- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Responsible for handling of daily pharmacy duties such as drug claim adjudication issues, prior authorization, and pharmacy benefit inquiries ... and external individuals. Subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes.… more
- Henry Ford Health System (Troy, MI)
- …SUMMARY: Responsible for the prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, ... Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- Henry Ford Health System (Detroit, MI)
- …DESCRIPTION: Working under general supervision of the Project Manager, Interface Analyst Specialist, or the Director: develops, tests, implements, and supports ... systems, both internal and external. The IT Senior Interface Analyst is part of a team that is accountable...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- Henry Ford Health System (Rochester Hills, MI)
- …ensure a fully integrated solution across multiple work streams. The Senior Systems Analyst /Programmer is leader in an IT team that is accountable for production ... design and develop prototype and work with the users/business analyst to fine tune the application and make recommendations....a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- WTW (Detroit, MI)
- …OH, Cincinnati OH, Cleveland, OH, Pittsburgh, PA As a Healthcare Financial/Actuarial Analyst you will support a wide variety of projects involving the design, ... basic knowledge of all broad-based benefit programs (eg, health care, pharmacy , wellbeing, life, disability, voluntary benefits, etc.) + Assist with financial… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Entry level Actuarial Analyst I position that supports the development of actuarial studies and analyses and works to develop efficient processes ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Sr. Actuarial Analyst supports and can lead the development of actuarial studies and analyses, making appropriate recommendations to actuarial ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more
- G-TECH Services, Inc. (Detroit, MI)
- Engagement Description - The pharmacy technician will assist in providing pharmacy services. Other related skills may be required to perform this job. ... Qualifications: High school diploma or GED. Two years pharmacy experience working under a license pharmacist or completion of certified pharmacy technical… more
- G-TECH Services, Inc. (Detroit, MI)
- The pharmacy technician will assist in providing pharmacy services. Other related skills may be required to perform this job. Qualifications: High school diploma ... or GED. One year pharmacy experience working under a license pharmacist or completion...working under a license pharmacist or completion of certified pharmacy technical program. Working knowledge of third-party claims process.… more
- G-TECH Services, Inc. (Detroit, MI)
- …under the supervision of a Clinical Pharmacist. 3. Assists in maintaining pharmacy prior authorization criteria used in the adjudication of pharmacy /specialty ... written inquiries which lends to entry and updating of pharmacy authorizations into the claims system. 5. Communicate coverage...2. Two (2) years experience in retail or hospital Pharmacy required. 3. Pharmacy Technician Certification (PTCB)… more
- G-TECH Services, Inc. (Detroit, MI)
- …Coverage Determination Requests within CMS Timeframes * Ability to communicate all pharmacy benefits both verbally and written * Ability to have strong attention ... the required skills/experience. Include: * Minimum 2 years of experience in Pharmacy Retail, PBM, Hospital, Managed Care * Experience with Microsoft Programs… more
- Henry Ford Health System (Detroit, MI)
- …care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast ... Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the… more
- Henry Ford Health System (Detroit, MI)
- …care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast ... Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the… more
- Henry Ford Health System (Brighton, MI)
- …care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast ... Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the… more
- Henry Ford Health System (Detroit, MI)
- …systems and functions within HFHS; responsible for budgeting and allocating analyst resources for projects; prepare reports and recommendations for management; ... and act as a project lead for individual or multi- analyst projects; prepare project plans including scheduling, costs, personnel...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- WTW (Detroit, MI)
- …specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit ... services. Product-based solutions such as our pharmacy purchasing coalition round out our broad-based suite of offerings. **Explore an opportunity.** As a Health and… more
- WTW (Detroit, MI)
- …specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit ... services. Product based solutions such as our pharmacy purchasing coalition round out our broad-based suite of offerings. **Explore an opportunity.** As a HEW Intern… more
- Henry Ford Health System (Detroit, MI)
- …of assignments/projects. + Acts as a leader for individuals or multi- analyst assignments/projects. Prepares plans and coordinates resources as required. + Is ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more
- Elevance Health (Dearborn, MI)
- …technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Clinical Program Development Manager** is responsible for ... preferred. + Project/program management skills highly desired. + Business analyst experience preferred. + Knowledge of writing business requirements and… more
- Henry Ford Health System (Southfield, MI)
- …Business Partners with employee and labor relations. + Assist HR Business Partner Analyst with new hire orientation. + Handle special projects such as exit ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more