Utilization Management Jobs in Grand Rapids, MI

BandLevel 4Job Description SummaryAccess and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide range of access and reimbursement topics and needs (see b More...

Job Description SummaryAccess and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide range of access and reimbursement topics and needs (see below) in su More...

 *This role could be based in lake county/ San Francisco or could be remote.Purpose:To lead Product Safety Teams (PST) and support one or more products as the PST lead alone or with other PST leads ensuring that the safety profile of one or more products is adequately monito More...

The Scientific Director Medical Affairs provides medical and scientific strategic and operational input into core hematology medical affairs activities such as: health-care professional and provider interactions (Payers Patients Prescribers and Providers); generation of clinical and s More...

Job SummaryProvides health information interacts and acts as a resource for providers for complex clinical situations to ensure appropriate use of preservice and concurrent acute medical and/or behavioral health care services. Assesses appropriateness of preservice and concurrent requ More...

Insurance CoordinatorJob SummaryUnder general direction assists in the provision of the highest service level possible to patients/customers to ensure their satisfaction. Participates in activities with third party payors in order to maximize reimbursement.Essential FunctionsUnderstan More...

This role is field-based and candidates should live within a reasonable distance from the primary city.The geography includes the following cities:Detroit MichiganAnn Arbor MichiganFlint MichiganThe Field Reimbursement Manager Botox Therapeutic (FRM) acts as an alternative in-office r More...

This role is field-based and candidates should live within a reasonable distance from the primary city.The Midwest geography includes the following cities:Chicago IllinoisMilwaukee WisconsinIndianapolis IndianaKansas City MissouriDetroit MichiganThe Field Reimbursement Manager Oncolog More...

The primary role of the Medical Affairs Director is to educate and develop clinical champions with the most current study findings supporting the clinical value of Guardant Healths product(s). The Medical Affairs Director will work in collaboration with the VP Medical Affairs Screenin More...

WHAT DOES AN ASSOCIATE DIRECTOR MEDICAL DOThe Associate Director Medical has a deep understanding of the clients business and demonstrates critical thinking and confidence while distilling the scientific and clinical data of the clients brand(s) their competitors and clinical landscap More...

Job SummaryThe Director Highly Integrated Dual Eligible Special Needs (HIDE-SNP) Long-Term Services and Supports (LTSS) is a senior leadership role responsible for the strategic and operational oversight of long-term services and supports across the organization. As an organizational More...

Sub-Acute Rehab Utilization Review ManagerSummary The Sub-Acute Rehab Utilization Review Manager ensures high-quality financially sound care delivery by overseeing regulatory compliance in billing coding and collaboration with the Administrator Therapy Manager and MDS Coordinator th More...

Job Title: Program Coordinator of the Nagel InstituteDepartment: Nagel Institute for the Study of World ChristianityReports to: Director of the Nagel InstituteStatus: Part-time Non-exempt.SUMMARYThe Program Coordinator operationalizes the vision plans and research directives from the More...

Job Summary - Manager Payment IntegritySeeking a strategic and results-driven leader to join Priority Health as aManager Payment Integrity. This role is responsible for overseeing and executing enterprise-level initiatives that drive cost containment and ensure alignment across key bu More...

Corewell Health seeks a Medical Director Anesthesiology to oversee the operations of the facility anesthesia services and assumes accountability for all aspects of service in facility. Reasonably assists in the design and implementation of facilitys surgery strategies. Is responsible More...

The Scientific Director International Medical Affairs - Gastroenterology provides medical and scientific strategic and operational input into core medical affairs activities including but not limited to: health-care professional and provider interactions; generation of clinical and sc More...

Job Description SummaryAccess and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide range of access and reimbursement topics and needs (see below) in su More...

BandLevel 4Job Description SummaryAccess and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide range of access and reimbursement topics and needs (see b More...

Corewell Health seeks a Medical Director Anesthesiology to oversee the operations of the facility anesthesia services and assumes accountability for all aspects of service in facility. Reasonably assists in the design and implementation of facilitys surgery strategies. Is responsible More...

Overview:Glycomine is searching for a highly motivated and experienced individual for the position of Medical Director/Senior Medical Director Medical Affairs to support our programs in development and pipeline efforts.  This role will serve as a scientific and clinical expe More...