• RN/Social Worker Case Manager (Hybrid…

    Henry Ford Health System (Jackson, MI)
    …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 ... for appropriate delivery of services within the patient's health plan benefit structure. + Collaborates with appropriate members of the patient's treatment/care… more
    Henry Ford Health System (11/20/25)
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  • Product Owner, Health Sciences - Consulting…

    Cognizant (Lansing, MI)
    **Product Owner Health Sciences, Consulting Manager ** **About the Role:** As a Product Owner for Sales & Enrollment Platforms, you will make an impact by leading the ... and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory… more
    Cognizant (11/15/25)
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  • Access and Patient Support: Case Manager

    Cardinal Health (Lansing, MI)
    …through all steps of the patient journey, including referral intake, benefit investigation (pharmacy and medical), prior authorization, and therapy delivery. . ... & Insurance Navigation** . Manage the entire care process from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience.… more
    Cardinal Health (12/02/25)
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  • Associate Director, Field Access Manager…

    Merck (Lansing, MI)
    …or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related access processes, including ... benefit verification, prior authorization, and appeal processes * Expertise...by site or organization, with Friday designated as a remote -working day, unless business critical tasks require an on-site… more
    Merck (11/27/25)
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  • Medical Trend Analytics Manager 1

    Baylor Scott & White Health (Lansing, MI)
    **JOB SUMMARY** 100% remote position** The Medical Trend Analytics Manager 1 is responsible for leading the design, execution, and communication of analytical ... excellent healthcare business acumen and communication skills. The Medical Trend Analytics Manager 1 manages a team that provides advanced medical cost trend… more
    Baylor Scott & White Health (11/26/25)
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  • Product Owner, Health sciences- Consulting…

    Cognizant (Lansing, MI)
    …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory ... flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of… more
    Cognizant (11/15/25)
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  • Lead Product Manager - Adobe Experience…

    Humana (Lansing, MI)
    …us put health first Humana's Product organization is seeking a Lead Product Manager to drive the strategy, development, and optimization of the Adobe Experience ... frameworks and consent management best practices Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
    Humana (11/20/25)
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  • Provider Relations Manager (SNF…

    Molina Healthcare (Saginaw, MI)
    **_ Remote and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider… more
    Molina Healthcare (11/13/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Lansing, MI)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
    CenterWell (11/06/25)
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  • Pharmacist - Clinical Operations Advisor

    CVS Health (Lansing, MI)
    …create a clinical operations plan. The Clinical Operations Advisor works with the Benefit Relationship Manager and client to facilitate gathering formulary and ... of business including Medicare , Medicaid, Exchange, and Commercial. This is a remote role, open to qualified candidates within the Central or Eastern time zones… more
    CVS Health (11/26/25)
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