• Medicare -Medicaid Pharmacy Director

    Humana (Lansing, MI)
    …first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes ... diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors… more
    Humana (09/09/25)
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  • Field Medical Director , Cardiology

    Evolent (Lansing, MI)
    …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications -...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (08/15/25)
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  • Field Medical Director…

    Evolent (Lansing, MI)
    …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications** +...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (07/30/25)
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  • Field Medical Director , Oncology

    Evolent (Lansing, MI)
    …MD provider is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (08/19/25)
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  • Field Medical Director , Radiology…

    Evolent (Lansing, MI)
    …MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... the culture. **What You'll Be Doing:** As a Field Medical Director you will be a key...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (09/04/25)
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  • Director , Highly Integrated Dual Eligible…

    Corewell Health (Grand Rapids, MI)
    …coverage in coordination with external partners and reports directly to the Senior Director of Utilization Management. Essential Functions Strategic Leadership & ... Medical Directors, Quality Improvement, Utilization Management, Care Management, Medicare Product Development, Claims, Digital Services, Population Health, Value… more
    Corewell Health (09/10/25)
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  • Senior Hospice Patient Care RN Manager

    Gentiva (Monroe, MI)
    …**Lead Compassion. Inspire Excellence. Elevate Hospice Care.** We are seeking a Senior Patient Care RN Manager to join our hospice team. Reporting directly ... to the Executive Director or Administrator, you will play a vital role...with all company policies and regulatory standards. **As a Senior Hospice RN Patient Care Manager, you will:** +… more
    Gentiva (09/04/25)
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  • Insurance Strategy Consultant

    Humana (Lansing, MI)
    …Insurance segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement ... company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly...initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the… more
    Humana (08/29/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Lansing, MI)
    …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, ... a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about… more
    Humana (08/23/25)
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  • Compliance Audit Manager

    Cardinal Health (Lansing, MI)
    …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
    Cardinal Health (08/27/25)
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