- University of Michigan (Ann Arbor, MI)
- …and assist in daily case management operations, including: assist with utilization management workflow and payer contacts; assist with coordination of all ... patient. + Communicate effectively with all stakeholders inclusive of Care Management staff, insurance carriers and/or their designated intermediaries, and vendors… more
- Corewell Health (Grand Rapids, MI)
- …programs to ensure objectives are achieved. + Responsible for the analysis, review and dissemination of network performance information, including but not limited to ... financial, quality, utilization /satisfaction and/or disease specific. + Develops and delivers or...managed care or healthcare delivery, administration or clinical practice management . Preferred + Knowledge of Health and Population Technology… more
- Highmark Health (Lansing, MI)
- …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year ... + In-depth knowledge of the pharmacy industry, including benefit design, formulary management , and pharmacy best practices. + Proven ability to interpret and analyze… more
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