• Support Specialist

    Henry Ford Health System (Troy, MI)
    The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution ... Additional Information + Organization: Corporate Services + Department: Central Utilization Mgt + Shift: Day Job + Union Code:...team members is our priority. That's why we offer support in the various components of our team's well-being:… more
    Henry Ford Health System (05/16/25)
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  • Healthcare Utilization Analyst (Hybrid…

    Henry Ford Health System (Troy, MI)
    Utilization team manager to provide administrative, operational, and organizational support for the Utilization Management teams. PRINCIPLE DUTIES AND ... accreditation by NCQA and compliance with CMS and privacy policies. + Provides Utilization Management staff support and liaison support to committees,… more
    Henry Ford Health System (05/15/25)
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  • Pharmacy Specialist - Clinical Informatics…

    Henry Ford Health System (Detroit, MI)
    Join Henry Ford Health as a Full Time Pharmacy Specialist - Clinical Informatics. GENERAL SUMMARY: Schedule: Full Time 40 Hour Location: Detroit, Michigan Henry Ford ... Health is seeking a dedicated and knowledgeable Pharmacy Specialist in Clinical Informatics to serve as the primary...(ie Willow) or other IT teams as appropriate, for review , follow-up & resolution. + Performs intake of requests… more
    Henry Ford Health System (04/25/25)
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  • Clinical Pharmacist Specialist Infectious…

    Corewell Health (Grand Rapids, MI)
    …role model for staff pharmacists. + Coordinates and implements departmental drug utilization review efforts and other process improvement activities as assigned. ... Job Summary The Infectious Diseases (ID) Clinical Pharmacist Specialist is responsible for providing professional infectious diseases pharmaceutical care. This… more
    Corewell Health (05/08/25)
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  • Clinical Pharmacy Specialist Family…

    Corewell Health (Grand Rapids, MI)
    …role model for staff pharmacists. + Coordinates and implements departmental drug utilization review efforts and other process improvement activities as assigned. ... Substance - STATE_MI State of Michigan 90 Days required + CRT-Basic Life Support (BLS) - AHA American Heart Association Ambulatory Sites 90 Days required +… more
    Corewell Health (05/13/25)
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  • Logistics Management Specialist

    US Army Reserve Command (Fraser, MI)
    …Reserve, visit http://www.goarmy.com/reserve/jobs.html. Responsibilities Serve as a Logistics Management Specialist in an Army Reserve Battalion or equivalent size ... unit. Provide staff logistical support in areas such as supply, procurement, property accountability, transportation, equipment, maintenance, food service, and/or… more
    US Army Reserve Command (05/17/25)
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  • Sr. Specialist , Account Management

    Cardinal Health (Lansing, MI)
    …community members and solutions to our industry partners. The _Sr. Specialist , Account Management (UroGPO Member Development)_ is responsible for supporting all ... (work from home). **_Responsibilities_** + Travel to programs to present QBR's and Support Champs programs including but not limited to setting up AV, hosting live… more
    Cardinal Health (05/09/25)
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  • Patient Access Specialist 1

    Trinity Health (Howell, MI)
    …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Case Management/ Utilization Review personnel, as needed. Obtains and ... Stop/Go Reports, Schedules, to facilitate daily patient activity and flow in support of the clinical departments. Analyze completeness and accuracy of records on… more
    Trinity Health (05/07/25)
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  • RN Clinical Database Specialist

    Corewell Health (Southfield, MI)
    …Wayne hospitals. We are seeking a highly skilled and detail-oriented RN Clinical Data specialist to join our team with a primary focus on managing and optimizing ... a secure and confidential manner within the constructs of the specialty program. Provides support of the program through the monitoring and analyzing of data as well… more
    Corewell Health (05/06/25)
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  • Network Infrastructure Specialist (Remote)

    Trinity Health (Livonia, MI)
    …resource for new applications impacting multiple sites + Monitoring of RHM Enterprise circuit utilization + Review circuit utilization to identify sites may ... **Employment Type:** Full time **Shift:** **Description:** Enterprise Network Support : EDC Network support and Maintenance F5 Infrastructure NAC Infrastructure… more
    Trinity Health (05/21/25)
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  • Senior Provider Network Management…

    Corewell Health (Grand Rapids, MI)
    …and renewal of alternative payment model contracts, through medical expense and utilization oversight of trend variance. Advance the requirements of business and ... + Facilitate joint operating committees with strategic partners and leaders. + Review and explain alternative payment model performance relative to target. + Provide… more
    Corewell Health (05/08/25)
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  • Organizational Quality Nurse Specialist

    Hospice of Michigan (Southfield, MI)
    …work with minimal supervision. + Requires knowledge of quality assessment and utilization review functions, principles and practices. + Theoretical and practical ... of the organization. Provides leadership and expertise to facilitate and support staff competency through best practice teaching, consultation, collaboration and the… more
    Hospice of Michigan (03/11/25)
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  • Cardiometabolic Care Specialist - Hep / GI…

    Novo Nordisk (Grand Rapids, MI)
    …brand strategies and the implications and importance of generating advocacy and support for them + Demonstrates professionalism and a customer-focused approach with ... appropriate patients that would benefit in order to ensure early trial and utilization + Generates advocacy for Novo Nordisk products and services by sharing… more
    Novo Nordisk (04/22/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Lansing, MI)
    utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support . +… more
    Evolent (04/30/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Grand Rapids, MI)
    …supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support , or other specific program experience as needed ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… more
    Molina Healthcare (05/16/25)
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  • XR Reg Clin Sls Supt Spec

    Canon USA & Affiliates (Lansing, MI)
    **XR Reg Clin Sls Supt Spec - req1392** **OVERVIEW** The Clinical Sales Support Specialist (CSSS) role will report into the XR BU and will be a clinical and ... clinical/sales touch current. + Provide clinical advice to improve utilization of the system and ancillary equipment in an...as booth staffing, virtually and/or in person, as demo specialist and subject matter experts for sales support more
    Canon USA & Affiliates (04/23/25)
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  • (Remote) Epic Application Coordinator - Ambulatory

    Trinity Health (Livonia, MI)
    …process and decision-making. Understanding the workflow for case management and utilization review would be helpful. Recommends innovative application solutions ... Full time **Shift:** **Description:** POSITION PURPOSE Responsible for providing primary support and contact for each application. Coordinates all issues that arise… more
    Trinity Health (03/27/25)
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  • Human Resource Business Partner

    NTT America, Inc. (Lansing, MI)
    …in the implementation of strategies relating to human resources and general HR support of employees in their area of responsibility and /or stakeholder group. These ... individuals have specialist knowledge and answer queries related to their area...relating to the recruitment, development, engagement, and general HR support of employees. + Support teams and… more
    NTT America, Inc. (04/25/25)
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