS regulations… more
- Sunrise Senior Living (West Bloomfield, MI)
- …Care** + Review , read, notate, and initial Daily Log to document and learn about pertinent information about residents. + Participate in the development ... Service Plan (ISP) while maintaining a safe and comfortable home like environment. The Care Manager/"Designated Care Manager" is...of the ISPs and monthly updates. + Review designated assignments. + Responsible for a designated group… more
- CenterWell (Lansing, MI)
- …with Training on curriculum, process and procedure, updates and enhancements + Document quality issues and performance measures + Monitor and evaluate the quality ... with PCO Sales, Retention, Patient Experience and Sales Operations leadership + Review and approve Sales and Retention Incentive Plan exceptions + Research and… more
- Humana (Lansing, MI)
- …this role, you will collaborate with Finance business and IT partners to review requirements, document system issues, and implement systems functionalities or ... best for your schedule. WAH Internet Statement To ensure Home or Hybrid Home /Office employees' ability to...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
- Concentrix (Lansing, MI)
- Home (https://jobs.concentrix.com/) "Job Details **Customer Service Rep - Tax (Seasonal, Bilingual: English / Spanish) - Remote** Operations ... Rep - Tax (Seasonal, Bilingual: English / Spanish) - Remote works from home and interfaces with customers via inbound/outbound calls and/or via the Internet. This… more
- University of Michigan (Ann Arbor, MI)
- …appropriate based on financial assessment + Clearly and thoroughly document all actions, contacts, outcomes, and interventions + Respond to insurance related ... Locations** This position is a remote position where you will work from home /virtually once training is completed and performance- based competency has been… more
- University of Michigan (Ann Arbor, MI)
- …compliance with CMS regulations and third party payer requirements. They appeal based on medical necessity, level of care, administrative and outpatient denials. ... Registration, MiVisit Business services, clinics and ancillary departments. + Review patient medical records and utilize clinical and regulatory knowledge… more
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