- Henry Ford Health System (Clinton Township, MI)
- GENERAL SUMMARY: The Medical Director of Utilization Management shall have responsibility for the medical oversight of activities related to Henry Ford Macomb ... or DO. Two (2) years of physician advisor and/or utilization management experience. Medical Staff membership in good standing...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- Humana (Lansing, MI)
- …on problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, ... financial, operational, professional, and clinical activities for the purposes of pharmacy program development for our Fully Integrated Dual Eligible Special Needs… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...National and Local Coverage Determinations, CMS-recognized Compendia, NCCN, Humana Pharmacy Policies and Procedures, and clinical literature as appropriate.… more
- Trinity Health (Grand Rapids, MI)
- …and implement corrective actions as needed. + **Strategic Planning** : Collaborate with the Director of Pharmacy and Regional Clinical Pharmacy Manager to ... time **Shift:** Rotating Shift **Description:** Join Our Team as an Area Pharmacy Manager! **Location** : Trinity Health Grand Rapids Hospital, Grand Rapids,… more
- Molina Healthcare (Grand Rapids, MI)
- …and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective ... resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient… more
- Prime Therapeutics (Lansing, MI)
- …our passion and drives every decision we make. **Job Posting Title** Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical ... for managing Prime's Trade Relations program(s) for medical and pharmacy formulary and market access strategies and all related...on Medicare Part D and Managed Medicaid. The Sr Director , Pharm Trade Relations leads a team of directors… more
- Humana (Lansing, MI)
- …The Director , Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team ... are seeking an accomplished healthcare physician leader for the newly-created role of Director , Physician Leadership. In this role, you will be a key enterprise… more
- Sanofi Group (Detroit, MI)
- **Job Title:** Regional Account Director , MI **Location:** Remote/Field Based **About the Job** The Regional Account Director reports to the Regional Accounts ... short- and long-term business plans that will optimize appropriate coverage, coding, Utilization Management, payment of and patient access to Sanofi products. This… more
- Prime Therapeutics (Lansing, MI)
- …and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** ... The Senior Director Clinical Strategy and Oncology Specialty Solutions is responsible...of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership and direction… more
- Prime Therapeutics (Lansing, MI)
- …every decision we make. **Job Posting Title** Clinical Solutions Strategy Senior Director - Remote **Job Description** The Clinical Solutions Strategy Senior ... Director is responsible for developing new, bold clinical solutions...and implementation of innovative drug solutions, including optimizing drug utilization , patient outcomes, and cost-effectiveness through value-based care models,… more