Utilization Management Jobs in Grand Rapids, MI

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...

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...

About the Medication Care Coordination Department:The Corewell Health Medication Care Coordination (MCC) department is a central pharmacy department consisting of clinical pharmacy specialists and pharmacy technicians working to support inpatient and outpatient infusion clinics along 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...

Job SummaryProvides strategic direction and coordination for Corewell Healths Value Analysis Value Based Supplier Partnerships and Supply Chain Utilization Management programs while providing high level clinical and supply chain support to the organization. Accountable for the develop More...

About This Role:As the Senior Director of Medical Affairs Statistics you will play a pivotal role in leading a dynamic team focused on evidence generation and health technology assessment. This position is critical to ensuring the development and dissemination of scientific evidence o More...

Title: Program Coordinator Empower UReports to: Building Administrator Empower U Kent ISDTerms of Employment: Full time 200 day yearround position 8 hours per day Professional Contract BROAD STATEMENT OF RESPONSIBILITIES:Under the direction of the building administrator or More...

As the Field Medical Strategy & Insights Lead within the Global Medical Affairs (GMA) organization you will spearhead the development of an overarching strategy for the Global Field Medical Team (MSLs) to support clinical trials site engagement scientific exchange and insights gat More...

About This RoleThe Medical Director Lupus role is a part of Immunology Specialty Care North America (US) Medical a strategic partner within Biogen that helps inform medical practice across our therapeutic areas and pipeline to improve meaningful patient outcomes. As a key member of t More...

About This Role:As a Medical Director Clinical Development Immunology you will be an integral member of the Immunology Therapeutic Area within the Clinical Development Organization. In this dynamic role you will play a critical part in shaping and advancing clinical programs particula More...

About This Role:As a Senior Medical Director for Alzheimers disease & Dementia (ADD) Clinical Development you will be at the helm of pioneering programs that have the potential to transform lives. Youll lead and oversee clinical development activities across both early and latesta More...

This position on the health plan side of the organization (Priority Health) and is eligible for remote employment. States that are not eligible for remote employment at this time are California New York North Dakota Wyoming and Washington.This team will not be able to sponsor for empl More...

The Director of Medical Engagement Excellence Oncology reports to the Senior Director of Medical Affairs Operations.  The Director of Medical Engagement Excellence is responsible for leading all aspects of medical training for field teams to uphold the highest standards of medic More...

What Does A Director Medical Writing DoThe role of a Director Medical Writing involves leading the creation of highquality medical content and ensuring compliance with regulatory standards. Here are some key responsibilities and qualifications for this position: Key Responsibilit More...

Job SummaryThis position is critical to Priority Healths mission of improving the health and lives of the people we serve in collaboration with the health plans provider partners and major delivery systems. Expectations will include appropriate application of utilization management sk More...

TinkBird Healthcare Staffing is currently seeking Permanent Medical Director Physician for a position in Grand Rapids Michigan.Postion DetailsStart Date: 04/21/2025End Date: 07/21/2025Shift: 8 Hours x 5 Days 08:00:0016:00:00 8.005Position RequirementsMust have 2 years expierence as a More...

Starting pay is $22.64 per hour or higher depending on years of experience.Practice and CultureCoordinates volunteers who will work with elderly patients during their hospitalization engaging them in activities and strategies to prevent the onset of delirium and improve outcomes.Job S More...

Job Summary Director Medical Regulatory and AccreditationCollaborates with the VP and senior leadership of Priority Healths Medical Management and legal/compliance departments in the development management implementation and oversight of strategies programs and activities to support More...

To perform this job successfully an individual must be able to perform the essential job functions satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary job functions herein described. Since every duty associated with this More...

Actuarial and Financial Modeling: Develop and maintain actuarial and financial models to support business needs and strategic goals. Design and develop financial models to quantify the impact of proposed costsaving initiatives and forecast potential outcomes. Assist in More...