- CenterWell (Lansing, MI)
- …of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets. This ... contracts, as well as to identify opportunities and implement program improvements to enhance our member and customer experience....affairs teams, sales teams define overall strategy for each Medicaid state + Work with market partners to perform… more
- CVS Health (Lansing, MI)
- …leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / ... lost funds, and to comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the planning and execution of… 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
- 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
- Molina Healthcare (Ann Arbor, MI)
- …+ years supervisory/management experience in a managed healthcare environment. + Medicaid /Medicare Population experience with increasing responsibility. + 3 + ... vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business....Experience** + 5+ years of managed healthcare experience, including 3 or more years in one or more of… more
- Henry Ford Health System (Troy, MI)
- General Summary: The Clinical Manager , Medical Appeals supports appeals team members to plan, direct, evaluate, coordinate, and manage the activities associated with ... provider appeals, for all product lines (HMO, AHL, and Medicare Advantage (MA), Medicaid , and Duals) in accordance with internal HAP policies. Coordinate with the… 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
- Henry Ford Health System (Detroit, MI)
- …Register today by following this link: qrco.de/bffvep Job Summary: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ensuring ... skills, and a deep understanding of healthcare systems. The Case Manager -RN will collaborate closely with patients, families, healthcare providers, and community… more
- Henry Ford Health System (Wyandotte, MI)
- …past 34 consecutive years. PART TIME 20 HOUR DAYS GENERAL SUMMARY: The Case Manager is a member of the hospital or specialty-based patient-centered care team or ... family's health care needs. The goals of the case manager are to promote patient safety, quality of care...nursing or a Master's degree of Social Work. Minimum ( 3 ) three years of clinical experience. Excellent verbal communication… more
- Henry Ford Health System (Jackson, MI)
- …as needed, with some remote work day options. GENERAL SUMMARY: The Case Manager is an interdependent member of the patient-centered care team or treatment team ... health education, etc.) or a Master's degree of Social Work. + Minimum ( 3 ) three years of clinical experience. + Excellent verbal communication and written… more