- Molina Healthcare (Detroit, MI)
- …Available: 10-6:30 PM MST** **Job Duties** + Handles and records inbound/outbound pharmacy calls in required systems from members, providers, pharmacists, ... **Job Description** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina...transfer to internal departments as required + Utilize appropriate resources to ensure members contact information is current and… more
- Intermountain Health (Lansing, MI)
- …Word + Possesses in-depth business and application knowledge and experience + Knowledge of system analysis and operating systems + Skilled in assessing needs and ... lab and pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy , home care, long term care, population health, consumer and… more
- CVS Health (Lansing, MI)
- …with translating and entering in new or refill prescriptions into the pharmacy information system , communicating and collecting copay amounts, obtaining ... to be a part of our Specialty Mail Order Pharmacy ! As a Pharmacy Service Representative, you...time off, flexible work schedules, family leave, dependent care resources , colleague assistance programs, tuition assistance, retiree medical access… more
- Prime Therapeutics (Lansing, MI)
- …in drug trend analytics, benefit design and supply chain economics across both pharmacy and medical domains, with a focus on high-impact therapies and their ... Monitor and interpret competitive dynamics and emerging entrants in the Pharmacy Benefit Management (PBM) space, including implications of acquisitions, service… 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, ... timely manner. The Coordinator, Individualized mediates effective resolution for complex payer/ pharmacy issues toward a positive outcome and provides a positive… more
- Merck (Lansing, MI)
- …+ Identifies and selects programs/services available in the library of our " resources " to address customer needs. + Maintains current understanding of practice ... competition by focusing on appropriate patient types and use of supportive approved resources . + Demonstrates the ability to stay ahead of market trends, assesses… more
- Corewell Health (Grand Rapids, MI)
- …all types of health care fraud including member, employer group, agent, pharmacy , provider, etc. Investigates, collects and documents findings for management review. ... researching data to detect fraudulent or abusive practices by utilizing system tools, interviews, medical records audits, data mining, perform compliance audits… more
- Corewell Health (Wyoming, MI)
- …licensure, board fees, and CME + Physician Concierge Services + Connection to the resources as part of the largest health system in Michigan Qualifications + ... Advanced Practice Providers, RN Care Managers, LMSW Social Workers, Pharmacy , and a team of highly functioning support staff....Call is supported by a first line nurse triage system , making home call extremely manageable. Lab and imaging… more
- Corewell Health (Grand Rapids, MI)
- …function and other business units within the organization. + Collaborates with Medical, Pharmacy , and Provider teams to determine the best course of action to align ... according to primacy and liability rules. + Updates internal systems correctly so that claims are paid correctly. +...internal and external sources to properly determine if a system update is appropriate for claims to be paid… more
- Corewell Health (Grand Rapids, MI)
- …care for our members and aligns with the overall Corewell Health system goals, including quality, affordability, equitable, safety and member experience. This ... Transformation, Medical Management, Medical Operations, Care Management, Behavioral Health, Pharmacy , the Medical Directors and Clinical Quality Improvement. This… more