- GCG (Lansing, MI)
- …is a highly collaborative, visible, and impact-driven role where you'll partner with senior leaders and HR business partners to align talent priorities with business ... adoption + Drive change management and user training to ensure effective system utilization across the organization + Monitor system performance and user feedback to… more
- Integra Partners (Troy, MI)
- …and representing Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director's responsibilities ... require. The Senior MD provides clinical oversight to the Utilization Review Medical Director(s), ensures consistent application of criteria, leads … more
- CenterWell (Lansing, MI)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... experience. + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Intelligence + Ability to… more
- University of Michigan (Ann Arbor, MI)
- …Program Oversight + Ensure highly effective departmental operations, including access, utilization review , care coordination, transition of care, clinical social ... years progressive leadership experience in acute care, case management, social work, utilization review , or discharge planning. + Demonstrated financial acumen… more
- Highmark Health (Lansing, MI)
- …the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise ... of developing technical solutions. The consultant will act as a senior resource within the team, fostering business-to-technical collaboration and providing… more
- Ryder System (Highland Park, MI)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : BUILD ON YOUR ... is an essential industry and we've been in the game since 1933! The Senior Ops Manager manages the operations and personnel for locations with approximately _430_… more
- Coinbase (Lansing, MI)
- …analysis, risk assessments, development of the audit plan, project management, quality review , report issuance and issue validation across IT and business functions. ... clear findings, risk implications, and pragmatic, actionable recommendations to senior management and relevant stakeholders. Partner with leadership to develop… more
- CenterWell (Lansing, MI)
- …by accessing and understanding formulary restrictions, plan limitations, drug utilization review overrides, requesting and completing prior authorization, ... promoting good practices within the value-based model. + Know and continually review medication brand and generic names, medical terminology, and pharmaceutical… more
- Molina Healthcare (MI)
- …research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, actionable financial and even ... skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint) * Coordinates and… more
- Molina Healthcare (Detroit, MI)
- …research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, actionable financial and even ... skills required to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) + Coordinates and… more
