- CVS Health (Lansing, MI)
- …healthcare industry + Must reside in Michigan + 7 years' Experience with Medicaid managed care or Population Health + Active and unrestricted registered nursing ... license or social worker license in state of residence. + Mastery of problem solving and decision-making skills + Mastery of collaboration and teamwork + Mastery of growth mindset (agility and developing yourself and others) skills + Mastery of execution and… more
- Humana (Lansing, MI)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- CVS Health (Lansing, MI)
- …working with healthcare payors and/or government programs such as Medicare and Medicaid + CPA License + SQL knowledge **Education** Bachelor's Degree in Finance, ... Accounting or Quantitative field required; equivalent work experience may substitute. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 - $159,120.00 This pay range represents the base… more
- CVS Health (Lansing, MI)
- …**Preferred Qualifications** - Retail or Hospital experience - Managed Care or Medicaid experience - AS400 experience - Proficiency in using computerized resources ... and software applications - Proficiency with Microsoft applications (Excel, Word, and Outlook) - Knowledge in pharmacy practices, procedures, and ability to read and understand clinical information - Working knowledge of drug dosage forms, drug strength,… more
- McLaren Health Care (MI)
- …health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health ... insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ . **Position Summary:** Assist in maintaining the general accounting system for the Plan and its subsidiaries in areas of complexity such as maintaining cash, payroll, disbursements,… more
- Molina Healthcare (Sterling Heights, MI)
- …with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the recruitment and orientation of new ... psychiatric medical directors. * Ensures all behavioral health programs and policies are in line with industry standards and best practices. * Assists with new program implementation and supports for health plan in-source behavioral health services. Required… more
- Corewell Health (Farmington Hills, MI)
- …motivated and reach their goals. Our Dementia Care floor is a 60 bed Medicare/ Medicaid /Dementia unit. We provide care to residents with a variety of diagnoses. The ... dementia care is where we create a fullness of life through the joy of relationships, the art of caring and the spirit of living. This unit also works closely with a multidisciplinary team meets and discusses the resident's plan of care. About the Facility… more
- Lundbeck (Ann Arbor, MI)
- …and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. **Pharmaceutical Environment/Compliance** - Apply ... knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. **REQUIRED EDUCATION, EXPERIENCE and… more
- Elara Caring (Clinton Township, MI)
- …to meet patient needs. + Ensures compliance of current Medicare, Medicaid , and third-party reimbursement regulations and changes. Identifies and reports potential ... payment/coverage problems. **Compliance Responsibilities** : + Ensures all documentation is accurate, complete, timely and adheres to Medicare guidelines. + Assures compliance with the requirements of state licensure, Medicare certification, and any other… more
- TEKsystems (Troy, MI)
- …with auto claims or any type of claims - someone who has worked for medicaid /medicare as they are typically working with those profile callers DQ'S: - job hopping ... and no call center experience - poor communication skills Experience Level Entry Level Pay and Benefits The pay range for this position is $18.00 - $19.50/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length… more