- Henry Ford Health System (Detroit, MI)
- …costs and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant, Director of Insurance, and Vice ... professional and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation… more
- Humana (Lansing, MI)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Trinity Health (Livonia, MI)
- …to include investigation, cause analysis, tracking, risk modification, and communication to Director . + Oversees claims ' management activities in relation to ... address medical staff risks and safety practices. + Reduces and manages claims , contributing significantly to our organizational financial health (~ 20 million plus… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- **Job Description** Otsuka is seeking a Director , Global Clinical Development (GCD), who will be responsible for the design and oversight of clinical research ... global health-care market. The specific duties assigned to the Director , Global Clinical Development include the following: + Consults...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for certain assets ... the broader overall TA strategy determined by the Sr. Director , Franchise Lead CNS Early Assets. **Position Summary:** The...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- **Associate Director , Channel Strategy and Patient Affordability** The Associate Director , Channel Strategy and Patient Affordability reports to the Executive ... Director , Channel Strategy and Patient Affordability. The Associate ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …transform the health experience, one connection at a time, together. The ** Director , Digital Health Corporate Counsel** will be responsible for providing legal ... their business. The position will report to the Executive Director , Deputy General Counsel. The Director will...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- The Associate Director , Brand and Sales Analytics will be part of a high performing team that provides actionable, innovative solutions to address key business ... questions & opportunities. The Associate Director , Sales & Marketing Analytics should be able to...IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary) + Strength… more
- CVS Health (Lansing, MI)
- …**This role is responsible for ensuring the accuracy and compliance of medical claims , which involves applying various editing rules and guidelines to ensure proper ... coding and payment. The lead director manages a team of claim editors, develops and...and delivery of new edits + Ensure that medical claims are reviewed and edited according to established guidelines… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …Specialty Pharmacy operations for OAPI The position will report to the Executive Director , Channel Strategy and Patient Affordability We are seeking a highly skilled ... and motivated Director of Specialty Pharmacy Operations to lead and oversee...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
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