- 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 ... RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… 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
- Molina Healthcare (Ann Arbor, 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
- Oracle (Lansing, MI)
- …stays. + Knowledge of third-party payor rules and regulations. + 2-3 years of Utilization Review experience in a healthcare setting preferred; 1-2 years of ... in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing...and AHIMA Certified RHIT credentials preferred + Certification in Utilization Review , case management, and healthcare quality… 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
- Rocket Software (Lansing, MI)
- …people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and ... and country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and… more
- Molina Healthcare (Grand Rapids, 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
- Molina Healthcare (Ann Arbor, 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
- Vail Resorts (MI)
- …the position is filled (whichever is first). **Jo** **b Summary:** The Senior Director of Strategic Mountain Planning is responsible for leading long-range, ... cross-functionally with operations, finance, environmental, and capital development teams, the Senior Director ensures that all mountain planning aligns with company… 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
- Pfizer (Lansing, MI)
- …insights in local planning + Act decisively by prioritizing resource utilization to meet customer needs Professional Development + Pursue individual learning ... actionable, and solutions focused feedback + Ensure effective and compliant utilization of promotional materials. + Ensure successful, compliant selling activities… more
- Oracle (Lansing, MI)
- …Oracle Cloud Infrastructure (OCI) is seeking a technically advanced and hands-on Senior Software Engineer to drive the design, implementation, and optimization of ... Troubleshooting: Use advanced diagnostic tools to analyze protocol behavior, buffer utilization , network bottlenecks, and implement corrective actions at scale. +… more
- Oracle (Lansing, MI)
- …new, greenfield opportunities within the media and entertainment space. As a senior individual contributor, you will work with engineering and product leaders to ... processes. + Define and track OKRs/KPIs related to GPU utilization , performance efficiency, and service scalability. **Responsibilities** **Qualifications** + BS/MS… more
- Pacific Northwest National Laboratory (Lansing, MI)
- …electricity delivery infrastructure; research, development, validation, and effective utilization of renewable energy and efficiency technologies that improve ... shape energy policy. **Responsibilities** We are seeking a forward-thinking Senior Research Scientist with experience applying Artificial Intelligence (AI),… more
- Cardinal Health (Lansing, MI)
- **What DevOps Engineer Contributes to Cardinal Health** The Senior DevOps engineer reports to the DevOps manager. The engineer works closely with software engineers, ... + Skilled in implementing cost saving measures ensuring proper utilization of available resources. + Experience in Azure and...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Kemper (Lansing, MI)
- …our stakeholders that delivers on our promises._ Kemper is seeking a Senior Guidewire BillingCenter Developer. This role provides leadership for multiple areas ... complex technical problems and issues with assigned applications and work processes. + Review and recommend test plans for impacted areas and end to end test… more