SUD Utilization Management Clinical Analyst - Hybrid
Oakland Community Health Network
Oakland Community Health Network, Troy, MI, is seeking a full-time Utilization Management Clinical Analyst – Substance Use Disorder to lead prospective and concurrent reviews ensuring medical necessity and appropriate ASAM levels of care within Medicaid and MDHHS requirements. The role emphasizes collaboration with providers and internal teams to promote timely, quality care. Requires a Master’s degree in a mental health field, active Michigan license (LLP/LP, LMSW, LPC, LMFT, or RN), CADC/CAADC #J-18808-Ljbffr Oakland Community Health Network
$56.17k - $70.21k
...,165.00 To $70,206.00 Annually Job Summary The Utilization Management Clinical Analyst - Substance Use Disorder (SUD) conducts prospective and concurrent reviews of... ...performed primarily in an office environment. Hybrid (onsite/remote) work schedule available. The ideal...SuggestedFull timeWork at officeRemote work$56.17k - $70.21k
...6.00 Annually Job Summary Utilization Review Analyst conducts prospective, concurrent... ...facility services. Reviews clinical documentation to determine... ...evidence-based utilization management criteria and clinical... ...of standard office hours. Hybrid (onsite/remote) work schedule...SuggestedFull timeWork at officeRemote work- Oakland Community Health Network is seeking an experienced Utilization Review Analyst in Troy, MI, to conduct prospective, concurrent, and... ...collaboration to support timely care transitions. You will review clinical documentation, apply criteria, and maintain compliance...Suggested
- Senior Business Intelligence Analyst (Hybrid/Troy, MI) - Health Alliance Plan The Senior Business... ...not limited to executives, physicians, clinical staff, peers, and external oversight/... ..., works effectively with ambiguity, manages deadlines, and maintains timeliness and...SuggestedWork at office
- ...loss write-offs. This role may also serve as a liaison between clinical departments, information services, the Helios team, and external... ...Excellent analytical and critical thinking skills. Ability to manage complex, simultaneous assignments with potentially conflicting...SuggestedFull timeWork at officeShift work
- Job Description Job Title: Clinical Service Desk Analyst Job Description Job Title: Clinical Service... ...-acute care environments. This role utilizes clinical issue resolution knowledge... ...organizational, communication, and time management skills. Strong business maturity and...Local areaShift workWeekend work
- ...Employee wellness and engagement program This position is a hybrid role with 60% in office at the Warren, MI location and 40% work... ...accuracy of the data provided Collaborate with supplier performance management and business performance management on initiatives to improve...Temporary workWork at officeLocal areaWork from home
- ...The Business Analyst, Pricing and Underwriting , is responsible... ...services within a Pharmacy Benefit Manager (PBM) setting. Partner cross-... ...with Underwriting, Finance, Clinical, and Account Management teams... ...data-driven analyses. Utilize SQL, Excel, and data visualization...Full timeTemporary workWork at officeRemote workWork from home
$97.01k - $164.91k
Job Description BAE Systems is seeking a Configuration Management professional to elevate our Configuration Status Accounting (CSA)... ...We operate on a 9/80 schedule (every other Friday off) and utilize a hybrid approach that balances on‑site collaboration and onboarding...Full timeWork experience placementRemote work$27 - $29 per hour
...Technical Support Specialist in Southfield, Michigan. This hybrid position focuses on delivering front line technical... ...via multiple communication channels, handling calls and utilizing ServiceNow for ticket management. Candidates can expect a pay range of $27-$29/hr along...- Populance in Troy, MI is seeking a Healthcare Sr. Business Intelligence Analyst to join a hybrid work environment. The role focuses on building a data-driven culture, delivering routine and ad-hoc reports, and providing actionable insights to executives, clinicians, and...
- ...Emissions Systems Spain SL is looking for a Business Analyst to work from their Auburn Hills, MI office. This hybrid role requires effective communication between... ...in data engineering, analytics, and project management, with advanced skills in SQL and data visualization...Work at office
$85k - $90k
...known for offering home and clinic-based ABA services for children... ...model through our Behavior Management Services (BMS) Program! We are... ..., as well as provide support utilizing best ethical practices. Implement... ...). Benefits A flexible hybrid and or 4/10 schedule PTO and...Full timeTemporary workPart timeWork from homeFlexible hoursAfternoon shift- AmWINS Group, Inc. is seeking an Ancillary Benefits Analyst in Birmingham, Michigan. The role supports Market Directors through RFP coordination, data management, and backend proposal operations. Enjoy a hybrid work environment with a competitive benefits package and opportunities...
