- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...National and Local Coverage Determinations, CMS-recognized Compendia, NCCN, Humana Pharmacy Policies and Procedures, and clinical literature as appropriate.… more
- Henry Ford Health System (Detroit, MI)
- …Detroit, Michigan is seeking an Infectious Diseases physician to serve as the System Associate Medical Director of Epidemiology and Infection Prevention and ... consistently ranked among the top five NIH-funded institutions in Michigan. The health system serves a growing number of customers across five acute care hospitals,… more
- Molina Healthcare (Ann Arbor, MI)
- **Job Description** **Job Summary** Leads and supervises team of pharmacy call center and operations staff responsible to ensure that members have access to ... medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality… more
- Henry Ford Health System (Detroit, MI)
- …Provides administrative support and direction when needed. Reports directly to the respective Pharmacy Manager and/or Pharmacy Director within the ... day operational issues. 15.Makes recommendations for acquisition of new or additional pharmacy programs, equipment, and systems . 16.May provide education to… more
- Henry Ford Health System (Detroit, MI)
- …infection prevention and reduction initiatives, and stewardship activities. The associate director will participate in local and system -wide infection control ... Position Description Overview In collaboration with the Medical Director of Infection Prevention and Control (IPC) and Antimicrobial Stewardship (AMS), the Associate… more
- Henry Ford Health System (Detroit, MI)
- …pharmacy technician for all others. + Two (2) years of experience with automated pharmacy dispensing systems preferred. + PC skills as needed to perform job ... for Full-Time Benefits GENERAL SUMMARY: Under the direction of the Department Director or Manager, coordinates and facilitates operations in key department areas… more
- Molina Healthcare (Sterling Heights, MI)
- … benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems , quality improvement, medical utilization management, risk ... medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and… more
- Molina Healthcare (Ann Arbor, MI)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy , and quality functions. You surface systemic issues, steer partners toward… more
- Henry Ford Health System (Troy, MI)
- General Summary: Henry Ford Health is recruiting the Director , Hospital Patient Access. This leader is responsible for the effective functioning of hospital patient ... access operations across multiple large facilities within Henry Ford Health System . Key responsibilities include leading highly visible patient facing registration… more
- Henry Ford Health System (Bingham Farms, MI)
- …Officer (DIO), in collaboration with the Associate DIO (ADIO) and the Medical Director of the Orthopedic Service Line for Henry Ford Health, the Program ... Director (PD) of a Graduate Medical Education (GME) program...dismissal in accordance with HF Health GME and applicable system policies. 8. Management of Program Resources a. Responsible… more