- CVS Health (MI)
- …initiatives, including new products and product enhancements for Medicare pharmacy business strategic plans, product implementation, regulatory oversight Medicare ... MAPD, DSNP for both individual and employer plan types. Represent Medicare Pharmacy and Product strategic issues with within Medicare matrix partners in addition… more
- Sedgwick (Lansing, MI)
- …Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports escalated due to deficient ... + Knowledge of utilization review procedures + Knowledge of clinical quality systems and measurements + Knowledge of resources available regarding regulations and… more
- Travelers Insurance Company (Lansing, MI)
- …as assigned. **What Will Our Ideal Candidate Have?** + Understanding of healthcare systems including Hospital Services, Pharmacy and Group Health insurance + ... collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as… more
- Molina Healthcare (Grand Rapids, MI)
- …Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program ... experience. * Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …From engaging individual healthcare providers, to partnering with large health systems , provider networks, and B2B stakeholders, you'll lead with creativity, ... + **Bridge access and reimbursement:** Engage with provider offices, health systems , and local payers to explain coverage pathways, reimbursement processes, and… 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, ... documentation on new and/or enhancements to existing applications. Formulates and defines system scope and objectives based on user defined needs. Devises or… more
- Henry Ford Health System (Clinton Township, MI)
- …https://outlook.office365.com/owa/calendar/###@henryfordhealthsystem.onmicrosoft.com/bookings/ House Manager - Nursing Systems - contingent - Midnight shift ... direction of the Nursing Leadership (can be defined as Director /Manager of the Clinical Resource Center/ Clinical Resource Office/...+ Organization: Henry Ford Macomb Hospital + Department: Nursing Systems - HFMH + Shift: Night Job + Union… more
- University of Michigan (Ann Arbor, MI)
- …team is playing a significant role in installing, supporting, and optimizing pharmacy systems to support patient care activities. **Responsibilities + Perform ... University of Michigan Health is looking for a Business Systems Analyst to join our Pharmacy Technology...team to support Willow Inpatient and other applications for pharmacy . You will report to the Assistant Director… 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 Project ... in the implementation, enhancements and recommending modifications for Human Resources Technology Systems . Work effectively with other members of team and promote a… more
- Henry Ford Health System (Detroit, MI)
- …general supervision of the Lead Programmer, Manager of HIE, or the Director : develops, tests, implements, and supports clinical and administrative data interfaces ... and applications between Epic and ancillary systems , both internal and external, and between Trusting Data...of the Lead Programmer, HIE Manager, or the Portfolio Director : responsible for working with internal and external customers… more
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