- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …environments. + Strong consultative sales skills, with the ability to understand complex healthcare ecosystems and tailor solutions for diverse stakeholders ... and partners and strengthening our collective impact on total healthcare . Guided by our mission, we think big and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …in both in-line brand stewardship and upcoming product launches, the Associate Director , Channel Strategy and Patient Affordability will serve as a key strategic ... + Bachelor's degree + 5-7 years of experience in pharmaceutical or healthcare industries, with experience in payer and/or channel functions required + Performance… more
- Humana (Lansing, MI)
- …diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors ... on matters of significance. + Exercises independent judgment and decision making on complex issues regarding job duties and related tasks. + Works under minimal… more
- Molina Healthcare (MI)
- …This role has decision-making accountability for ensuring compliance with complex regulatory requirements, protecting the integrity of enterprise revenue, and ... of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational functions - Payment… more
- Henry Ford Health System (Troy, MI)
- …to regional averages, comparing to Government fee schedules and analyzing existing healthcare ( claims ) data and reimbursement terms and payment methodologies; ... GENERAL SUMMARY: Under supervision of Manager and / or Director , support the managed care contracting function by performing...revenue capture. 9. Develop queries and reports to extract claims and payor data from dbase reporting tool. 10.Perform… more
- Evolent (Lansing, MI)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... Job Description **Analyst, Integration Quality** Integration testing in the healthcare ecosystem requires complete end to end testing in...most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may… more
- Humana (Lansing, MI)
- …for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must be able to work core business hours on EST time between ... of compliance risk across the organization. This team ensures that healthcare providers align their operational practices with legal requirements while fostering… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: This Clinical Success Program Manager will report to the Director , Ambulatory Case Management and work closely with program development, product, ... billing documentation. + Reconcile performance reports with internal data. + Audit claims reports against system reporting for accuracy. + Review roster reports to… more
- Integra Partners (Troy, MI)
- …adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary ... analytical, and organizational skills. You relish operating in a complex , client-facing environment, and value working cross-functionally to deliver innovative… more
- Sanofi Group (Lansing, MI)
- …customers. In this field-based position, the FRM will report to a field-based Director , Field Reimbursement, within Patient Support for T1D (Type 1 Diabetes). The ... and assisting in patient pull though efforts. We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges,… more