- Humana (Lansing, MI)
- …day to day flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid , and/or and Group Account members and create actionable ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Lansing, MI)
- …medical necessity and appropriateness of care + Health Plan experience + Previous Medicare / Medicaid Experience a plus + Bilingual is a plus **Workstyle:** Remote ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Prime Therapeutics (Lansing, MI)
- …all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to ... management experience + Knowledge of the applicable line of business (eg, Medicare , Medicaid , Exchange, Commercial, Employer Group) Every employee must… more
- Cardinal Health (Lansing, MI)
- …knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid , Managed Care, and Commercial medical and pharmacy ... + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Lansing, MI)
- …of residence + Eligibility to participate in federal prescription programs (eg, Medicare / Medicaid ) + Self-directed with the ability to work effectively both ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Lansing, MI)
- …Primary Care & Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Lansing, MI)
- …experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Lansing, MI)
- …regulations or adjacent sectors **Preferred Qualifications** + Comprehensive knowledge of Medicare , Medicaid , and DSNP encounter processes and policies. + ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Trinity Health (Spring Lake, MI)
- …clinical condition of residents, ensuring proper care planning, and maximizing Medicare and Medicaid reimbursement. **Key Responsibilities:** + Coordinate the ... Assessment Instrument) process and care planning. + Knowledge of Medicare , Medicaid , and reimbursement procedures related to MDS. + Excellent organizational,… more