- Cardinal Health (Lansing, MI)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Molina Healthcare (Sterling Heights, MI)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Deloitte (Detroit, MI)
- ServiceNow Senior Manager - Consulting Managed Services Enterprise Operations as a Service provides multi-year managed service contracts to support ... is where ambition meets opportunity. As a Deloitte Senior Manager , you will have the opportunity to lead and...experience in either: Consumer, Financial Services, Life Sciences Health Care , Technology Media and Telecom, Energy Resources and… more
- Molina Healthcare (Detroit, MI)
- …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Elevance Health (Dearborn, MI)
- **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Health family of brands, offering clinical programs and primary care options for seniors. We are a team of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Ann Arbor, MI)
- …* At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Corewell Health (Grand Rapids, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. + Assesses internal and ... years of relevant experience clinical nursing and or case management/ managed care or related field Required +...- State of Michigan Upon Hire required + Case Manager , Certified (CCM) - CCMC Commission for Case … more
- Corewell Health (Grand Rapids, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. + Assesses internal and ... + 2 years of relevant experience clinical nursing and or case management/ managed care or related field Required + 5 years of relevant experience clinical… more
- Molina Healthcare (Grand Rapids, MI)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Munson Healthcare (Traverse City, MI)
- The Patient Care Manager facilitates progression-of- care ; and monitors the patient's progress to ensure that the plan of care and services provided are ... (ACM) within 2 years of employment. The Patient Care Manager must possess strong communication and...all times. + Maintains working knowledge/experience in utilization management, managed care , and payer issues that may… more
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