• Key Account Manager…

    Corewell Health (Grand Rapids, MI)
    …than benefit options. Report opportunities, challenges and activity for each account quarterly to Manager . + Internal Participation in Leadership--Teamwork: ... Job Summary Effectively manages assigned key accounts including all aspects of client interaction...levels of satisfaction. + Membership Growth--Contract Retention: Work with Manager to develop and implement strategic plans for each… more
    Corewell Health (07/22/25)
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  • Medicare Product Development Manager…

    Molina Healthcare (Ann Arbor, MI)
    …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
    Molina Healthcare (07/25/25)
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  • Psychiatry Account Manager - Lansing…

    Lundbeck (Lansing, MI)
    Psychiatry Account Manager - Lansing North, MI Requisition ID: 6693 Location: lansing, MI, US **Territory: Lansing North, MI - Psychiatry** Target city for ... us on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of...key trends and dynamics in the market, map account linkages, and apply comprehensive therapeutic knowledge to uncover… more
    Lundbeck (07/23/25)
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  • Field Reimbursement Manager - East Region

    Otsuka America Pharmaceutical Inc. (Lansing, MI)
    **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and external stakeholders to facilitate appropriate patient access to our products. ** Key Responsibilities** + Educate HCPs and their staff on matters related to… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Manager Special Investigation Unit

    Corewell Health (Grand Rapids, MI)
    Job Summary - Manager Special Investigation Unit The SIU Manager is responsible for leading and managing the Special Investigation Unit (SIU) with a focus on ... effective execution of investigative strategies and compliance with regulatory requirements. Key responsibilities include managing vendor relationships, overseeing regulatory reporting,… more
    Corewell Health (07/19/25)
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  • Manager Payment Integrity

    Corewell Health (Grand Rapids, MI)
    Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager , Payment Integrity. This role is ... enterprise-level initiatives that drive cost containment and ensure alignment across key business functions. The ideal candidate will bring deep expertise in… more
    Corewell Health (07/18/25)
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  • Patient Service Rep

    Trinity Health (Ann Arbor, MI)
    …patients and determines preliminary patient and insurance liability. Performs routine account analysis and problem solving. Resolves patient account issues. ... determine if delay/deny policy needs to be invoked. Utilizing key reports and tools to facilitate obtaining accurate insurance...Lead. Other duties as needed and assigned by the manager . Maintains a working knowledge of applicable Federal, State,… more
    Trinity Health (06/28/25)
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  • REMOTE Financial Clearance I

    Trinity Health (Livonia, MI)
    …authorization, and preservice collections on all qualifying accounts. This is a key position that begins the overall patient experience and initiates the billing ... Escalates accounts appropriately in accordance with department Defer/Delay policy to manager . Screens outpatient visits for medical necessity and issues Advanced… more
    Trinity Health (07/30/25)
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  • Senior Pharmacist

    Highmark Health (Lansing, MI)
    …drug benefit strategies, drug formularies, and programs specifically for the Medicare Advantage (MA) market. The incumbent will contribute to recommendations for ... close collaboration with matrix partners and stakeholders across the organization. Key responsibilities will include clinical review, assisting in navigating a… more
    Highmark Health (06/26/25)
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  • Patient Access Specialist 1

    Trinity Health (Brighton, MI)
    …patients and determines preliminary patient and insurance liability. Performs routine account analysis and problem solving. Resolves patient account issues. ... determine if delay/deny policy needs to be invoked. Utilizing key reports and tools to facilitate obtaining accurate insurance...Lead. Other duties as needed and assigned by the manager . Maintains a working knowledge of applicable Federal, State,… more
    Trinity Health (07/29/25)
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