• Growth Strategy Consultant (Distribution)

    Humana (Lansing, MI)
    …key part in driving Humana's long-term vision to achieve leading growth in Medicare and individual products. The MarketPoint strategy team was created to help ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (10/02/25)
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  • Associate Actuary

    Humana (Lansing, MI)
    …Qualifications** + SAS, Python, R, SQL profieciency + Strong organizational skills + Medicare Part D experience + Experience with limited data sets Travel: While ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (10/01/25)
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  • RN - Operations - Home Health & Hospice

    Marshfield Clinic (Iron Mountain, MI)
    …as a Registered Nurse or one year of experience in a Medicare Certified Home Health or Hospice Agency. **Preferred/Optional:** None **CERTIFICATIONS/LICENSES** _The ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
    Marshfield Clinic (10/01/25)
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  • Field Medical Director, Cardiology

    Evolent (Lansing, MI)
    …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
    Evolent (10/01/25)
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  • Field Medical Director- (MD/DO)

    Evolent (Lansing, MI)
    …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
    Evolent (09/26/25)
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  • Summer 2026 MBA Internship - Insurance

    Humana (Lansing, MI)
    …following areas: + Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer internship ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/24/25)
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  • RN Stroke Coordinator - Emergency

    Prime Healthcare (Port Huron, MI)
    …Healthgrades Patient 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 Accreditation by demonstrating continuous compliance with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime… more
    Prime Healthcare (09/17/25)
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  • Supervisor, Provider Engagement

    Humana (Lansing, MI)
    …administrative expenses and quality/bonus performance + Comprehensive knowledge of Medicare policies, processes and procedures **Additional Information** To ensure ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/09/25)
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  • Call Center Personal Care Connector

    AmeriHealth Caritas (Detroit, MI)
    …Care Connector (PCC) is vital in delivering high-quality, personalized service to Medicare members. Operating within a call center environment, the PCC supports ... reduce barriers to care. + Meet or exceed call quality, documentation, compliance , and attendance performance standards. **Education & Experience:** + High School… more
    AmeriHealth Caritas (09/05/25)
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  • Health Care Surveyor 9-P11

    State of Michigan (MI)
    …to perform survey and certification activities on behalf of the Centers for Medicare and Medicaid Services (CMS). The health care surveyor position performs surveys ... surveys. The purpose of these surveys is to determine initial and ongoing compliance of federal certified providers with applicable portions of the Code of Federal… more
    State of Michigan (09/03/25)
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