- Humana (Lansing, MI)
- …of our caring community and help us put health first** The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a ... needs, treatment plan adherence, and develop coping skills. The **Telephonic Case Manager ** will assess, plan, coordinate, implement, monitor, and evaluate the care… more
- Cardinal Health (Lansing, MI)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans while planning ... diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred + Strong people… more
- Molina Healthcare (Ann Arbor, MI)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
- Deloitte (Midland, MI)
- Health Actuary Consulting Manager Human Capital Our Human Capital practice is at the forefront of transforming the nature of work. As converging forces reshape ... on October 31, 2025. Work you'll do As a Manager in Deloitte Human Capital, you will provide strategic...including individual medical and small group markets and/or state Medicaid programs The wage range for this role takes… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' ... with resources appropriate for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker**… more
- Humana (Lansing, MI)
- …help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to join the ... to deliver simple, personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA) Decision Engine on the MarTech… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Case Manager SW provides therapeutic intervention and social work services to patients and their families to enhance comprehensive, integrated, ... functions required. Knowledge of child and adult protection laws, state Medicaid guidelines, NASW code of ethics (professional standards), and confidentiality and… more
- CVS Health (Lansing, MI)
- …it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit ... reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct… more
- CVS Health (Warren, MI)
- …compassionate. And we do it all with heart, each and every day. **Case Manager Registered Nurse** WFH Flexible This role will be 25-50%% travel within **Wayne or ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...+ Bilingual in Spanish or Arabic + Certified Case Manager **Education** + Associate's Degree required + Bachelor's degree… more
- Prime Therapeutics (Lansing, MI)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager of Clinical Operations **Job Description** The Manager Operations is ... + Previous experience with RxClaim + Previous experience with Medicare or Medicaid Every employee must understand, comply with and attest to the security… more