- Prime Therapeutics (Lansing, MI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Staff Pharmacist- REMOTE **Job Description** The Clinical Staff ... for delegated products and services. **Responsibilities** + Responsible for the clinical evaluation for coverage determination requests for prior authorization (PA)… more
- Prime Therapeutics (Lansing, MI)
- …staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors telephone system to ensure ... and drives every decision we make. **Job Posting Title** Clinical Pharmacy Technician Sr - Remote **Job...$19.23 - $28.85 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
- Prime Therapeutics (Lansing, MI)
- …and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Researches, resolves and documents physician ... and drives every decision we make. **Job Posting Title** Clinical Pharmacy Technician - Remote **Job Description**...$17.85 - $25.48 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
- Molina Healthcare (Detroit, MI)
- …appropriate departments and committees on others. Identifies and recommends potential clinical measurement and quality improvement activities. + Maximizes use ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement… more
- Prime Therapeutics (Lansing, MI)
- …and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... data, drug pipelines, and competitive intelligence to drive continuous improvement in clinical offerings + Represent the organization as a thought leader at industry… more
- Molina Healthcare (MI)
- …effective operations that drive change. + Functions as key lead for clinical chart review /abstraction and team management. This includes qualitative analysis, ... **Job Description** **Job Summary** The Director, Clinical Data Acquisition is responsible for the implementation,...deliverables. This role also works with the Health Plan quality leads to strategically plan for supplemental data source… more
- Evolent (Lansing, MI)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... clinical professionals. + A role that values innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …and leadership to the Global Quality function with responsibilities for Global Clinical Quality (GCQ), CSV and GPV. In this role, the leader oversees ... **Data Integrity:** Ensure the accuracy, consistency, and reliability of clinical and PV data through robust Quality ...Clinical vendor management and vendor oversight. + **Management Review :** Establish and maintain a system to ensure R&D… more
- Molina Healthcare (MI)
- …read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Mentor entry and Sr. level ... as NCQA reviews, CAHPS and state audits by reviewing clinical documentation. + Provides data collection, presentations and report...SKILLS & ABILITIES:** + 5 years experience in healthcare Quality /HEDIS specific to medical record review and… more
- University of Michigan (Ann Arbor, MI)
- …made from accurate findings. + Collaborate with participating sites to improve data quality and consistency. + Validate clinical data using an electronic health ... RN - Clinical Informatics Specialist Apply Now **How to Apply**...with a passion for improving care through research and quality improvement? If you thrive in a fast-paced, highly… more