- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …patient support services and enrollment + Collaborate with Field Sales, Specialty Pharmacy Accounts, and other matrix partners + Manage daily field-based activities, ... in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially... & Medicaid Services (CMS) policies and processes, especially Medicare Part D + Experience in "Buy and Bill"… more
- Henry Ford Health System (Jackson, MI)
- …comfort and quality of life. As the only local provider certified by both Medicare and The Joint Commission, we deliver affordable, high-quality care across a wide ... range of insurance plans including Medicare , Medicaid, and private options. GENERAL SUMMARY: Under general...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- CenterWell (Lansing, MI)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF, ... 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… more
- CenterWell (Lansing, MI)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... 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… more
- Prime Therapeutics (Lansing, MI)
- …strategic plans that achieve Star Ratings and quality outcomes for Medicare , Medicaid, Individual Health Insurance Marketplace, and Commercial lines of business. ... the client quality support model strategy for all lines of business ( Medicare , Medicaid, commercial/HIM); serve as primary enterprise point of contact and subject… more
- Prime Therapeutics (Lansing, MI)
- …experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including ... experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care Act knowledge… more
- Henry Ford Health System (Jackson, MI)
- …comfort and quality of life. As the only local provider certified by both Medicare and The Joint Commission, we deliver affordable, high-quality care across a wide ... range of insurance plans including Medicare , Medicaid, and private options. GENERAL SUMMARY: Under general...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- Henry Ford Health System (Jackson, MI)
- …comfort and quality of life. As the only local provider certified by both Medicare and The Joint Commission, we deliver affordable, high-quality care across a wide ... range of insurance plans including Medicare , Medicaid, and private options. GENERAL SUMMARY: Under general...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- CenterWell (Lansing, MI)
- …quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value of each opportunity ... quality and value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical and operational… more
- Molina Healthcare (Warren, MI)
- …Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate ... Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing… more