- Ascension Health (Kalamazoo, MI)
- …years of applicable cumulative job specific experience required. **Additional Preferences** Previous Utilization Review Analyst (URA) required. **Why Join ... **Details** + **Department:** Utilization Management + **Schedule:** Part Time. As needed by department. M-F 6a-5p. 24 hours per week. + **Hospital:** Ascension… more
- State of Michigan (Lansing, MI)
- Departmental Analyst 12 - Waiver Data Analyst - BCCHPS Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4762203) Apply Departmental ... Analyst 12 - Waiver Data Analyst - BCCHPS Salary $29.05 - $42.46 Hourly Location...Waiver Program. Position prepares reports regarding the cost and utilization of waiver services in preparation for annual federal… more
- Molina Healthcare (MI)
- …healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare ... utilization and cost containment reports and makes recommendations based...ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing… more
- Sumitomo Pharma (Lansing, MI)
- …in the Medicaid Drug Rebate Program or program contract. This individual will review utilization by these programs to identify potential disputes and will ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- Wayne State University (Detroit, MI)
- Budget Planning Analyst , Budget Planning & Analysis Wayne State University is searching for an experiencedBudget Planning Analyst , Budget Planning & Analysisat ... and budget documents. Monitor and reconcile budgets, accounts and rosters and review related activities for compliance with established policy and procedure. Develop… more
- Prime Therapeutics (Lansing, MI)
- …licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization, Business, State registrations, etc); compile ... and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The Senior Compliance … more
- Molina Healthcare (Warren, MI)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and team productivity reporting. +… more
- Prime Therapeutics (Lansing, MI)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... in-depth client data research, which may involve research and drivers of utilization ; understands resources needed and steps/processes on how to complete the… more
- Carhartt, Inc. (Dearborn, MI)
- …Classification: Hybrid FLSA: ExemptJob Band: Professional Job Summary The Senior Financial Analyst plays a key role in the partnership between the corporate Finance ... chain to evaluate and guide on where efforts should be focused. + Prepare, review , and analyze supply chain department results (ie, vs. Budget; vs. LY) and in-year… more
- Carhartt, Inc. (Dearborn, MI)
- …Professional Job Summary Possessing leadership characteristics, the Senior Credit Analyst supports the Credit Manager with department functions; including, however ... cash forecasting and understanding what receivables are in the pipeline + Review financial statements, market conditions, credit reports and other available credit… more
- DuPont (Midland, MI)
- …use, and end-of-life management. DuPont is a leading company in the full utilization of SAP's Environmental, Health, and Safety (EH&S) Product Safety module for ... regulatory compliance across many diverse specialty product businesses. The Regulatory Analyst position offers a challenging opportunity to gain exposure across the… more
- Molina Healthcare (MI)
- …Medicaid grievance and appeals rights. + Determines member eligibility and utilization history using various Molina systems and databases (eg, membership, claims, ... covered benefits under both Medicare and Medicaid, using member utilization and medical records obtained for the purpose of...decisions made at the plan level or by independent review entities. + Collects, analyzes, and interprets grievance and… more
- Corewell Health (Royal Oak, MI)
- …ensures continuity of and coordination of services with appropriate utilization of resources. Responsible for stakeholder management across collaboration within ... a centrally located positive patient feedback and grievance process- Receive and review complaints and grievances from the patient or patient's representative and/or… more
- Molina Healthcare (MI)
- …Years of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least one line of business among ... data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics. + 5+ Years of experience in Statistical Analysis and… more
- City of Detroit (Detroit, MI)
- …a Housing Development Specialist II position. This is an intermediate level program analyst level, which performs a full range of professional analyst ... periodic audits + Manages and provides oversight over the utilization of various City tax abatements, primarily regarding housing...full premium, no employer contribution will be applied. Please review the Health Care Plan Options Booklet for more… more