• Intake Specialist , Michigan - McLaren…

    McLaren Health Care (Flint, MI)
    …or other health care setting. **Preferred:** + One (1) year Managed Care Utilization review experience. + Experience and knowledge of the preauthorization ... We are looking for a Intake Specialist , to join us in leading our organization...at the most appropriate and cost-effective setting. Monitors members' utilization patterns for identification of high-risk and under and… more
    McLaren Health Care (08/09/25)
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  • RN Clinical Data Specialist Senior

    Corewell Health (Grand Rapids, MI)
    …or events. We are seeking a highly skilled and detail-oriented RN Clinical Database Specialist to join our team with a primary focus on managing and optimizing data ... Also ensures continuity and coordination of services with appropriate utilization of resources. Responsible for stakeholder management across collaboration within… more
    Corewell Health (08/08/25)
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  • Sea Logistics Operational Care Specialist

    Kuehne+Nagel (Detroit, MI)
    …our Detroit site is looking for a new Sea Logistics Operational Care Specialist , Export to join our Sea Logistics team. **How you create impact** Reporting ... to clients within the period established. + You will review the Gross Profit and confirm accuracy. + Ensure...Collaborate with the system process team to drive automation utilization related to Operational Careprocesses. + Constantly challenge the… more
    Kuehne+Nagel (08/16/25)
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  • Claims Adjudication Specialist - Remote

    Cognizant (Lansing, MI)
    …experience. * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able to work with ... is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of… more
    Cognizant (08/15/25)
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  • Senior Provider Programs Specialist

    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...BSN. + Certified Professional Coder CPC or Certified Coding Specialist CCS + Project Management Professional PMP certification +… more
    Corewell Health (08/14/25)
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  • Patient Access Specialist 1

    Trinity Health (Howell, MI)
    …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/ Utilization Review personnel, as needed. Obtains and ... and skills competencies such as the Certified Revenue Cycle Specialist Professional (CRCSP) through the American Association of Healthcare Administrative… more
    Trinity Health (08/13/25)
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  • Sr. Talent Process Specialist

    Coinbase (Lansing, MI)
    …it, tackling problems head-on. We are looking for a Talent Process Specialist to drive process design, optimization, and technology enablement across the ... marketing teams to create content that will drive CRM utilization and engagement. * Stay ahead of industry trends...and engages in dynamic conversation. A human recruiter will review your interview responses, provided in the form of… more
    Coinbase (08/09/25)
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  • Specialist , Pharmacy Operation

    SpartanNash (Wyoming, MI)
    …by the Company. + Generate various reports (ie store sales, prescription drug utilization , inventory, etc.) and review with pharmacy operations to assist stores ... Summary:** This role is responsible to participate in the review and compliance of pharmacy operations and provide training...personnel. **Here's what you'll do:** + Participate in the review and compliance of pharmacy operations. + Conduct store… more
    SpartanNash (08/08/25)
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  • Pharmacist (Clinical Specialist

    Veterans Affairs, Veterans Health Administration (Wyoming, MI)
    …both orally and in writing as assigned. Monitoring will include prospective review and intervention in: 1. Therapeutic appropriateness of a patient's drug regimen ... care professionals, patients and caregivers. vii. Participates in multidisciplinary review of patients, reviews charts, evaluates pertinent laboratory data,… more
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • DSD Inventory Specialist

    Mondelez International (Farmington, MI)
    …management, pallets management. **How you will contribute** You will: + Review and analyze stock inaccuracies and guarantee accurate stock alignment between ... based on available information among stakeholders. Analyze and verify capacity utilization , performance and KPI monitoring, and introduce corrective measures in case… more
    Mondelez International (08/08/25)
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