- CenterWell (Lansing, MI)
- …Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience in managed ... members + Previous management experience and ability to lead teams + Previous program or project management experience + Proven success in leading teams (both direct… 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 ... to be completed in a specified timeframe involved in performance improvement program for Pathology and Lab. Produce workload summary and charge pursuant to… more
- Trinity Health (Howell, MI)
- …by the Patient Access Lead. Other duties as needed and assigned by the manager . Maintains a working knowledge of applicable Federal, State, and local laws and ... regulations, Trinity Health's Organizational Integrity Program , Vision, Mission, Core Values, Standards of Conduct, as well as other policies and procedures to… more
- Molina Healthcare (Detroit, MI)
- …standards and requirements established by the Centers for Medicare and Medicaid . **Knowledge/Skills/Abilities** * Leads, organizes, and directs the activities of the ... performance indicators (KPI's) with multiple targets depending on Medicare Program and State requirements. **Job Qualifications** **Required Education** Associate's… more
- Novo Nordisk (Traverse City, MI)
- …current co-promotion partners. Internally, the DCS report to the District Business Manager of the specific sales territory. The DCS also interact and collaborates ... of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy,… more
- Elara Caring (Adrian, MI)
- …in meeting therapy and related needs, and in the therapy home exercise program providing requests for modification and clarification. + Promotes compliance with all ... with all federal, state, and local regulations along with current Medicare, Medicaid , and third-party reimbursement regulations and changes. + Assures the continuity… more
- Novo Nordisk (Ann Arbor, MI)
- …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and ... of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy,… more