- 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 ... in utilization management within Insurance industry a plus + Previous Medicare Advantage/ Medicare **Alert** Humana value's personal identity protection. Please… more
- 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 ... the Tele Sales Agents who are responsible for converting Medicare eligible callers to patients. The Care Delivery Call...PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Lansing, MI)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ... with resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require… more
- Integra Partners (Troy, MI)
- …leadership duties, serving as both a mentor and performance manager for frontline staff. Salary: $75,000.00/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES ... overall team performance, escalating issues as needed to the UM Clinical Manager . + Ensure compliance with all regulatory, contractual, and accreditation standards… more
- Centene Corporation (Lansing, MI)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Attend community ... St. Joseph, Branch)** **Position Purpose:** Work with Marketing & Community Relations Manager to develop and implement community outreach plan for the Health Plan.… more
- Merck (Lansing, MI)
- …with the in-scope customer team: Customer Team Leader, Key Account Manager , Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, ... plans in collaboration with the local team and district manager (known as the Oncology Customer Team Leader). +...by site or organization, with Friday designated as a remote -working day, unless business critical tasks require an on-site… more
- 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 ... diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies....PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Lansing, MI)
- …Proficient with Microsoft Excel **Preferred Qualifications** + Bachelor's Degree + Pharmacy Benefit Manager (PBM) experience + Experience working inside a ... your official application on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Humana (Lansing, MI)
- …utilize MS-DRG, APR-DRG, APC or EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat or PSI applications + Experience ... government agency + Intermediate Microsoft Access skills **Additional Information** This role is " remote /work at home" and can be based anywhere in the United States… more
- Humana (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 ... As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits , and opportunities to grow yourself and your career. In addition to… more
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