- Sedgwick (Lansing, MI)
- … state's jurisdiction/ERISA regulations + Knowledge about general claim practices. + Knowledge of pharmacy processes and pharmacy benefit management a plus. ... Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports escalated...Knowledge of utilization review procedures + Knowledge of clinical quality systems and measurements +… more
- Prime Therapeutics (Lansing, MI)
- …leadership/people management experience. + 8+ years of work experience in Pharmacy Benefits Management (PBM), integrated health system or health plan ... better and live well. We do not lose sight of that. It fuels our passion and drives every...and drives every decision we make. **Job Posting Title** Director Stars and Quality - remote **Job Description** The… more
- AmeriHealth Caritas (Southfield, MI)
- …in the Southfield, MI office.; ; **Key Responsibilities** + The Director of Contract Performance is responsible for developing systems and tools to ensure ... looking for the next generation of health care leaders. Responsibilities: The Director of Contract Performance reports to the Market President and must serve… more
- Travelers Insurance Company (Lansing, MI)
- …**What Will Our Ideal Candidate Have?** + Understanding of healthcare systems including Hospital Services, Pharmacy and Group Health insurance + Strong ... partners to achieve and sustain quality results. + Partner with other medical and pharmacy experts on the development and design of training strategies, programs… more
- CVS Health (Lansing, MI)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …products and services for mental and physical well-being. Combining the power of human interaction with technology, we tailor solutions to support individual health ... needs and improve how people engage. Data is the cornerstone of our platform, connecting people and partners and strengthening our collective impact on total… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under the general direction of the Systems Analyst/Programmer Specialist, the Project Manager or the Portfolio Director : leads the analysis, ... debugs, and documents those programs. Has full technical knowledge of all phases of applications systems...complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy ,… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under the general direction of the Systems Analyst/Programmer Specialist, the Project Manager, or the Portfolio Director : leads the ... of desired results. Has full technical knowledge of all phases of applications, systems...complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy ,… more
- Henry Ford Health System (Clinton Township, MI)
- …Under the direction of the Nursing Leadership (can be defined as Director /Manager of the Clinical Resource Center/ Clinical Resource Office/ Nursing Office ... and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health… more
- Henry Ford Health System (Detroit, MI)
- DESCRIPTION: Under the direction of the Director of the department and with high degree of autonomy, the e HR Consultant will work independently or as a ... expertise on understanding technical aspects of PeopleSoft to have increased understanding of system design and integration with other facets of … more