10 associate project manager jobs found in Detroit, MI

Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. May establish care plans and coordinate care through the health care continuum including member outreach assessments. Review, research and authorize requests for authorization of elective, direct, ancillary, urgent, emergency, etc. services. Contact appropriate medical and support personnel to identify and recommend alternative treatment, service levels, length of stays, etc. using approved clinical protocols. Analyze, research, respond to and prepare documentation related to retrospective review requests and appeals in accordance with local, state and federal regulatory and designated accreditation (e.g. NCQA) standards.  Establish, coordinate and communicate discharge planning needs with...

  Responsible for planning, coordinating and supervising assigned department(s)/area(s) to ensure an efficient and cost-effective area of responsibility in accordance with established corporate and departmental policies and procedures.   Supervise and promote the professional development of assigned staff through selection, development, and exploration of more effective methods of managing projects and time. Research (internally and externally), initiate, and plan strategic changes in assigned department(s)/area(s) to optimize technologies and personnel. Recommend and assist in acquisition of technology and other tools or equipment and resources to optimize departmental performance and output. Prioritize and assign work to employees and initiate corrective measures to resolve problems, including scheduling or adjusting overtime requirements as necessary. Interface with diverse levels of internal and external personnel to develop and maintain effective rapport and to...

Departmental Summary This role is responsible for leading day-to-day IT delivery activities for the Epic implementation project, including planning, execution, dependency management, risk and issue tracking, delivery status reporting, and coordination across business, IT, Epic, vendor, and implementation partner teams. The IT Delivery Lead will partner closely with the Delivery Manager, Product Owner, Business Leads, Technical Leads, Architects, Business Analysts, Testing, Infrastructure, Security, Informatics, and other workstream teams to ensure scope, schedule, budget, quality, governance, and implementation readiness remain aligned throughout the project lifecycle. Preference is for a candidate with demonstrated experience leading large, complex programs or projects that span multiple teams, departments, workstreams, and stakeholder groups. Departmental Requirements Candidates must have proven experience managing complex IT delivery efforts, preferably within...

SUMMARY: Responsible for performing virtual and field audits in a multi-functional business unit. Reviews accounting and financial information, as well as, the business operations, to determine appropriate exposures and classifications for policyholders’ employees and subcontractors. Provide assistance with training, development and mentoring of the Premium Audit staff.  This position involves physical audits in addition to virtual audits and requires travel within the assigned market/territory. Residency within or in close proximity to the designated market is required to support job responsibilities. RESPONSIBILITIES/TASKS: Performs virtual and in person field audits. Collects all pertinent data and documents needed to calculate policyholder’s premium liability. Interviews policyholders to obtain further information concerning premiums, e.g. payroll and personnel records, and communicates completed audit information with contact and ensures...

The Company At WTW (NASDAQ: WTW), we provide data-driven, insight-led solutions in the areas of people, risk and capital. Leveraging the global view and local expertise of our colleagues serving 140 countries and markets, we help you sharpen your strategy, enhance organizational resilience, motivate your workforce and maximize performance. ​ Working shoulder to shoulder with you, we uncover opportunities for sustainable success—and provide perspective that moves you.  ​ Create a career that goes in the direction you choose. Get to know opportunity. The Business Create your future.   The complexity, costs and risks associated with employee benefits pose an increasing threat to business performance. An enterprise-wide strategy for managing benefits gives our clients the framework to develop programs that work in concert to help attract and retain top talent in a cost-effective manner so they can offer benefits that give them a competitive edge while meeting the needs of...

Description Summary: The Credit Review Team Leader Sr. will report directly to the Credit Review Director or Credit Review Group Manager. This role involves leading a team in various credit risk review engagements and continuous monitoring activities associated with a strong independent credit review and/or similar credit risk management function. The Credit Review Team Leader Sr. has a proven track record in a Credit Review management role or similar leadership position and has demonstrated exceptional delivery results within a demanding environment. Duties and Responsibilities: Serve as the departmental subject matter expert in credit risk in one of more of the segments within the commercial and/or consumer portfolios and have general knowledge of lending support area practices impact on credit risk within the financial services industry. Develop and maintain working relationships with executive bank...

Plans and delivers safety/risk management services to insured customers and internal associates. We are currently seeking a risk control professional that is technically proficient, self-motivated and results driven to fill an open position within our East Shared Services division. You must be able to conduct comprehensive safety and risk management assessments, provide our Underwriting teams with a strong analytical opinion of risk to support our goal of profitable growth within variety of middle to large premium market segment for Dealerships, Construction, Manufacturing, Wholesale Trade, Retail, Commercial Real Estate and Service industries.  In addition, the successful candidate will develop close relationships with our agents and policyholders, conducting selected safety seminars and training, to build the value-added service that Sentry is known for. The ideal candidate will be based in the suburbs west of Detroit (Wayne, Livonia, Farmington Hills, etc.) with good...

Departmental Summary: This position supports Medicare Part D pharmacy quality and medication adherence initiatives through data analysis, reporting, dashboard development, and operational support. Responsibilities include analyzing healthcare data, monitoring quality measures, providing actionable insights to business and clinical partners, and supporting initiatives that improve CMS Star Ratings. Required Skills and Qualifications: • Strong experience developing complex SQL queries and analyzing large healthcare datasets, including pharmacy claims, medical claims, membership, and provider data. • Proficiency in Python for healthcare analytics, reporting, process automation, and data quality validation. • Experience in writing and maintaining Spark SQL and Python code in Databricks to support process automation and data analytics • Familiarity with SAS programming for data manipulation, reporting, and analytics. • Strong Tableau experience in...

  The AI Engineer/Technical Lead is responsible for designing, developing, and leading  intelligent automation solutions using UiPath’s RPA and AI ecosystem. The role  combines hands-on development with technical leadership, ensuring high-quality  delivery of AI-enhanced automation projects.   Key Responsibilities: Lead design and development of UiPath automation solutions, including AI Center and Document Understanding. Build and deploy AI/ML models to enhance automation accuracy and efficiency. Integrate workflows with APIs, databases, cloud services, and enterprise systems. Provide technical leadership, code reviews, and mentorship to RPA developers. Collaborate with business teams to assess processes, define requirements, and deliver scalable solutions. Oversee deployment, monitoring, and optimization through UiPath Orchestrator. Troubleshoot issues, maintain existing automations, and ensure best practices and governance.   Required...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description A day in the life of a Field Property Adjuster, and what it takes to do the job! As a Field Property Adjuster, you will be dedicated to providing exceptional service to our policyholders. Your primary responsibility will involve traveling to our customers' homes to conduct on-site inspections, investigate coverage, prepare estimates, and settle claims promptly and efficiently. Additionally, you will handle virtual claims countrywide, leveraging various platforms and software such as Xactimate and ClaimsX Video Collaboration. Your...