- Humana (Lansing, MI)
- …group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, ... to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of...Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the… more
- Travelers Insurance Company (Lansing, MI)
- …other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay apprised of ... influences which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State… more
- Molina Healthcare (Grand Rapids, MI)
- …administrative incentives + Supervises and manages Medical Directors + Develops medical policies and procedures + Conducts peer review **JOB QUALIFICATIONS** ... 3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management +… more
- Fresenius Medical Center (Sandusky, MI)
- …staff scheduling and payroll. PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …administrative, clinical, and programmatic leadership to ensure achievement of the Medical Center's clinical and educational goals related to Psychiatry Service at ... sites of care within the Battle Creek Veterans Affairs Medical Center (BCVAMC) Health Care Delivery System; serves as...processes to meet the performance measure goals and improve utilization management; serving as a liaison to outside facilities… more
- Fresenius Medical Center (Big Rapids, MI)
- …staff in problem solving. **PHYSICIANS:** + Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + ... implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records....Responsible for strong Director and physician relationships and facilitating staff relationships with physicians. +… more
- Henry Ford Health System (Detroit, MI)
- …teams + Maintain staffing coverage to meet provider schedules, manage float pool utilization , and oversee associate payroll records + Review and manage office ... Medical Assistant - Motor City Orthopedics Location: St....Do + Coordinate the daily operations of a busy physician practice or health center, ensuring smooth and efficient… more
- Cognizant (Lansing, MI)
- …guidelines and regulations + Experience in the analysis and processing of claims, utilization review /quality assurance procedures + Must be able to work with ... processing is required + Facets experience is highly preferred + Knowledge of physician practice and hospital coding, billing, and medical terminology, CPT,… more
- Henry Ford Health System (Novi, MI)
- …float pool utilization and maintaining payroll records + Manage and review office correspondence such as invoices, statements, credit cards, petty cash, mileage ... Medical Assistant - Motor City Orthopedics Location: Providence...Do + Coordinate the daily operations of a busy physician practice or health center + Serve as the… more
- Henry Ford Health System (Detroit, MI)
- Contingent Certified Medical Assistant Locations: 36750 26 Mile Road Chesterfield Township, MI 48047 Schedule: Contingent - Hours Vary GENERAL SUMMARY: Coordinate ... the daily operations of a physician practice or health center. + Serve as a...meet the demands of the provider's work schedules. Coordinate utilization of float pool associates and maintains associate payroll… more
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