- GCG (Lansing, MI)
- …is a highly collaborative, visible, and impact-driven role where you'll partner with senior leaders and HR business partners to align talent priorities with business ... adoption + Drive change management and user training to ensure effective system utilization across the organization + Monitor system performance and user feedback to… more
- 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
- CenterWell (Lansing, MI)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... experience. + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Intelligence + Ability to… more
- University of Michigan (Ann Arbor, MI)
- …Program Oversight + Ensure highly effective departmental operations, including access, utilization review , care coordination, transition of care, clinical social ... years progressive leadership experience in acute care, case management, social work, utilization review , or discharge planning. + Demonstrated financial acumen… more
- Highmark Health (Lansing, MI)
- …the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise ... of developing technical solutions. The consultant will act as a senior resource within the team, fostering business-to-technical collaboration and providing… 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
- Coinbase (Lansing, MI)
- …analysis, risk assessments, development of the audit plan, project management, quality review , report issuance and issue validation across IT and business functions. ... clear findings, risk implications, and pragmatic, actionable recommendations to senior management and relevant stakeholders. Partner with leadership to develop… more
- CenterWell (Lansing, MI)
- …by accessing and understanding formulary restrictions, plan limitations, drug utilization review overrides, requesting and completing prior authorization, ... promoting good practices within the value-based model. + Know and continually review medication brand and generic names, medical terminology, and pharmaceutical… more
- Molina Healthcare (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 (Detroit, 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
- Humana (Lansing, MI)
- …and help us put health first** The Value Based Market Support Senior Professional is responsible for providing comprehensive market support across assigned markets ... and market objectives are achieved. The incumbent facilitates Business Review meetings with markets, offering performance updates, strategic consultation, 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
- Vail Resorts (MI)
- …the position is filled (whichever is first). **Jo** **b Summary:** The Senior Director of Strategic Mountain Planning is responsible for leading long-range, ... cross-functionally with operations, finance, environmental, and capital development teams, the Senior Director ensures that all mountain planning aligns with company… more
- Cardinal Health (Lansing, MI)
- …strategy portion of the software renewal lifecycle, the Software Renewals Senior Consultant proactively identifies and manages upcoming renewals, collaborates with ... + Facilitate pre-renewal assessments, including supplier performance evaluations, license utilization analysis, and risk identification. + Define renewal strategies… more
- Oracle (Lansing, MI)
- …new, greenfield opportunities within the media and entertainment space. As a senior individual contributor, you will work with engineering and product leaders to ... processes. + Define and track OKRs/KPIs related to GPU utilization , performance efficiency, and service scalability. **Responsibilities** **Qualifications** + BS/MS… more
- Cardinal Health (Lansing, MI)
- **What DevOps Engineer Contributes to Cardinal Health** The Senior DevOps engineer reports to the DevOps manager. The engineer works closely with software engineers, ... + Skilled in implementing cost saving measures ensuring proper utilization of available resources. + Experience in Azure and...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Kemper (Lansing, MI)
- …our stakeholders that delivers on our promises._ Kemper is seeking a Senior Guidewire BillingCenter Developer. This role provides leadership for multiple areas ... complex technical problems and issues with assigned applications and work processes. + Review and recommend test plans for impacted areas and end to end test… more
- Tenet Healthcare (Detroit, MI)
- …universities. Assists management in department functions and special projects, ie, utilization review , quality assurance, program development and committee work. ... Senior Physical Therapist - 2506003573 Description : DMC...work-life balance. The available plans and programs include: * Medical , dental, vision, and life insurance * 401(k) retirement… more
- Oracle (Lansing, MI)
- …experienced Nursing analyst to collaborate directly with clients at a prominent academic medical center in the Midwest. This remote role will act as the primary ... Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal candidate will leverage their… more
