- Prime Therapeutics (Lansing, MI)
- …Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid) + Other duties as assigned **Education & Experience** + ... legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated...or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- Humana (Lansing, MI)
- …to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic ... to define various clinical concepts and extract clinical information from medical, pharmacy , and lab claims for analytics and modeling purposes + Translates analytic… more
- Cardinal Health (Lansing, MI)
- …including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may impact prescribed products ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
- Cardinal Health (Lansing, MI)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred +… more
- State of Michigan (MI)
- …to perform survey and certification activities on behalf of the Centers for Medicare and Medicaid Services (CMS). The health care surveyor position performs surveys ... physical therapy, occupational therapy, or foods and nutrition, gerontology, pharmacy , environmental health or other health-related field. Experience Health Care… more
- Prime Therapeutics (Lansing, MI)
- …based upon relevant source data (eg clinical criteria, client criteria, Medicare LCD). Provides support for clinical client inquiries and internal partners. ... + Other duties as assigned. **Minimum Qualifications** + Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree + 1 years of pharmacy , managed… more
- Humana (Lansing, MI)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the ... their independence so they can live healthier and happier lives. CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed… more
- Molina Healthcare (Detroit, MI)
- **Job Description** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members, providers, and pharmacies have access to all ... These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. The… more
- Cardinal Health (Lansing, MI)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health,… more
- Prime Therapeutics (Lansing, MI)
- …responsible for managing Prime's Trade Relations program(s) for medical and pharmacy strategies and all related partner/customer relationships. This position is ... Prime's Group Purchasing Organization (GPO), directing work related to pharmacy formulary development, market access functions of branded pharmaceutical… more