- Henry Ford Health System (Troy, MI)
- …Medicare Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide ... root/cause analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists,...Minimum of two (2) years of experience working on utilization management platform-processing authorizations. + Minimum of two (2)… more
- G-TECH Services, Inc. (Detroit, MI)
- …through summarizing data trends, maintaining business processes, including detailed review and regular updates of program communications, and other activities ... care related health insurance experience, ideally within behavioral health or utilization management Education/Certifications - Include: * High school graduate or… more
- Trinity Health (Livonia, MI)
- …requires in depth knowledge of financial and clinical analyses and cost and utilization trends related to payers, employers, and health plan data as well as ... controls documents. Conducts complex impact analyses and modeling, assesses utilization trends, identifies risks, develops projections, determines opportunities and… more
- Corewell Health (Grosse Pointe, MI)
- …Also, ensures continuity of and coordination of services with appropriate utilization of resources. + Responsible for stakeholder management across collaboration ... centrally located positive patient feedback and grievance process + Receive and review complaints and grievances from the patient or patient's representative and/or… more
- Army Tank-Automotive and Armament Command (TACOM) (Warren, MI)
- …Projection goals. Reviews, analyzes and evaluates accomplishment of program by review of reports, studies, projects, information and recommendations provided by ... and other organizations. Maintains cognizance of the organization's financial plan through review of periodic cost summaries, review and analysis of those… more
- Ross Stores, Inc. (Southgate, MI)
- …Operations, MPT, etc\.\) and analytics\. + Identify shortage risks through regular review of indicator reports; partner with stores to develop action plans to ... the company and address new types of theft and fraud\. + Maximize utilization of all available merchandise protection tools and resources \(including EAS, domes,… more