- Prime Therapeutics (Lansing, MI)
- …compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance with each State ... and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position...and regulations as they pertain to rebate processing and Medicaid Drug Rebate Program . + Ability to… more
- Henry Ford Health System (Troy, MI)
- The Program Manager - Population Health & Value-Based Payment has an important role in a high-profile group tasked with implementing system-wide improvements ... to the Director, Risk Adjustment and Value-Based Payment, the Program Manager is responsible for complex ...departmental staff and multi-disciplinary teams. + Knowledge of Medicare, Medicaid , Blue Cross and other third-party payers billing and… more
- University of Michigan (Ann Arbor, MI)
- Project Intermediate Manager Apply Now **Job Summary** This dual role combines quality improvement specialist and project manager responsibilities to advance ... position is responsible for the management of the Pediatric Sickle Cell Improvement Program (P-SCIP), serving as a primary liaison between the Michigan Department of… more
- CVS Health (MI)
- …Risk Adjustment Analytics team! In this role you will serve as a hybrid project manager and subject matter expert in Medicaid Risk Adjustment Medicaid ... 5 or more years of data analytics experience - 3 or more years of experience in technical programming...Knowledge of government-regulated healthcare programs such as Medicare or Medicaid - Knowledge of health insurance concepts - Experience… more
- Humana (Lansing, MI)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...This position will be part of our Special Needs Program (SNP) team. All of our SNP RN Care… more
- Munson Healthcare (Traverse City, MI)
- Home Care Manager - On-Site | Munson Home Health Find more than your next job. Find your community. We're northern Michigan's largest healthcare system and deeply ... growth and development. Why work as a Home Care Manager at Munson Home Health? + Lead a mission-driven...multisite Home Care offices. You'll ensure regulatory compliance (Medicare, Medicaid , CHAP), manage budgets, set and meet key performance… more
- Integra Partners (Troy, MI)
- The Project Manager - Healthcare Claims Management (Subject Matter Expert) is responsible for leading complex projects and initiatives related to claims ... + Ensure claims-related projects meet compliance with HIPAA, CMS, Medicaid , and other applicable regulations. + Partner with IT,...of experience in healthcare claims management, with at least 3 years in a project management capacity. + Deep… more
- Henry Ford Health System (Detroit, MI)
- The Case Manager Social Worker provides therapeutic intervention and social work services to patients and their families to enhance comprehensive, integrated, and ... departmental policies and procedures. GENERAL SUMMARY: + The Case Manager is a member of the hospital or specialty-based...Master's degree of Social Work. EXPERIENCE REQUIRED: + Minimum ( 3 ) three years of clinical experience. + Excellent verbal… more
- Gentiva (Grand Rapids, MI)
- …workplace Keywords: hospice RN jobs, patient care manager hospice, clinical manager hospice, RN leadership, hospice program oversight, IDG facilitator nurse, ... Compassion. Inspire Excellence. Elevate Hospice Care.** We are seeking a Patient Care Manager Specialist to join our team, reporting to the Regional Director of… more
- Gentiva (Jackson, MI)
- …Inspire Excellence. Elevate Hospice Care.** We are seeking a Senior Patient Care RN Manager to join our hospice team. Reporting directly to the Executive Director or ... you will play a vital role in maintaining a high-performing hospice program by managing patient care activities, supervising clinical staff, and ensuring compliance… more