Familiarity with healthcare payer operations, provider integration, clinical data exchange, utilization management, claims, care management, or related health plan functions is preferred. Candidates ...
New

Familiarity with healthcare payer operations, provider integration, clinical data exchange, utilization management, claims, care management, or related health plan functions is preferred. Candidates ...
New
Familiarity with healthcare payer operations, provider integration, clinical data exchange, utilization management, claims, care management, or related health plan functions is preferred. Candidates ...
New
Understanding of health plan functions related to utilization, care, and quality management. * Other related skills and/or abilities may be required to perform this job. Department Summary ...
Understanding of health plan functions related to utilization, care, and quality management. * Other related skills and/or abilities may be required to perform this job. Department Summary ...
Minimum of 3 years of utilization management or utilization review experience in an acute care, health plan, or managed care setting preferred. * Demonstrated proficiency in the application and ...
New
Minimum of 3 years of utilization management or utilization review experience in an acute care, health plan, or managed care setting preferred. * Demonstrated proficiency in the application and ...
New
Experience supporting healthcare payer operations, including clinical data, care management, utilization management, claims, or other health plan functions, is preferred. Prior Epic implementation ...
Experience supporting healthcare payer operations, including clinical data, care management, utilization management, claims, or other health plan functions, is preferred. Prior Epic implementation ...
Detroit, MI · On-site
$87K - $115K/yr
Independently develop and plan, reports, papers and/or other materials in a clear and concise ... Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems ...
Detroit, MI · On-site
$87K - $115K/yr
Independently develop and plan, reports, papers and/or other materials in a clear and concise ... Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems ...
Detroit, MI · On-site
Works with plan Medical Director on development and revision of Clinical Practice Guidelines ... Bachelor's degree in Nursing, or health-related discipline required. * Registered nurse with a ...
Detroit, MI · On-site
Works with plan Medical Director on development and revision of Clinical Practice Guidelines ... Bachelor's degree in Nursing, or health-related discipline required. * Registered nurse with a ...
Cultivate and maintain relationships with health care funders, community organizations ... Ability to work independently, set priorities and plan and implement programs effectively.
New
Cultivate and maintain relationships with health care funders, community organizations ... Ability to work independently, set priorities and plan and implement programs effectively.
New
Detroit, MI · On-site
Works with plan Medical Director on development and revision of Clinical Practice Guidelines ... Bachelor's degree in Nursing, or health-related discipline required. * Registered nurse with a ...
Detroit, MI · On-site
Works with plan Medical Director on development and revision of Clinical Practice Guidelines ... Bachelor's degree in Nursing, or health-related discipline required. * Registered nurse with a ...
Research (internally and externally), initiate, and plan strategic changes in assigned department(s ... Consult and collaborate with Medical Consultants, Medical Directors, Professional Team and Health ...
New
Research (internally and externally), initiate, and plan strategic changes in assigned department(s ... Consult and collaborate with Medical Consultants, Medical Directors, Professional Team and Health ...
New
Plan and direct the formulation and implementation of short and long range strategies in support of ... Health Insurance license and a valid and unrestricted driver's license is required. * Excellent ...
Plan and direct the formulation and implementation of short and long range strategies in support of ... Health Insurance license and a valid and unrestricted driver's license is required. * Excellent ...
One (1) year health insurance plan experience or managed care environment preferred. * Registered Nurse with current unrestricted Michigan Registered Nurse license required. * Certification in Case ...
New
One (1) year health insurance plan experience or managed care environment preferred. * Registered Nurse with current unrestricted Michigan Registered Nurse license required. * Certification in Case ...
New
Plan, organize and direct activities of an assigned business area including but not limited to ... Bachelor's Degree in Business Administration, Health Care Administration, Marketing or related ...
Plan, organize and direct activities of an assigned business area including but not limited to ... Bachelor's Degree in Business Administration, Health Care Administration, Marketing or related ...
Detroit, MI · On-site
Develop work plan timelines and manages workflows to meet project timeframes, as needed. Identify ... healthcare, leave benefits, and retirement benefits. Blue Cross Blue Shield of Michigan operates a ...
New
Detroit, MI · On-site
Develop work plan timelines and manages workflows to meet project timeframes, as needed. Identify ... healthcare, leave benefits, and retirement benefits. Blue Cross Blue Shield of Michigan operates a ...
New
Detroit, MI · On-site
... plan, execute, and continuously improve the delivery of business value. The RTE partners with ... Experience within healthcare, health insurance, or another highly regulated industry preferred.
New
Detroit, MI · On-site
... plan, execute, and continuously improve the delivery of business value. The RTE partners with ... Experience within healthcare, health insurance, or another highly regulated industry preferred.
New
Detroit, MI · On-site
... plan. * Maintain knowledge and comprehensive understanding of auditing principles, processes ... Systems, Healthcare Administration or closely related field required. Advanced degree preferred.
Detroit, MI · On-site
... plan. * Maintain knowledge and comprehensive understanding of auditing principles, processes ... Systems, Healthcare Administration or closely related field required. Advanced degree preferred.
Detroit, MI · On-site
Deliver account specific advice on plan benefit design, products/programs/solutions, alternative methods of healthcare delivery (e.g., HPN, HMO, etc.), funding options and financial tradeoffs (e.g ...
Detroit, MI · On-site
Deliver account specific advice on plan benefit design, products/programs/solutions, alternative methods of healthcare delivery (e.g., HPN, HMO, etc.), funding options and financial tradeoffs (e.g ...

Full-time
Posted 3 days ago
New
Sourced by ZipRecruiter
It services
501 - 1,000 Employees
Glen Allen, VA, US
2016