- Humana (Lansing, MI)
- …and help us put health first** We're looking for an experienced and passionate Associate Director of AI Engineering to lead a team focused on building the agentic AI ... to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Humana (Lansing, MI)
- …and help us put health first** We are seeking a seasoned and strategic Director , Tax Accounting to lead our tax accounting and reporting function within a complex, ... Occasional travel to Humana offices may be required. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Prime Therapeutics (Lansing, MI)
- …decision we make. **Job Posting Title** Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is ... manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid . The Sr Director , Pharm Trade Relations leads a team of directors and/or Sr… more
- Humana (Lansing, MI)
- …to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Molina Healthcare (MI)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may require remediation...+ 1 year of experience in Medicare and in Medicaid managed care + Experience with data reporting, analysis,… more
- Prime Therapeutics (Lansing, MI)
- …- Remote **Job Description** The Pharmaceutical Trade Relations Senior Director is responsible for managing Prime's Trade Relations program(s) for medical and ... work, or equivalent training and/or experience + Experience within the PBM industry, Medicaid , Medicare, and health plans + Pharmacist / Pharm D + Experience with… more
- Molina Healthcare (Detroit, MI)
- …performance goals with assigned department managers, in conjunction with the Director , Account Management so that department goals support overall account level ... type management responsibility. 5 years progressive experience supporting a Medicaid ,.Medicare and Marketplace or large claims processing environment with… more
- Humana (Lansing, MI)
- …Leadership teams to ensure utilization reviews comply with Centers for Medicare & Medicaid Services (CMS) regulations as well as Michigan Dual Special Needs Plan ... (DSNP) Contract terms. + Works in conjunction with the Quality Improvement Director to develop quantifiable metrics that can track and evaluate the results of the… more
- Humana (Lansing, MI)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue and earnings.… more
- Humana (Lansing, MI)
- …compliance with accreditation standards, contract, and Center for Medicare and Medicaid Services (CMS) requirements. + Works closely with the Quality partners ... not limited to Performance/Quality Improvement Coordinator, Behavioral Health Network Director , Quality Management Coordinator, and Behavioral Health Quality Management… more