- CenterWell (Lansing, MI)
- …of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets. This ... contracts, as well as to identify opportunities and implement program improvements to enhance our member and customer experience....affairs teams, sales teams define overall strategy for each Medicaid state + Work with market partners to perform… more
- Prime Therapeutics (Lansing, MI)
- …compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance with each State ... and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position...and regulations as they pertain to rebate processing and Medicaid Drug Rebate Program . + Ability to… more
- Cayuse Holdings (Lansing, MI)
- …The Product Manager ensures the product aligns with the HCMACS program objectives, satisfies the functional and operational needs of target users (eg, healthcare ... **Overview** **_JOB TITLE:_** Product Manager **_CAYUSE COMPANY:_** Cayuse Civil Services **_LOCATION_** Remote **_SALARY:_** $120,000-$160,000… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager , Payment Integrity. This role is ... goals. Key responsibilities include: + Providing strategic oversight and implementation leadership for cost containment initiatives. + Ensuring alignment of… more
- Henry Ford Health System (Troy, MI)
- General Summary: The Clinical Manager , Medical Appeals supports appeals team members to plan, direct, evaluate, coordinate, and manage the activities associated with ... provider appeals, for all product lines (HMO, AHL, and Medicare Advantage (MA), Medicaid , and Duals) in accordance with internal HAP policies. Coordinate with the… more
- Henry Ford Health System (Troy, MI)
- …Verification, Self-Pay conversions strategies including but not limited to Medicaid Eligibility Application Services, Inpatient and Outpatient Registration Services, ... for inpatient, outpatient, ambulatory services, hospice and the Emergency Department. The manager will have a comprehensive knowledge of a wide range of revenue… more
- CVS Health (Lansing, MI)
- …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... You will manage contract performance and support the development and implementation of strategic, traditional contracts and value-based relationships. Role is for… more
- Henry Ford Health System (Detroit, MI)
- The Case Manager Social Worker provides therapeutic intervention and social work services to patients and their families to enhance comprehensive, integrated, and ... organization and departmental policies and procedures. GENERAL SUMMARY: + The Case Manager is a member of the hospital or specialty-based patient-centered care team… more
- Henry Ford Health System (Wyandotte, MI)
- …past 34 consecutive years. PART TIME 20 HOUR DAYS GENERAL SUMMARY: The Case Manager is a member of the hospital or specialty-based patient-centered care team or ... meet an individual's and family's health care needs. The goals of the case manager are to promote patient safety, quality of care and cost-effective outcomes. The… more
- Prime Therapeutics (Lansing, MI)
- …passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative business ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more