- 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
- McLaren Health Care (Flint, MI)
- …includes but is not limited to review and authorization of services, utilization of medical policy, utilization of standard screening techniques, and ... risk, and under and overuse of services. Collaborates with Medical Director and senior management on complex...+ One (1) year previous experience in Managed Care Utilization Management, Medical Management, Case Management. **Preferred:**… more
- Molina Healthcare (Sterling Heights, MI)
- …including clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality management ... acumen abilities. * Evidence-based clinical criteria competency. * Peer review , medical policy/procedure development, and provider contracting experience.… more
- Molina Healthcare (Sterling Heights, 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 (Sterling Heights, 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
- Molina Healthcare (Sterling Heights, MI)
- …Assist retrospective HEDIS rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and team ... data. + 3+ Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line of… more
- Emerson (Novi, MI)
- The Senior Payroll Manager for North America supervises payroll and time/attendance operations across the United States and Canada, ensuring timely and accurate ... effective and efficient in their delivery. The Payroll Operations Senior Manager-North America will act as the expert with...and coaching to a multi-country staff to ensure effective utilization of resources and timely and accurate delivery of… more
- General Motors (Warren, MI)
- …help further identify synergies and work processes but also, optimize inventory utilization and reduce e/o. + Subject matter expert in gathering and interpreting ... variety of health and wellbeing benefit programs. Benefit options include medical , dental, vision, Health Savings Account, Flexible Spending Accounts, retirement… more
- Erickson Living (Novi, MI)
- …and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) ... Location: Fox Run Village by Erickson Senior Living Join our team as the Assistant...which builds on our mission, vision and values + Medical , dental and vision packages, including an annual reimbursement… more