- ...Health System is seeking a Senior Business Intelligence Analyst in Troy, MI. In this hybrid role, you will work collaboratively to build a data-driven... ...in a healthcare or business setting. You will utilize tools such as SQL, R, and Power BI to analyze data, design...
- Henry Ford Health System is looking for a CDM Analyst to support and maintain the Charge Description Master (CDM), ensuring its accuracy... ...'s, and relevant coding certifications. The position offers a hybrid work environment based in Troy, Michigan. Benefits include...
- CDM Analyst, Revenue Integrity - Full Time Days - Hybrid (Troy, MI) Reporting to the CDM Manager, the CDM Analyst is responsible for supporting and maintaining the Charge Description Master (CDM), including being responsible for the accuracy and completeness of the CDM...Full timeShift work
- ...Health has been a leader in developing and managing successful surgery center partnerships... ...what they need to ensure long-term clinical and financial success. POSITION SUMMARY... ...review statistics associated with block utilization and provide recommendations based on trends...Part timeWork at officeShift work3 days per week
- General Summary Reporting to the CDM Manager, the CDM Analyst is responsible for supporting and maintaining the Charge Description Master (CDM)... ...Billing experience (professional and/or hospital) preferred. Clinical experience including RN, NP, RT, etc. a plus. Additional...Full timeShift work
- ...Agency in Troy, Michigan, is seeking a Benefits Analyst to join their Employee Health & Benefits team. In... ..., and organizational skills are essential for managing complex client cases effectively. This role offers a hybrid work setup and generous benefits including professional...
$55.77k - $73.4k
...Exchange. Overview The Sr. Business Systems Analyst - Loyalty & Marketing Technology supports... ...and campaigns. Responsibilities Utilize SQL (e.g., Databricks or similar environments... ...results, and documentation of outcomes; manage test data and promotional scenarios in lower...Full timeTemporary workFreelanceLocal areaWorldwideFlexible hours- ...Fortune 500 companies. Our trained and experienced professionals constantly strive to bring together the best technologies available to manage client's complex business and technology, participate in implementation activities and collaborate in new ways to meet client needs...
- Fratarcangeli Wealth Management is seeking a detail-oriented Support Analyst to assist Relationship Managers and Senior Advisors in managing high-net-worth client relationships, executing financial strategies, and delivering exceptional service. You will prepare client...
- A financial consulting firm in Michigan is seeking a Senior Financial Analyst for a hybrid position. The successful candidate will manage complex financial and operational projects, coordinate cross-functional teams, and prepare strategic reports for leadership. Ideal applicants...
$67.5k - $110k
Plante & Moran, PLLC is seeking a skilled resource manager to oversee staffing and scheduling in Southfield, MI. The role requires at... ...the staffing process and collaborating closely with office leadership to maximize team utilization. #J-18808-Ljbffr Plante MoranWork at office- ...we are looking for candidates for two OTC Analyst positions and two OTC Junior Analyst positions. Your Role: Collections Management: Resolving customer financial inquiries professionally... ..., workshops, and networking events. Hybrid work (minimum 47 days/yr of remote work,...Work experience placementRemote workFlexible hours
- A consulting firm is seeking a Regulatory Operations Analyst to support compliance with non-financial regulatory reporting requirements. This hybrid role involves collaboration with various teams and responsibilities like validating reports and interpreting regulations....
$55 - $60 per hour
...Technology Recruitment & Staffing Job Title: Senior Business Analyst Location: Troy, MI - Hybrid Position Type: Contract position Job Description:... ...Focus) (Only W2 or Selfcorp) Business Analyst - Treasury Management & Payment Sales Detroit, MI $120,000.00-$150,000.00 2...Contract workTemporary workWork at officeLocal area$62.5k
...future opportunities. Marketing Data Management Platform: Serves as subject matter... ...software. Ensures complete and effective utilization of the systems. Runs queries as needed... ...~3 years of experience in a Marketing Analyst role, including experience administering...Work at office$62.5k
...Claims Adjuster – Casualty Location: Remote in multiple states; Hybrid only in Michigan (dependent upon proximity to office location).... ..., an ... Job Type: Full‑time Claims Quality Assurance Analyst The Claims Quality Assurance Analyst is responsible for monitoring...Full timeWork at officeRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to SUD Utilization Management Clinical Analyst - Hybrid. Be the first to apply!
- business analyst law firm Troy, MI
- business analyst healthcare Troy, MI
- public sector business analyst Troy, MI
- records management analyst Troy, MI
- senior data management analyst Troy, MI
- senior business analyst contract Troy, MI
- business analyst part time remote Troy, MI
- business analyst Troy, MI
- fiserv business analyst Troy, MI
- management analyst Troy, MI


