- CVS Health (Lansing, MI)
- …initiatives/programs and completes State/HSAG PIP templates for submission. + Assists Senior Quality Manager and Director with coordination and implementation of ... 5+ years clinical and/or managed care experience in the healthcare industry and quality management preferred. + 3-5 years of Project Management experience.… more
- Prime Therapeutics (Lansing, MI)
- …Come build the future of pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business ... residency sponsorship **Additional Qualifications** + 3-5 years' experience in clinical operations, quality , network, pharmacy or project management OR a managed… more
- Prime Therapeutics (Lansing, MI)
- …terms of scope, quality , budget, issue/risk management and schedule. The Senior Project Manager will provide strong technical experience to the approach of ... pharmacy with us. **Job Posting Title** North Carolina Senior Project Manager / Operations Lead - Remote...responsible for orchestrating all activities for the North Carolina Medicaid PBM account implementation and projects throughout the life… more
- Molina Healthcare (Detroit, MI)
- …Analysis Professional (CBAP) or Certified Coding Specialist (CCS) certification. * Project management experience. * Familiarity with Medicaid -specific scorable ... plan scoreable action items (SAIs) to ensure performance and quality levels exist in PI Business products and processes....tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met… more
- Humana (Lansing, MI)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for...leading solutioning sessions and balancing competing priorities across Medicare, Medicaid lines of business. + Serve as a key… more
- Cayuse Holdings (Lansing, MI)
- **Overview** **_JOB TITLE:_** Support Services Program Manager / Specialist **_CAYUSE COMPANY:_** Cayuse Civil Services, LLC **_LOCATION_** Remote **_SALARY:_** ... by the client.** **The Work** The Support Services Program Manager /Specialist responsible for driving technical integration projects, providing expert consultation… more
- Molina Healthcare (Grand Rapids, MI)
- …leadership to healthcare services function - providing support for project /program/process design, execution, evaluation and support, and ensuring compliance with ... and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties* Collaboratively plans… more
- Humana (Lansing, MI)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices.… more
- Humana (Lansing, MI)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... understands that while great products are important, it's the quality of our service that truly defines us. We...and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of… more
- CVS Health (Lansing, MI)
- …actionable insights to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting. This is an individual contributor role. Job ... data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid … more
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