- Corewell Health (Southfield, MI)
- …stakeholders. Also ensures continuity and coordination of services with appropriate utilization of resources. Responsible for stakeholder management across ... activities for accountable areas based on organizational priorities (project management , measurable deliverables, milestones, and data informed strategy). + Serves… more
- CVS Health (Lansing, MI)
- …Experience with URAC + Experience with NCQA -Experience supporting Clinical Business - Utilization Management , Case Management + Preference for demonstrated ... remote, candidate could be Hybrid if desired. Position Summary As a senior Analyst you will lead, implement, and maintain effective business Compliance policies… more
- Evolent Health (Lansing, MI)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... , you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent Health (Lansing, MI)
- …Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more