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20

Utilization Management Process Improvement Lead Jobs in Michigan






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Job info
 
Company
**********
Location
Troy, MI
Posted Date
Mar 21, 2021
Info Source
Employer  - Full-Time  90  

... Understand and engage in risk management procedures such as identifying, coordinating, ... standards; Participate in all quality improvement procedures and adhere to quality ... procedures and adhere to quality..

 
Company
**********
Location
Troy, MI
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... to enhance the clinical delivery process. The Associate Director, Compliance Nursing ... problems within department(s), and..

 
Company
Location
Troy, MI
Posted Date
May 12, 2021
Info Source
Employer  - Full-Time  90  

... Ensures accuracy of formularies and utilization management (UM) criteria in the Formulary ... and Therapeutics Committee and Drug Utilization Review team meetings Collaborates with ... an expert in Humana's..

 
Company
**********
Location
Detroit, MI
Posted Date
Feb 26, 2022
Info Source
Employer  - Full-Time  90  

... reports directly to senior unit management, participates in shared decision-making activities ... 2. Participates in the employment process related to peers and subordinate ... is authorized to issue work..

 
Company
Location
Troy, MI
Posted Date
Jan 25, 2022
Info Source
Employer  - Full-Time  90  

... education opportunities to drive maximum utilization of available resources, and directing ... problems within department(s), and could lead multiple managers or highly specialized ... highly specialized professional associates. Responsibilities..

 
Company
**********
Location
Lansing, MI
Posted Date
Feb 21, 2022
Info Source
Employer  - Full-Time  90  

... and quality initiatives. Ensures both process and content uniformity to quality ... processes of medical staff, quality improvement, and problem solving for specific ... the development, implementation, and continuous..

 
Company
**********
Location
Troy, MI
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Description The Lead Behavioral Health Medical Director oversees ... doing case reviews themselves. The Lead Behavioral Health Medical Director may ... Health Medical Director may also lead specific functional area..

 
Company
**********
Location
Troy, MI
Posted Date
Oct 01, 2022
Info Source
Employer  - Full-Time  90  

... performance support, mobile learning and process documents. Plans, organizes, and collaborates ... proficiency testing, and job performance improvement. Makes decisions on moderately complex ... any field Minimum 1 year..

 
Company
Location
Flint, MI
Posted Date
Jul 29, 2022
Info Source
Employer  - Full-Time  90  

... to feedback and recommendations by Utilization Review staff. Upon completion of ... courses of action through the utilization of Performance Improvement principles. Responsible for review of ... the QA/PI..

 
Company
Location
Troy, MI
Posted Date
Sep 06, 2021
Info Source
Employer  - Full-Time  90  

... will work closely with Care Management leaders and Subject Matter Experts ... in the areas of Case Management, Utilization Management and Care Management Support as well as other .....

 
Company
Location
Troy, MI
Posted Date
Sep 20, 2021
Info Source
Employer  - Full-Time  90  

... development and implementation of quality improvement interventions and audits and assists ... of experience in Accreditation, Quality Management, Compliance, Utilization Management, Behavioral Health, and/or Case Management Exceptional analytical and..

 
Company
**********
Location
Troy, MI
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

... meetings with Humana's CEO and management team and frequently deliver strategy ... role is modeled after top-tier management consultant experience. As such, day-to-day ... lines of business to reduce..

 
Company
**********
Location
Kalamazoo, MI
Posted Date
Jul 17, 2022
Info Source
Employer  - Full-Time  90  

... to feedback and recommendations by Utilization Review staff. Upon completion of ... courses of action through the utilization of Performance Improvement principles. Responsible for review of ... the QA/PI..

 
Company
**********
Location
Troy, MI
Posted Date
Dec 16, 2021
Info Source
Employer  - Full-Time  90  

... of the Clinical Drug Policy Management team which ensures synchronization of ... which ensures synchronization of formulary utilization management policies across multiple systems. Humana ... Active, unrestricted pharmacy licensure..

 
Company
**********
Location
Troy, MI
Posted Date
Sep 02, 2022
Info Source
Employer  - Full-Time  90  

Description Account Management Lead defines the account management strategy for Humana Pharmacy's commercial ... Pharmacy's commercial accounts. The Account Management Lead works on problems of diverse ... are developed. Leads..

 
Company
**********
Location
Troy, MI
Posted Date
May 26, 2022
Info Source
Employer  - Full-Time  90  

Description Humana's Enterprise Clinical Management team needs your clinical, business ... various analytical organizations you will lead the clinical review and development ... indicators. Secondly, this role will lead the..

 
Company
Location
Troy, MI
Posted Date
Sep 11, 2023
Info Source
Employer  - Full-Time  90  

... Nurse: Serves as a team lead and subject matter expert (SME) ... CarePlus departments Leads implementation of process improvement initiatives based on data analysis ... Reviews inventory reports and..

 
Company
**********
Location
Clinton Township, MI
Posted Date
Oct 28, 2021
Info Source
Employer  - Full-Time  90  

... practice of Quality Assessment and Improvement (QAI), including use of FMS ... individual contributor will have significant project/process responsibilities. Program or project responsibility ... and develops a mechanism or..

 
Company
**********
Location
Grand Rapids, MI
Posted Date
Aug 28, 2022
Info Source
Employer  - Full-Time  90  

... to feedback and recommendations by Utilization Review staff. Upon completion of ... courses of action through the utilization of Performance Improvement principles. Responsible for review of ... the QA/PI..

 
Company
**********
Location
Grand Rapids, MI
Posted Date
Jun 01, 2023
Info Source
Employer  - Part-Time    90  

... responsible for the overall care management process for high acuity engaged Landmark ... Care Plan that addresses disease management, health promotion, and patient-centered goals ... status In a Delegated..

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