- Corewell Health (Grand Rapids, MI)
- Job Summary The Medicare Quality Specialist , Pharmacy will assist the Medicare Adherence Pharmacists Team to improve Medicare Star Ratings and ... jargon to ensure understanding + Process refill requests through pharmacy or provider + Assist with correcting pharmacy...CMS requirements and standards + Other projects assigned by Medicare Quality Manager and/or Director How Corewell… more
- Molina Healthcare (Grand Rapids, MI)
- …Utilization Management and Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases in conjunction with ... or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health, pharmacy , etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC.… more