- Humana (Lansing, MI)
- …Lead will analyze complex problems and issues related to member care and medical cost. This role is highly collaborative and will work closely with associates ... **Role Desirables** + Health care industry experience **Workstyle:** Remote work at Home **Location:** US **Schedule:** M-F 8:00 AM to 5:00 PM Eastern **Travel:**… more
- Humana (Lansing, MI)
- …relevant skills and experience at a time that is best for your schedule. **Work At Home / Internet Information :** To ensure Home or Hybrid Home /Office ... to meet workforce objectives. Provides analysis of talent and staffing needs based on strategic planning at the enterprise level. Begins to influence department's… more
- CenterWell (Lansing, MI)
- …+ Superuser experience with leading EMR vendor + Superuser experience with cloud based telephony solution, including knowledge of FCC, CTIA TCPA, GDPR, and DNC ... healthcare setting, with a focus on technology solution **Additional Information :** + Remote Role + Remote work position; must...Estimated travel 25% annually to PCO markets **Work at Home Statement** To ensure Home or Hybrid… more
- Humana (Lansing, MI)
- …our Special Needs Program (SNP) team. All of our SNP RN Care Managers are work at home associates, working from a dedicated home office space. Work at home ... for meeting quality and productivity measures daily and maintaining working home internet at all time with demonstrated advanced communication and interpersonal… more
- Humana (Lansing, MI)
- …Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior ... This role involves evaluating complex clinical scenarios and applying evidence- based criteria to ensure appropriate medication use. The pharmacist addresses… more
- Humana (Lansing, MI)
- …help us put health first** The CenterWell Strategy Senior Consultant provides data- based strategic direction to support broader team and identify and address ... closely with CenterWell leadership and senior leaders across our Primary Care, Home , and Pharmacy businesses to advance delivery of personalized and integrated care… more
- Humana (Lansing, MI)
- …Medicare UM Committees to ensure adoption and consistent application of appropriate medical necessity criteria. + Participates in oversight of the programs to ensure ... Michigan DSNP specific outcomes and initiates action to implement appropriate interventions based on utilization data, including but not limited to: identifying and… more
- Humana (Lansing, MI)
- …or Mathematics + Prior Underwriting or Financial Analysis/Risk Analysis experience **Additional Information ** **Work-At- Home Requirements** To ensure Home or ... as a Financial Underwriter 1. This position underwrites for medical and pharmacy and will compute rates for both...ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office associates must meet… more
- Evolent (Lansing, MI)
- …performance and patient health. This role supports capitated risk and value- based strategy development, medical cost management activity, medical ... & Product teams in developing the strategic approach for innovative and in-demand value- based care pursuits + Serving as a strategic partner of our analytics… more
- Humana (Lansing, MI)
- …to travel 10-15%. **Preferred Qualifications** + Experience in healthcare services **Additional Information ** As part of our hiring process for this opportunity, we ... HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and...time that is best for your schedule. **Work at home requirements:** To ensure Home or Hybrid… more