- 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
- Molina Healthcare (Warren, 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
- 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
- Molina Healthcare (Warren, 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 (Warren, 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 (Warren, 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
- Deloitte (Detroit, MI)
- …nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic...and tracks progress. Job Duties and Responsibilities: + Analyze medical records for inpatient and outpatient service areas for… 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
- Tenet Healthcare (Detroit, MI)
- …the development of clinical services, the provision of quality patient care and the medical staff peer review process. Works collaboratively with the DMC Chief ... for hospitals and physicians throughout the nation. Job Summary In association with senior leadership at Sinai-Grace Hospital, and in conjunction with the DMC Chief… more
- Ford Motor Company (Dearborn, MI)
- …to apply your current skills while gaining significant exposure to senior management and provides substantial growth potential, including mentoring a global ... and continuous improvement * Lead continuous improvements to the Brake Milestone Review process, including updating templates, defining review expectations, and… more