Clinical Utilization & Quality Review Analyst
Oakland Community Health Network
Oakland Community Health Network is seeking a Full Time Professional in Troy, MI. This role focuses on reviewing clinical services within the SUD provider network, ensuring appropriate service delivery and adherence to quality standards. The ideal candidate will possess a master’s degree in a mental health field and at least five years of relevant experience. A State of Michigan license in a relevant discipline is required. The position offers a hybrid work schedule. #J-18808-Ljbffr Oakland Community Health Network
$56.17k - $70.21k
...prospective, concurrent, and retrospective reviews, program and network recommendations.... ...of this position includes the review of clinical care and treatment plans by staff in the... ...OCHN Teams, such as involvement in Access, Quality Management, or benefits coordination...SuggestedFull timeWork at officeRemote work- Troy, Michigan Engineering Quality - Problem Management Analyst #1058811 Responsibilities Analyze issues, triage... ...of problem resolution. Lead daily reviews to manage issues. Identify... ...design and process (DFMEA, PFMEA, DVP). Utilize AI to analyze data, identify and solve...SuggestedImmediate start
$23 - $25 per hour
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- Job Summary Performs internal quality assessment reviews and education (as needed/identified) on all applicable Corewell Health Inpatient Facility coders to ensure adherence to the Coding Quality Plan, Official Coding Guidelines, coding policies for complete, accurate...Full timeMonday to FridayShift workWeekend work
$30 - $35 per hour
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- Eocene Environmental Group, based in Royal Oak, Michigan, is seeking a Utility Distribution Auditor. This role involves protecting communities through safe and sustainable vegetation management practices. Responsibilities include tree inventories, safety promotions, and...
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- A community health organization in Michigan is looking for an Analyst to provide clinical oversight and advocacy for individuals in need of higher levels of care. Responsibilities include conducting reviews and ensuring compliance with regulations. The ideal candidate...All shifts
$25 - $30 per hour
...record of helping manufacturers and assemblers reduce cost, improve quality, and increase efficiency. We are A Company Culture Devoted to... ...certifications, test reports, and supplier documentation review Familiarity with defense‑sector’s expectations regarding Traceability...Hourly payFull timeLocal areaRemote workMonday to FridayFlexible hours- ...The Data Quality Analyst will support the definition of data quality standards, requirements, and specifications for data quality controls in the data lifecycle. They will also provide support for operational processes that measure, monitor and report on data quality levels...
- ...validating, and compiling documentation from claims systems to meet quality and deadline requirements. Partners with internal teams to... ...risks and ensuring timely completion. Conducts detailed claim reviews to validate audit samples and investigate errors. Determines appropriate...Remote work
- ...The Business Analyst, Pricing and Underwriting , is responsible for the compilation,... ...functionally with Underwriting, Finance, Clinical, and Account Management teams to develop... ...changes, and perform data-driven analyses. Utilize SQL, Excel, and data visualization tools...Full timeTemporary workWork at officeRemote workWork from home
- ...-Apply Opportunity: Large Group Benefit Analyst Are you ready to take your benefits expertise... ...‑facing meetings, including renewal reviews, claims reviews, and strategic planning... ...present and explain claims experience, utilization trends, and financial drivers in a clear...
- ...success, which is why more than 75% of our clients rank us amongst their top three staffing suppliers. Job Description Title: Quality Analyst Location: Southfield, MI Duration: 12 month (may extend) Our top direct client is looking for a Quality Analyst for a long term...
$88.54k - $121.1k
...Function as a subject matter expert on utilization of Tag Management Systems to enable the... ...and in person (encompassing marketers, analysts, and web developers) on projects requiring... ...available to eligible U.S. Based employees, are reviewed on an annual basis, and are governed by...Temporary workFreelanceWork at officeLocal areaFlexible hours- InDepth Engineering Solutions, LLC | Full time Supplier Quality Warranty Analyst Auburn Hills, United States | Posted on 06/10/2026 The SQ Warranty Analyst is responsible for supporting warranty performance analysis and driving corrective actions aligned with the organization...Full timeWork at office
- Job Description: Support Technical Service Operations (TSO) by delivering data-driven insights, scalable reporting solutions, and structured documentation of internal processes across warranty and aftersales programs. This role is responsible for building ...Temporary workWork at office
- ...and recruiting mortgage talent for our clients. Job Description Quality Control Supervisor & Chief Compliance Officer Overall... ...years of current Quality Control Experience. Key Responsibilities Review a list of closed, rejected/withdrawn and early payment default...Shift work
- ...audit reports with evaluations of areas reviewed and summarized objectives, scope, findings... ...auditors on audit procedures, work quality, and productivity. Continuous Improvement... ..., external audit, accounting, financial analyst, or related business experience). ~5+...Work at officeRemote work
$55.77k - $73.4k
...Description The Sr.Business Systems Analyst - Loyalty & Marketing... ...Responsibilities Key Responsibilities Utilize SQL (e.g., Databricks or... ...to support repeatable, high‑quality execution. Coordinate with... ...U.S. Based employees, are reviewed on an annual basis, and are governed...Temporary workFreelanceLocal areaWorldwideFlexible hours- ...Warehouse Auditor The Warehouse Auditor serves as the final quality checkpoint before customer orders leave the warehouse. Working in the Pack Stage, this role audits outbound orders, reviews backorders, makes approved Warehouse Management System (WMS) adjustments,...Hourly payTemporary workMonday to FridayShift workWeekend work
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- UWM is looking for an IT Quality Assurance Analyst to join their growing QA team in Pontiac, MI. This role involves advocating for quality, designing test plans, and supporting automation integration in an agile environment. The ideal candidate will have 6+ years in software...
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