- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Under supervision of Manager and / or Director , support the managed care contracting function by performing necessary financial analysis to evaluate ... inpatient and high dollar outpatient payments for various payors, including MA, Medicaid and Commercial. 8. Create prospective and retrospective analyses to assess… more
- Henry Ford Health System (Bingham Farms, MI)
- …to the Chief Pharmacy Officer. This role also reports indirectly to the HAP Medical Director . PRINCIPLE DUTIES AND RESPONSIBILITIES: + Oversees all aspects of ... pharmacy benefit design issues, in conjunction with the HAP Medical Director . Serves as a subject matter...CMS bid process. Ensures compliance with all CMS, State Medicaid Program, and NCQA pharmacy related regulations and reporting… more
- Henry Ford Health System (Troy, MI)
- …processes within value-based reimbursement models and initiatives. Reporting to the Director , Risk Adjustment and Value-Based Payment, the Program Manager is ... both departmental staff and multi-disciplinary teams. + Knowledge of Medicare, Medicaid , Blue Cross and other third-party payers billing and reimbursement… more
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