Top 362 support specialist Jobs in lansing mi

Senior Utilization Management Compliance and Accreditation Specialist
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- 7 years
- Bachelor's degree
- Business Administration
- Dental insurance
- Opportunities for advancement
Professional Services Compliance Liaison
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Bachelor's degree
- Dental insurance
- Opportunities for advancement
Disaster Recovery Specialist
MSU Federal Credit Union —East Lansing, MI
- $85,000 - $100,000 a year
- Monday to Friday
- Hybrid work
- DevOps
- Office
- 3 years
- Paid parental leave
- Paid holidays
Quick Apply
Regulatory Affairs Specialist
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- Mid-level
- Databases
- Bachelor's degree
- Dental insurance
- Opportunities for advancement
Senior Encounter Data Specialist
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- 7 years
- Word processing
- Research
- Dental insurance
- Opportunities for advancement
Professional Aide
Michigan State University —East Lansing, MI
- $12.48 - $30.00 an hour
- Temporary
- Remote
- Microsoft Outlook
- No experience needed
- Ability to lift 50 pounds
(USA) Member Specialist
Sam's Club —Lansing, MI
- $17 - $25 an hour
- High school
- Merchandising
- Continuous improvement
- Paid jury duty
- Disability insurance
Call Center Member Services Specialist - East Lansing
MSU Federal Credit Union —East Lansing, MI
- From $18 an hour
- Evening shift
- Hybrid work
- High school
- Basic math
- High school diploma or GED
- Paid parental leave
- Paid holidays
Quick Apply
Customer Care Specialist
ServiceMaster —Lansing, MI
- $20 - $23 an hour
- Monday to Friday
- Remote
- Background check
- Microsoft Outlook
- Pass drug screening
- Paid holidays
- Health insurance
Quick Apply
Data and Analytics Specialist
Michigan Primary Care Association —Lansing, MI
- $31.09 an hour
- Full-time
- Remote
- Computer science
- Computer Science
- Mid-level
Quick Apply
Authorization and Referral Specialist
Pain Management Center of Lansing —Lansing, MI
- From $20 an hour
- Full-time
- HIPAA
- In-person
- Medical terminology
- Health savings account
- Disability insurance
Quick Apply
2d
Bilingual Support Specialist
First National Bank of America —East Lansing, MI
- Office
- US work authorization
- Communication skills
- Health savings account
- Health insurance
Quick Apply
Licensed Professional Counselor
Headway —Michigan
- Up to $120.94 an hour
- Remote
- Private practice
- Master's degree
- Senior level
Business control specialist
Los Tres Amigos Mexican Restaurant —Williamston, MI
- $15 - $17 an hour
- Full-time
- Mid-level
- Office
- Analysis skills
Quick Apply
8d
Financial Services Professional - Hybrid Remote (MI)
Bankers Life —Lansing, MI
- $50,000 - $80,000 a year
- Full-time
- Hybrid work
- Office
- Communication skills
- Entry level
Quick Apply
Life Insurance Account Specialist
HG Financial And Associates —Lansing, MI
- $86,000 - $135,000 a year
- Full-time
- Background check
- In-person
- Entry level
- Opportunities for advancement
- Life insurance
Quick Apply
Customer Engagement / Sales Specialist
Summit Retail Solutions —Lansing, MI
- $60,000 - $90,000 a year
- Weekends as needed
- Background check
- Up to 50% travel
- Driver's License
- Paid training
- Health insurance
Quick Apply
1d
Licensed Insurance Professional | Independent Agency Opportunity
Peninsula Insurance Services —Okemos, MI
- $58,000 - $108,000 a year
- Full-time
- Mid-level
- Office
- Communication skills
- Paid time off
Quick Apply
SharePoint SME Specialist
UHY LLP —East Lansing, MI
- $25 - $35 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Office
Quick Apply
13d
Compliance Specialist
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Bachelor's degree
- Dental insurance
- Opportunities for advancement

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Senior Utilization Management Compliance and Accreditation Specialist

Delta Dental of Michigan -
Okemos, MI

Apply Now

Job Details

Full-time

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Bachelor's degree
Productivity software
Data collection

Full Job Description

Job Title:

Senior Utilization Management Compliance and Accreditation Specialist

Number of Positions:

Location:

Okemos, MI

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

Leads the Government Programs utilization management (UM) compliance functions, including the National Committee for Quality Assurance (NCQA), Utilization Review Accreditation Commission (URAC), Credentialing and Recredentialing (CR) accreditations, reaccreditations, and quality improvement compliance activities. Ensures adherence to URAC/NCQA standards, state UM contractual requirements, and CMS audit standards by identifying gaps, mitigating risk, and driving corrective action plans.

Primary Job Responsibilities:

Serves as subject matter expert on applicable URAC/NCQA, UM and CR compliance standards, elements, and factors.
Drafts and maintains procedures, materials and reports to maintain compliance with all applicable URAC/NCQA standards and external/ internal requirements.
Analyzes and monitors UM and CR compliance metrics; prepares routine and ad hoc reports and summarizes findings for leadership review.
Identifies potential compliance risks or barriers to maintaining URAC/NCQA accreditation and escalates concerns as appropriate; partners with internal and external stakeholders to support mitigation strategies.
Supports regulatory and accreditation-related audits by coordinating evidence collection, preparing documentation, tracking requests, and supporting corrective action plan development and follow-up for Government Programs State and MCO partners.
Partners with department leadership to support compliance and quality goals, objectives, and performance measures by providing analysis, recommendations, and implementation support.
Participates in developing and delivering internal educational programs to ensure all applicable internal stakeholders are appropriately trained on URAC/NCQA compliance requirements, best practices, time frames, and regulatory requirements.
Maintains detailed project plans to support ongoing monitoring of URAC/NCQA standards; partners with impacted departments to document status, evidence, and remediation activities.
Oversees the URAC/NCQA survey process for utilization management in collaboration with project lead, including data and information acquisition, accreditation application, scheduling, file review and other administrative tasks including scheduling and management of mock file reviews and surveys to periodically assess the company’s URAC/NCQA readiness on an annual basis.
Participates in the annual process to reflect on strengths and opportunities and applies those learnings to remain URAC/NCQA compliant and/or in support of the next accreditation cycle.
Provides compliance and accreditation subject matter support for other quality-related projects, including state utilization review/utilization management certifications or URAC-related initiatives.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor's degree in business administration, public administration, or a related field and seven years of experience in NCQA and/or URAC quality management or compliance auditing standards. Will accept any suitable combination of education, training or experience.

Position requires general knowledge of federal and state laws, rules, and regulations; strong verbal and written communication skills; effective relationship building and interpersonal skills; strong data analytical and problem-solving skills; ability to use independent judgement to make decisions; ability to multitask and work on multiple projects at any given time; and experience with Microsoft Office applications.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Apply Now

Refine Your Search

support specialist jobs in lansing mi

Senior Utilization Management Compliance and Accreditation Specialist

Professional Services Compliance Liaison

Disaster Recovery Specialist

Regulatory Affairs Specialist

Senior Encounter Data Specialist

Professional Aide

(USA) Member Specialist

Call Center Member Services Specialist - East Lansing

Customer Care Specialist

Data and Analytics Specialist

Authorization and Referral Specialist

Bilingual Support Specialist

Licensed Professional Counselor

Business control specialist

Financial Services Professional - Hybrid Remote (MI)

Life Insurance Account Specialist

Customer Engagement / Sales Specialist

Licensed Insurance Professional | Independent Agency Opportunity

SharePoint SME Specialist

Compliance Specialist

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