- Molina Healthcare (Ann Arbor, MI)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… more
- Fujifilm (Lansing, MI)
- **Position Overview** The Marketing Specialist , Events & Data Analytics in the FUJIFILM Healthcare Americas Corporation Endoscopy division is responsible for the ... identifying activities, sponsorships, and equipment needed to ensure success. + Review and consideration of event participation levels and requirements, involving… more
- Trinity Health (Livonia, MI)
- …within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional ... directly responsible for the daily assessments of current Clinical Documentation Specialist staffing levels and processes. Ensures that defined goals are… more
- University of Michigan (Ann Arbor, MI)
- …+ Oversee communications, IT services, and facilities management, including space utilization planning, policies and negotiations + Oversee student services and ... + Complete the annual space survey with related research activities and utilization + Partner with the Associate Chair for Research regarding seating assignments,… more
- Evolent (Lansing, MI)
- …to establish and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved through collaboration ... prior authorization lists, facilitating timely decision-making for clinical and business review teams. + Demonstrate strong analytical abilities, with a proven track… more
- Corewell Health (Grand Rapids, MI)
- …will lead cross-functional efforts, ensuring interdependencies across Network Contracting, Utilization Management, and Billing Policy are effectively managed to ... the vendors that are hired to perform Universal program review and audit functions for Priority Health. Oversee all...Management Association Upon Hire or + CRT - Coding Specialist (CCS) - AHIMA American Health Information Management Association… more
- University of Michigan (Ann Arbor, MI)
- …process. + Coordinate and expedite patient transfer to inpatient unit by utilization of MiChart and paging in collaboration with ABCC, nursing (inpatient/ED), and ... nurse. + As Unit Host, collaborate with Guest Services Specialist and clinical team to manage visitor flow. +...posted for a minimum of seven calendar days. The review and selection process may begin as early as… more