- Prime Therapeutics (Lansing, MI)
- …our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** Manages ... the coordination of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership skills that ensure successful Part D … more
- Molina Healthcare (Ann Arbor, MI)
- **Job Description** **Job Summary** Leads and supervises team of pharmacy call center and operations staff responsible to ensure that members have access to ... medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality… more
- Humana (Lansing, MI)
- …problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director, internally known as a Clinical Pharmacy Lead, plans, ... financial, operational, professional, and clinical activities for the purposes of pharmacy program development for our Fully Integrated Dual Eligible Special Needs… more
- Highmark Health (Lansing, MI)
- …efficiencies. + Manage individual projects for timely review with the Director, Clinical Pharmacy . + Participate in Medicare Stars performance measures to drive ... drug benefit strategies, drug formularies, and programs specifically for the Medicare Advantage (MA) market. The incumbent will contribute to recommendations for… more
- AmeriHealth Caritas (Detroit, MI)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... about us at www.amerihealthcaritas.com. **Role Overview:;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages… more
- Molina Healthcare (Detroit, MI)
- …development, provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, ... providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements… more
- Molina Healthcare (Ann Arbor, MI)
- …keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy , and quality functions. You surface systemic issues, steer partners toward ... * Track record coordinating cross-functional action plans with Enrollment, Claims, Pharmacy , Network, and Member Services * Hands-on experience maintaining evidence… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 million in ... planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both… more
- Prime Therapeutics (Lansing, MI)
- …passion and drives every decision we make. **Job Posting Title** Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director, Pharmaceutical Trade ... responsible for managing Prime's Trade Relations program(s) for medical and pharmacy formulary and market access strategies and all related partner/customer… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Summary** Molina Healthcare is hiring for several Pharmacy Technicians. These roles are 100% Remote and require you be licensed either State or Nationally. ... Friday 10am to 630pm **Mountain Standard Time.** Molina MTM Pharmacy Services staff work to ensure that Molina members...work to ensure that Molina members have access to Medicare Star medications and those meds are used in… more