- State of Michigan (Lansing, MI)
- …supplemental data sources such as online resources and available data sets (ie, Medicaid Claims Data, LARA). Reaching out to interested Auto -HPSAs and NHSC site ... Special Assistant to Sr . Deputy Director of PPOS Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4959052) Apply Special Assistant to Sr .… more
- Corewell Health (Farmington Hills, MI)
- …a business-related field from an approved institution + Experience in the legal field such as with health care claims and health care risk management ... at Corewell Health as an RN Clinical Risk Specialist Senior and play a pivotal role in shaping the...patient related injuries and manage the resolution of pre-notice claims . Essential Functions + Reviews and provides recommendations regarding… more
- Molina Healthcare (Ann Arbor, MI)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... gains, audit readiness, and measurable member-experience improvements. You'll begin as a senior individual contributor with the charter to build a focused CTM… more
- Corewell Health (Grand Rapids, MI)
- …Eligible Special Needs (HIDE-SNP) Long-Term Services and Supports (LTSS) is a senior leadership role responsible for the strategic and operational oversight of ... in coordination with external partners and reports directly to the Senior Director of Utilization Management. Essential Functions Strategic Leadership & Program… more
- Guardian Life (Lansing, MI)
- …service logs. + Deliver solutions that enhance underwriting risk assessment, claims auto -adjudication, and customer servicing. Operational Excellence + Establish ... across various business lines and Guardian products. You'll collaborate with senior executives on high-impact high-visibility projects to deliver AI/ML solutions… more