- Highmark Health (Lansing, MI)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- Centene Corporation (Lansing, MI)
- …within the organization to develop and implement long range behavioral health program strategies. Serves as project manager for projects and initiatives ... a fresh perspective on workplace flexibility. **Position Purpose:** Interacts extensively with behavioral health leadership and cross functional associates… more
- Highmark Health (Lansing, MI)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Lansing, MI)
- …in a project manager role **Preferred** + Leadership experience + Health Care Insurance industry business and operational knowledge + Experience managing ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Lansing, MI)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Highmark Health (Lansing, MI)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- CVS Health (Lansing, MI)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** he … more
- Takeda Pharmaceuticals (Lansing, MI)
- …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Wisconsin region. Here, everyone matters, and you will be a vital contributor ... to our inspiring, bold mission. As a Regional Business Manager working on the Gastroenterology Rare Disease Sales Team, you will be empowered to drive product demand… more
- CenterWell (Lansing, MI)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on… more
- CenterWell (Lansing, MI)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... such as CPA, CIA + Previous experience in home health , care delivery, or care ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Highmark Health (Lansing, MI)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Lansing, MI)
- …3 years of Working knowledge of medical procedures and terminology + 3 years of Health Care claims, Health Insurance and Benefit Administration **SKILLS** ... level of production each month, as determined by the manager to ensure compliance with DLP changes. This role...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Lansing, MI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
- Highmark Health (Lansing, MI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr level role… more
- Fresenius Medical Center (Owosso, MI)
- …Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality ... and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient...affect adherence to treatment. Works with patient, family and health care team to provide education tailored… more
- CenterWell (Lansing, MI)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- NASCO (Lansing, MI)
- …working with customers and end users + Minimum 4 years working experience in Health Care industry + 1 year Proven experience displaying knowledge and ... the highest system reliability, maintainability, and performance possible. Communicates with Manager , and Customer regarding status of assigned projects and customer… more
- Peckham, Inc. (Lansing, MI)
- …Inc. - Youth Advisor POSITION SUMMARY Under the supervision of the Juvenile Services Manager , the Direct Care position is responsible for the direct care ... the female at risk youth entrusted to Peckham. Direct Care have the responsibility of providing a safe, caring,...documentation of each adolescent's treatment plan, attend to personal, health , and behavioral needs of the adolescents… more
- Prime Therapeutics (Lansing, MI)
- …work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded ... perception and ability to adjust focus **Reporting Structure** + Reports to Principal, Manager , Director, or Sr Director in the Health Outcomes, Pharmacy Audit,… more