- Integra Partners (Troy, MI)
- Position Summary + Integra Partners is seeking a full-time Utilization Review Medical Director to support our Utilization Management team. This is a salaried, ... Job Responsibilities: + Conducting timely clinical review of Durable Medical Equipment (DME) requests in alignment with Medicare...Management Nurse will route the case to the UR Medical Director . The UR Medical … more
- R1 RCM (Detroit, MI)
- …enhancing the patient experience. As the Government Navigation Services (GNS) Business Development Director , you will focus on engaging and targeting new Tier 1 and ... in addition to prospecting and networking initiatives, the GNS Business Development Director will partner with the Business Development teams of in-house and… more
- Elara Caring (Bingham Farms, MI)
- …in this mission. This means you have countless ways to make a difference as Branch Director . Being a part of something this great starts by carrying out our ... pioneer in delivering unparalleled care, we need a Branch Director with commitment and compassion. Are you one of...+ Opportunities for advancement + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer… more
- Bayer (Dearborn, MI)
- …minds to make a real difference, there's only one choice.** **Associate Director , Field Reimbursement, Oncology - Great Lakes Region** **Associate Director , ... HCPs and Office staff in navigating therapy Prior Authorizations (PAs), Medical Necessity documentation and therapy PA denial appeals. Develop collaborative working… more
- ChenMed (Warren, MI)
- …new patients to ChenMed. Senior MGC is the second of three separate tiers as part of the overall MGC Success Plan and growth career path at ChenMed. The incumbent ... housing managers, senior centers and related community providers to keep ChenMed/JenCare Medical Centers as their top provider choice for senior healthcare when… more
- Option Care Health (Farmington Hills, MI)
- …and delivering presentations within Option Care and externally with customers (ex. medical director , head of case management, executive c-suite individuals). ... oncology, or transplant. + Basic understanding of billing and reimbursement procedures for hospital, medical offices, and Medicare (B/D + benefits) as well as … more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the hospitals, ... medical centers, urgent care centers, and employed physicians of...payor relationships including direct to employer relationships and commercial, Medicare Advantage, Medicaid HMO, and other governmental payors. 4.… more
- Henry Ford Health System (Detroit, MI)
- …Manager! GENERAL SUMMARY: Under the direction of the department director , the Education Specialist assesses, designs, and evaluates cost-effective, ... preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. Knowledge of… more