- Cognizant (Lansing, MI)
- **Job Title: Medical Coder - Inpatient Hospital ( Remote ) - CCS AHIMA Certified** **Location:** Remote **Employment Type:** Full-time M-F flexible hours An ... **inpatient hospital medical coder** is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and… more
- Evolent (Lansing, MI)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... **What You'll Be Doing:** Job Description **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a meaningful… more
- Molina Healthcare (Sterling Heights, MI)
- JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal ... years clinical nursing experience, including at least 1 year of utilization review , medical claims review , long-term services and supports (LTSS), claims… more
- Fujifilm (Lansing, MI)
- **Position Overview** The CPQ Product Marketing Manager, Medical Informatics (MI), manages our go-to CPQ market strategy and workflows for the Synapse Enterprise ... effective leadership and partnership with all members of the HCUS Medical Informatics organization and work effectively with other cross-functional departments in… more
- Evolent (Lansing, MI)
- …Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review rationales and determinations. ... the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are… more
- Datavant (Lansing, MI)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing ... opportunities in both quality and productivity to management for review and/or action. + Assists in coding to meet...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
- Integra Partners (Troy, MI)
- …needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director(s), ensures consistent application of criteria, leads ... Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director's responsibilities include but are not limited… more
- Parexel (Lansing, MI)
- …protocol design and drug development programs + Support pharmacovigilance activities including medical review of serious adverse events + Provide risk ... ** Medical Director - Gastroenterology Specialty** **Location:** Remote...Review and approve critical study documents including protocols, Medical Monitoring Plans, safety reports, and Informed Consent Forms… more
- Molina Healthcare (Grand Rapids, MI)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... 5:00pm PST. This position included rotating weekends and holidays is required. Remote position **Essential Job Duties** * Assesses services for members to ensure… more
- Henry Ford Health System (Troy, MI)
- …support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible ... Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment… more