- Corewell Health (Grand Rapids, MI)
- …systems, and collaboration to resolve issues whenever possible. Ensure compliance with all mandated, legislative, regulatory and accreditation requirements. Assist ... in the development/collection of materials required to meet and demonstrate compliance to all state, federal and accrediting organization requirements. Essential… more
- Henry Ford Health System (Detroit, MI)
- …protocols; makes formal written and oral presentations on projects in compliance with established project methodology; and interacts with laboratories and laboratory ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more
- Henry Ford Health System (Detroit, MI)
- …protocols; makes formal written and oral presentations on projects in compliance with established project methodology; and interacts with laboratories and laboratory ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more
- Centene Corporation (Lansing, MI)
- …of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy , external reporting + Extract, load, model, and reconcile large amounts of ... Assist management in driving business decisions based on data + Ensure compliance with federal and state deliverable reporting requirements by performing data… more
- CVS Health (Lansing, MI)
- …with team members + Ability to be a mentor to less experienced Business Analyst and team members to drive compliance for best practices, methods, standards, ... it all with heart, each and every day. **Position Summary** The Specialty Pharmacy Off-Phone Audit Manager leads the internal audit function for CVS Specialty's… more
- Highmark Health (Lansing, MI)
- …ensuring a robust analytical and financial analysis capability for Highmark's pharmacy and medical benefit specialty drug management programs. Furthermore, the ... experience in support of a Marketing function or Data Analyst role or in a business environment with responsibility...or equivalent training and experience in a business, specialty pharmacy , clinical pharmacy or clinical environment with… more
- Henry Ford Health System (Troy, MI)
- …and in a timely effective manner. + Serve as first line contact for A&G Analyst for day to day operational issues. + Function as a liaison with plan-wide ... Membership & Billing, Health Care Management, Coordinated Behavioral Health Management, Pharmacy Care Management, Claims, Provider Services, and Sales. + Partner… more
- Munson Healthcare (Traverse City, MI)
- …Periodic medical reviews shall be conducted by the Physician to ensure compliance with the foregoing and with quality assurance and medical audit programs ... all such quality assurance activities are appropriately documented. + Consultations; Education; Compliance with Laws . The Physician shall be available at reasonable… more