- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Compliance ( UM ) Analyst / Professional 2 conducts and summarizes compliance ... audits. The Compliance ( UM ) Analyst / Professional 2 collects and analyzes data daily,...requirements and works with the business area to ensure compliance with requirements. + Manages tasks and timelines to… more
- University of Michigan (Ann Arbor, MI)
- Managed Care Payer/Operations Analyst Apply Now **Job Summary** The Managed Care Contracting and Operations (MCCO) Department is responsible for the negotiation, ... involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager, Managed Care Operations...and administration of managed care agreements between Michigan Medicine, UM Health-Sparrow and UM Health-West and a… more
- University of Michigan (Ann Arbor, MI)
- Development Research Analyst Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... a data, not a medical/computational position **Job Summary** The Development Research Analyst partners with a portfolio of assigned Michigan Medicine Office of… more
- University of Michigan (Ann Arbor, MI)
- Cadence Business System Analyst Senior underfill Intermediate Apply Now **Job Summary** The Cadence Business Team is seeking a Business Systems Analyst to ... of Cadence, Welcome and MiChart functionality to support patient access needs. The analyst will serve as a subject matter expert on template and scheduling design… more
- University of Michigan (Ann Arbor, MI)
- Data Visualization & Business Intelligence Analyst Apply Now **Job Summary** We are seeking a highly skilled Data Visualization and Business Intelligence Analyst ... administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing… more
- University of Michigan (Ann Arbor, MI)
- App Programmer/ Analyst Sr Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of your ... Informatics is seeking a team member to fill a Applications Programmer Analyst , Senior position. Under minimal supervision, provide support for the analysis, design,… more
- The Cigna Group (Bloomfield, CT)
- …medical equipment and out of network services. Conduct reviews in compliance with medical policy, member eligibility, benefits, and contracts. **Essential Duties ... medical necessity and appropriateness of setting according to established policies and compliance guidelines. + Uses an established set of criteria to evaluates and… more
- Magellan Health Services (Hodge, LA)
- …under utilization of services. Train and monitor ECSS Sites to ensure compliance with best practices and contract requirements. Will participate in Quality ... reports with audit results. Presents findings at provider, customer, UM and CM meetings as needed. + Audits and...and Certifications - Required BCBA - Board Certified Behavior Analyst - Care Mgmt, LCMFT - Licensed Clinical Marriage… more
- University of Michigan (Dearborn, MI)
- …with students during their placement. **Who We Are** The University of Michigan-Dearborn ( UM -Dearborn) is one of the three campuses of the University of Michigan. ... UM -Dearborn is a comprehensive university offering high-quality undergraduate, graduate,...also have: + certification as a Board Certified Behavior Analyst (BCBA). + demonstrate strong background in Applied Behavior… more
- Molina Healthcare (Los Angeles, CA)
- …within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including ... The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM delegates are compliant all applicable State, CMS, and NCQA requirements, as… more
- Sierra Nevada Corporation (Lone Tree, CO)
- …and maintain a Secret US Security Clearance is required** **Preferred:** + Flight Analyst DER/ UM credentials + Experience testing to 14 CFR part 23 and/or ... and professional test plans, test procedures, and test reports in order to demonstrate compliance to system requirements + Ability to obtain FAA 2nd class medical +… more
- University of Miami (Medley, FL)
- …continuously assesses the effectiveness of internal controls within the unit and compliance with university policies and procedures. + Ensures user requirements are ... quality audits, provides training for quality coaching, and oversees calibration of analyst , trainers, and supervisors. + Directs the learning strategy and oversees… more