- Henry Ford Health System (West Bloomfield, MI)
- …preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. Knowledge of ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more
- AbbVie (Ann Arbor, MI)
- …Educate on product-specific acquisition and access options such as specialty pharmacy networks, specialty distribution, and white-bagging support + Educate on ... care + Comprehensive understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics + Strong understanding of drug acquisition and dispensing… 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, ... concurrent assignments and work with a sense of urgency + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, preferred +… more
- Prime Therapeutics (Lansing, MI)
- …and resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. ... or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
- Aerotek (Battle Creek, MI)
- …this position is $60000.00 - $80000.00/yr. Medical Additional programs: Cancer, Medicare preparation & purchase, and discounted imaging & surgical procedures ... Prescription Specialty Pharmacy (eligible medications with little to no copay) Dental Vision (2 types) Basic Life AD&D (Employee, Spouse, Child), Short-term and… more
- Henry Ford Health System (Novi, MI)
- …1. Compliance with all accreditors and regulators (JCAHO, Blue Cross, Medicare , HIPPA) 2. Participates in Departmental Quality Improvement initiatives, including but ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more
- Henry Ford Health System (Milford, MI)
- …customers to appropriate source if necessary. + Trained on Web Denis, Medicare /Medicaid certified to speak with agents. + Works closely with all departments ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more
- Henry Ford Health System (Sterling Heights, MI)
- …for new hires. + Is proficient and is a resource person for Web Denis, Medicare /Medicaid certified to speak with agents. + Is proficient and is a resource person for ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more
- Molina Healthcare (MI)
- …would occur to discuss and resolve issues related to utilization management, pharmacy , quality of care, and correct coding. * Independently delivers training and ... various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for… more
- Henry Ford Health System (Grand Blanc, MI)
- …but not limited to: Blue Cross, HMOs, PPOs, private insurance companies, Medicare , Medicaid, private pay patients. + Receive, record payments for hospital, medical ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more