- J&J Family of Companies (Detroit, MI)
- …We are searching for the best talent for an Oncology Sales Specialist Overlay to cover the Southern Michigan territory. **About Oncology** Our expertise ... potentially defeat cancer someday changing the way cancers are treated. The Oncology Sales Specialist (OSS) is a Field Based role reporting to a District Manager. As… more
- Prime Therapeutics (Lansing, MI)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM process management system… more
- CenterWell (Lansing, MI)
- …a part of our caring community and help us put health first** The **E-Referral Specialist ** is an integral part of the referral process as this role is the initial ... continuity of care. The role is responsible for data collection and documentation, compliance , and consistent follow up on the initial referral process and decision.… more
- Merck (Lansing, MI)
- …thrive in a team environment and are driven to succeed. The Rare Disease Account Specialist serves as a key point of contact to customer accounts for our Company's ... are met in a compliant, orchestrated fashion + Demonstrates commitment to compliance through understanding of regulations, industry codes, and policies that govern… more
- Henry Ford Health System (Jackson, MI)
- …teams for reimbursement and billing purposes. The CBO Coding Certified Specialist accurately abstracts information from the electronic health record for compilation ... the ability to optimize reimbursement. The coding function also ensure compliance with established coding guidelines, third party reimbursement policies, and… more
- Henry Ford Health System (Detroit, MI)
- …teams for reimbursement and billing purposes. The CBO Coding Certified Specialist accurately abstracts information from the electronic health record for compilation ... the ability to optimize reimbursement. The coding function also ensure compliance with established coding guidelines, third party reimbursement policies, and… more
- Henry Ford Health System (Grand Blanc, MI)
- …assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge of Local, State and Federal coding ... NCCI Edits, ICD-10CM, CPT, Hierarchical Condition Categories (HCC), standards of compliance , and clinical knowledge to accurately abstract information from the… more
- Henry Ford Health System (Clinton Township, MI)
- …direction, plans, organizes and maintains a process to ensure organizational compliance with regulatory standards and continuous survey readiness. Serves as an ... consultant for the interpretation of standards and functional measurement of compliance . Develops performance improvement plans with management/staff on an as needed… more
- Highmark Health (Lansing, MI)
- …requirements and CMS Stars rating measures including HEDIS, CAHPS, Pharmacy , HOS, PQA, PQRS. + Supportdevelopment of the overall conceptualization, ... strategy alignment, and high-level design of new value-based reimbursement models for PCPs, specialists, and health systems across the Organization's footprint, based on deep understanding and knowledge of trends in other areas of the country with both… more
- Henry Ford Health System (Detroit, MI)
- …with one or more of the following areas: Utilization Management, Claims, Pharmacy Operations, Compliance , FDR oversight activities, Quality Management, Care ... GENERAL SUMMARY: Under the direction of the Compliance Audit Manager, the Principal Compliance Investigator will oversee compliance auditing and monitoring… more