Systems Healthcare Jobs in Troy

Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work ..

Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..

... look for a Senior Business Systems Analyst to join working remote ... the US! The Senior Business Systems Analyst performs analysis of business, ... requirement specifications. The Senior Business..

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..

1317 W Main St,Fremont,Michigan,49412,United States of America DaVita is seeking a Registered Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in ..

... Humana Lead Database Administrator, Open Systems - Remote in Troy Michigan ... and recovery on Database Management Systems, configures database parameters, and prototype ... by database size, technology used,..

... Humana Lead Product Manager - Healthcare API in Troy Michigan Description ... The Lead Product Manager - Healthcare API (SME) as part of ... catalog, developer experiences, and integration..

... be identifying and utilizing appropriate healthcare resources most consistent with the ... by providing guidance along the healthcare continuum. You will perform clinical ... promote efficient use of the..

Description The Remote Systems Clinical Pharmacist will provide excellent ... development, training, and education. Remote Systems Perform onsite compliance visits as ... needed / requested. Support Remote Systems team. Answer..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... groups, ancillary providers and hospital systems. Proficiency in analyzing, understanding and ... well when..

Description The Senior Business Systems Analysis Professional performs analysis of ... requirement specifications. The Senior Business Systems Analysis Professional work assignments involve ... factors. Responsibilities The Senior Business Systems Analysis..

... We are the future of healthcare and our mission is to ... will help members through their healthcare journey, ensuring they get the ... are: Passionate about transforming our..

Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..

... of Current Procedural Terminology and Healthcare Common Procedure coding systems Must be passionate about contributing ... for this role Experience with healthcare information technology, actuarial science and/or ... Humana's..

Job Information Humana Bilingual Quality Auditor in Troy Michigan Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..

Job Information Humana Senior Copy Writer in Troy Michigan Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a ..

Details Department: Ascension Care Operations - Insurance Schedule: 8-hour day shift, Monday - Friday, Partially Remote Facility: Automated Business Services (ABS) Location: Troy, Michigan Benefits Paid time off (PTO)Various health insurance ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..

Description The Integrated Model for D-SNP team is focused on delivering an integrated member experience through a multidisciplinary team. Focused on the highest risk D-SNP members, this team coordinates both inbound ..

Description The Integrated Model for D-SNP team is focused on delivering an integrated member experience through a multidisciplinary team. Focused on the highest risk D-SNP members, this team coordinates both inbound ..

Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..