- Molina Healthcare (Sterling Heights, MI)
- …providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Trinity Health (Chelsea, MI)
- **Employment Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** + Nursing Director opportunity for a Registered Nurse at Chelsea Hospital. + ... committees and nursing councils, influencing key areas such as safety, pharmacy , nursing operations, patient experience, and staffing strategy. + They lead… more
- AmeriHealth Caritas (Southfield, MI)
- …+ The Director of Contract Performance is responsible for developing systems and tools to ensure sustainable improvement on key performance metrics.; + ... We're looking for the next generation of health care leaders. Responsibilities: The Director of Contract Performance reports to the Market President and must serve… more
- Sedgwick (Lansing, MI)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... + Knowledge of utilization review procedures + Knowledge of clinical quality systems and measurements + Knowledge of resources available regarding regulations and… more
- Travelers Insurance Company (Lansing, MI)
- …as assigned. **What Will Our Ideal Candidate Have?** + Understanding of healthcare systems including Hospital Services, Pharmacy and Group Health insurance + ... collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as… more
- CVS Health (Lansing, MI)
- …services with CVS Health's unrivaled presence in local communities and their pharmacy benefits management capabilities, we're joining members on their path to better ... an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Michigan market for our Commercial, Medicare, IFP,… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …From engaging individual healthcare providers, to partnering with large health systems , provider networks, and B2B stakeholders, you'll lead with creativity, ... + **Bridge access and reimbursement:** Engage with provider offices, health systems , and local payers to explain coverage pathways, reimbursement processes, and… more
- Trinity Health (Grand Rapids, MI)
- …**SUMMARY** Provides high-level administrative support to a large department and/or director (s) of a large department. Communicates and collaborates with a variety ... accurate computerized credentialing database information and updates the MSOW system as appropriate. Maintains ongoing monitoring of all expirables processes… more
- University of Michigan (Ann Arbor, MI)
- …activity is encouraged. **Supervision Received** Supervision is received from the Director Population Health Pharmacy and Community Partnerships. **Supervision ... Summary** **Basic Function and Responsibility** To provide ambulatory clinical pharmacy services (disease management and comprehensive medication review) in… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under the general direction of the Systems Analyst/Programmer Specialist, the Project Manager or the Portfolio Director : leads the analysis, ... documentation on new and/or enhancements to existing applications. Formulates and defines system scope and objectives based on user defined needs. Devises or… more