- Prime Therapeutics (Lansing, MI)
- …Benefit Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... degree in related area of study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical Demands** +… more
- Molina Healthcare (Warren, MI)
- …needs. Performs analysis across multiple states and lines of business ( Medicare , Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and ... applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA...model for Commercial ACA members, the CDPS model for Medicaid members, and others as needed + Must have… more
- Munson Healthcare (Traverse City, MI)
- …functions of our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid , CHAP), manage budgets, set and meet key performance ... 3 years home care/hospice + Proven management experience + In-depth knowledge of Medicare / Medicaid regulations; CHAP standards preferred We're Looking For + A… 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. ... care management and contractual performance objectives are met for the Michigan Medicaid program. They will ensure the program and resources are used effectively… 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. ... part in forecasting risk scores and revenue for the Medicare Advantage Part D business. The successful candidate will...FSA or plus relevant advanced degree + Experience with Medicare Part D + Familiarity with Risk Score Data… 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. ... coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills...role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside… more
- Corewell Health (Farmington Hills, MI)
- …motivated and reach their goals. Our Dementia Care floor is a 60 bed Medicare / Medicaid /Dementia unit. We provide care to residents with a variety of diagnoses. ... the unit Our sub-acute floor is a 59 bed Medicare unit that has residents with multiple clinical issues...satisfaction. Our Chronic Care floor is a 60 bed Medicare /Rehabilitation and long-term care unit and is a great… more
- Molina Healthcare (Sterling Heights, MI)
- …regularly scheduled Sales & Compliance leadership meetings. + Interpret and analyze Medicare , Medicaid , and MMP Required Sales & Marketing Reporting Technical ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare's Medicare Compliance team supports sales operations for the... Compliance team supports sales operations for the Molina Medicare product lines. It is a centralized corporate function… more
- Corewell Health (Farmington Hills, MI)
- …motivated and reach their goals. Our Dementia Care floor is a 60 bed Medicare / Medicaid /Dementia unit. We provide care to residents with a variety of diagnoses. ... the unit Our sub-acute floor is a 59 bed Medicare unit that has residents with multiple clinical issues...satisfaction. Our Chronic Care floor is a 60 bed Medicare /Rehabilitation and long-term care unit and is a great… more
- Corewell Health (Farmington Hills, MI)
- …motivated and reach their goals. Our Dementia Care floor is a 60 bed Medicare / Medicaid /Dementia unit. We provide care to residents with a variety of diagnoses. ... the unit Our sub-acute floor is a 59 bed Medicare unit that has residents with multiple clinical issues...satisfaction. Our Chronic Care floor is a 60 bed Medicare /Rehabilitation and long-term care unit and is a great… more