- Molina Healthcare (Clinton Township, MI)
- …license (RN) in the state of MI. This position will support our MMP ( Medicaid Medicare Population) that is part of the Community Well team. This position will ... have a case load and manage members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to… more
- Highmark Health (Lansing, MI)
- …formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states. They ... must also be familiar with Medicare drug benefit design offerings that may differ by state, while being familiar with applicable federal rules/regulations that remain consistent throughout the nation **Skills** + Excellent computer skills such as working… more
- Marshfield Clinic (Iron Mountain, MI)
- …excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify ... his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer. All… more
- McLaren Health Care (Grand Blanc, MI)
- …and or reviews the schedules required to support the submission of Medicare, Medicaid and Blue Cross cost report, complying with regulations. Analyzes third party ... cost report changes from prior years, investigating differences. 2. Prepares monthly contractual model and provides thorough analysis of the monthly contractual allowances for assigned subsidiaries. Investigates and makes recommendations for updates to… more
- Fresenius Medical Center (Flint, MI)
- …certification as defined by Center for Medicaid /Medicare (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to ... organization culture, values, and customer service standards + Attendance and active participation in all applicable preceptor training programs as established by education leadership + Attends Fresenius and publicly offered skill-based training as assigned by… more
- Gentiva (Flint, MI)
- …providers + Ensure adherence to hospice industry regulations including Medicare, Medicaid , JCAHO, ACHC **About You** **Qualifications - What You'll Bring:** + ... Current Registered Nurse (RN) license in the state of employment + Graduate of an accredited nursing program (Associate degree accepted with relevant experience) + Minimum 3 years direct patient care experience + Knowledge of hospice principles, regulatory… more
- Prime Healthcare (Port Huron, MI)
- …Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of Approval(R) for Hospital ... Accreditation by demonstrating continuous compliance with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime Healthcare, Lake Huron Medical Center is proud to be part of a system recognized as one of America's Greatest Workplaces… more
- Prime Healthcare (Port Huron, MI)
- …Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of Approval(R) for Hospital ... Accreditation by demonstrating continuous compliance with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime Healthcare, Lake Huron Medical Center is proud to be part of a system recognized as one of America's Greatest Workplaces… 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
- Prime Therapeutics (Lansing, MI)
- …in a healthcare organization or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of businesses + 5 years of experience in SAS, SQL, or VBA ... + Previous experience in model building and underwriting or risk adjusted rate setting, or model development + Previous experience in identifying, designing, recommending, and implementing efficient, innovative business solutions to clients' complex pharmacy… more