- Molina Healthcare (MI)
- **Knowledge/Skills/Abilities** + Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data ... regarding utilization and cost containment information. + Evaluate, write, and...cost containment information. + Evaluate, write, and present healthcare utilization and cost containment reports and makes recommendations based… more
- CenterWell (Lansing, MI)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- University of Michigan (Ann Arbor, MI)
- Cadence Business System Analyst Senior Apply Now...The Cadence Business Team is seeking a Business Systems Analyst to support the management ... opportunity employer. **Job Detail** **Job Opening ID** 264337 **Working Title** Cadence Business System Analyst Senior **Job Title** Business Systems… more
- Cherry Bekaert (Lansing, MI)
- …a trusted business advisor for service leads. + Generate scheduling, utilization and forecasting reports and provide analysis of the data that assists leadership ... your career growth and continuous professional development. Our team is looking for a Senior Resource Coordinator to support our Tax group. The Senior Resource… more
- Amrize (Dundee, MI)
- Senior Business Development Manager Alternative Raw Materials Requisition ID: 13609 Location: Chicago, IL, US, 60631Dundee, MI, US, 48131 Pay Type: Salary ... us and build _your_ ambition. **ABOUT THE ROLE** The Senior Business Development Manager - Alternative Raw...generator sites. + Support increase of Alternative Raw Material utilization by leveraging on technical skills, Cement process and… more
- Corewell Health (Grand Rapids, MI)
- …and renewal of alternative payment model contracts, through medical expense and utilization oversight of trend variance. Advance the requirements of business ... and approaches to help providers maximize performance potential + Provide relationship management and accountable care network oversight to support success in value… more
- Evolent (Lansing, MI)
- …insights to internal and external stakeholders. + Experience with value-based care, utilization management , or regulatory reporting (eg, HEDIS, NCQA, Milliman). ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst, Healthcare Analytics Consultant** The Client Analytics team… more
- Highmark Health (Lansing, MI)
- …Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, ... internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management...Strong written and verbal communication skills for diverse audiences ( senior management , board, peer, and team). +… more
- Molina Healthcare (Grand Rapids, MI)
- …and/or Tableau and data management + Knowledge of healthcare operations ( utilization management , disease management , HEDIS quality measures, claims ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...the Health Plan and Finance team through analyzing key business issues related to cost, utilization and… more
- Integra Partners (Troy, MI)
- …plan clients, while supporting business growth and enhancing network management efficiencies. The Senior Account Manager oversees strategic client ... As a Senior Account Manager for Payer Relations, you are...client experience for your customers. You are an experienced business professional with account management acumen and… more