- Munson Healthcare (Traverse City, MI)
- …for patients. + The necessary materials and supplies to be used in the Program , with proper consideration given to both quality and cost effectiveness. + ... Assurance . As part of the Health System's overall quality assurance program and activities, the Physician...Physician agrees to participate in analyzing cost effectiveness and quality outcomes. This may include literature review ,… more
- Molina Healthcare (Warren, MI)
- …to learn new programs. Preferred Qualifications * Experience with utilization/ quality program management. * Managed care experience. * Peer review ... programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides… more
- Molina Healthcare (Grand Rapids, MI)
- …as a Medical Director in clinical practice * 3 years' experience in Utilization/ Quality Program Management * 2+ years HMO/Managed Care experience * Experience ... free of sanctions from Medicaid or Medicare. **Preferred Experience** * Peer Review , medical policy/procedure development, provider contracting experience. *… more
- Michigan State University (East Lansing, MI)
- …an internationally recognized, competitively funded, innovative research and outreach program that addresses horticultural and physiological components of resilient ... resilient plant genotypes into cropping systems that optimize productivity and fruit quality . Accordingly, the position will be expected to address plant abiotic… more
- Elevance Health (Dearborn, MI)
- …to members and providers. + Provide guidance for clinical operational aspects of a program . + May conduct peer -to- peer clinical reviews with attending ... required by law. The **Medical Director-Dermatology Appeals** is responsible for the review of appeals for physical health medical services, to ensure the… more
- General Motors (Warren, MI)
- …executed in time to meet program imperatives. + Participate in Formal Design, Peer and Quality Valve reviews as required by the Vehicle Development Process ... successfully develop components and systems for vehicle programs. You'll effectively achieve program milestones by thorough and effective program management. You… more
- Henry Ford Health System (Detroit, MI)
- …record of research accomplishments, including sustained extramural grant funding and high- quality , peer -reviewed publications in a cancer or cancer-adjacent ... of research accomplishments, including sustained extramural funding and high-impact, peer -reviewed publications. Assistant Professor level candidates should have training… more
- Mathematica (Ann Arbor, MI)
- …Author or review a variety of technical assistance tools to ensure quality and facilitate program improvement such as memos, standard operating procedures, ... firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Learn more about our… more
- Henry Ford Health System (Detroit, MI)
- …in the further development and maintenance of the infection prevention and control program in close collaboration with hospital leadership, quality office and ... prevention in conjunction with the Infection Control team and Quality and Safety. This includes but is not limited...and appropriate use of antimicrobial agents. This includes the review of root cause analysis for healthcare associated infections… more
- Evolent (Lansing, MI)
- … Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with ... + Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering… more
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