- Corewell Health (Grand Rapids, MI)
- …of the Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare members to improve medication adherence to cholesterol, ... Pharmacy Intern, under the direct supervision of a licensed Medicare Quality pharmacist, will engage with ...by employment type and status Primary Location SITE - Priority Health - 1231 E Beltline -… more
- Henry Ford Health System (Troy, MI)
- …thorough investigation of medical and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, Medicare ... Health and Human Services (MDHHS), National Committee for Quality Assurance (NCQA), Office of Personnel Management (OPM), MI...(BBB). + Demonstrate strict adherence to the Centers for Medicare and Medicaid (CMS), MI Health Link… more
- Henry Ford Health System (Troy, MI)
- …years of experience in health care or insurance environment with focus on Medicare managed care products. + Minimum of two (2) years of recent supervisory or ... of health care delivery systems. + Working knowledge of Medicare Advantage Programs. + Knowledge of CMS Compliance regarding customer satisfaction. +… more
- Henry Ford Health System (Jackson, MI)
- …certified by both Medicare and The Joint Commission, we deliver affordable, high- quality care across a wide range of insurance plans including Medicare , ... Henry Ford Jackson Hospital At Home provides compassionate, personalized health care services in the comfort of patients' homes....and overall well-being of our team members is our priority . That's why we offer support in the various… more
- Henry Ford Health System (Jackson, MI)
- …certified by both Medicare and The Joint Commission, we deliver affordable, high- quality care across a wide range of insurance plans including Medicare , ... Henry Ford Jackson Hospital At Home provides compassionate, personalized health care services in the comfort of patients' homes....and overall well-being of our team members is our priority . That's why we offer support in the various… more
- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** Humana's Health Quality and Stars organization is seeking a Senior Data Quality ... of business and operational acumen, have experience in executing high- priority projects with full accountability, monitor and respond to...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Henry Ford Health System (Detroit, MI)
- Are you fulfilled by supporting doctors, hospitals and health plans to make sure patients get the right care at the right place and the right time? We are now hiring ... Worker Case Managers to join a new Henry Ford Health company dedicated to advancing population health ,...through communication and available resources to promote patient safety, quality of care and cost-effective outcomes. Addresses the needs… more
- Elevance Health (Dearborn, MI)
- …process. The health of our associates and communities is a top priority for Elevance Health . We require all new candidates in certain patient/member-facing ... is granted as required by law. A proud member of the Elevance Health family of companies, **CarelonRx** (formerly IngenioRx) leverages the power of new technologies… more
- Humana (Lansing, MI)
- …highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you will ... part of our caring community and help us put health first** Humana, a Fortune 50 Healthcare Company Humana...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- Henry Ford Health System (Detroit, MI)
- …including areas such as hospitalization, professional services, pharmacy, home health , rehabilitation, DME and organ procurement limitations. + Coordinate the ... in ongoing efforts of the Transplant Institute to increase efficiencies and quality through LEAN processes. + Regularly attends and participates in the Transplant… more
- Henry Ford Health System (Detroit, MI)
- …join us for an exclusive informational session about the state of nursing at Henry Ford Health with Eric Wallis, SVP and CNO, from 12:30 PM - 1:30 PM! Meet our ... immigration attorneys, explore opportunities, and learn all about what Henry Ford Health has to offer. Register today by following this link: qrco.de/bffvep Job… more
- Option Care Health (Lansing, MI)
- …to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high- quality infusion services for nearly all ... provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion services provider in… more
- Henry Ford Health System (Troy, MI)
- …for but not limited to, Motor Vehicle accidents, Workmen Compensation, Medicaid, Group Health Plans, BCBS and Medicare . + Ability to create, analyze and ... cash operations. Develops and refines departmental procedures, productivity and quality to ensure operational effectiveness and efficiency. Establishes relationships… more
- Henry Ford Health System (Grand Blanc, MI)
- …and commitment to the philosophy and objectives of Patient-Focused Care, continuous quality improvement, team interaction, and the mission and values of Ascension ... information to outside sources. + Maintain an effective and quality interpersonal relationships with patients, family members, physicians, visitors, co-workers,… more
- Henry Ford Health System (West Bloomfield, MI)
- …evaluation and advocacy for options and services to meet an individual's and family's health care needs. The goals of the case manager are to promote patient safety, ... quality of care and cost-effective outcomes. The case manager...event or diagnosis that requires management strategies to optimize health outcomes along the care continuum. EDUCATION/EXPERIENCE REQUIRED: Bachelor's… more
- Henry Ford Health System (Detroit, MI)
- …for options and services to meet an individual's and family's comprehensive health care needs though communication and available resources to promote patient safety, ... quality of care and cost-effective outcomes. Addresses the needs...strategies and the extensive use of resources to optimize health outcomes along the care continuum. Provides services to… more
- Henry Ford Health System (Detroit, MI)
- …evaluation and advocacy for options and services to meet an individual's and family's health care needs. + The goals of the case manager are to promote patient ... safety, quality of care and cost-effective outcomes. + The case...event or diagnosis that requires management strategies to optimize health outcomes along the care continuum. EDUCATION REQUIRED: +… more
- Trinity Health (Pontiac, MI)
- …create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality , confidentiality ... professional manner, proactively developing customer relationships and giving high priority to customer satisfaction. Provides patient focused customer service.… 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** Humana is a publicly traded, Fortune 100...delivering new avenues of growth is a critical company priority . The Consumer Segment team is an entrepreneurial, multi-functional… more
- Tenet Healthcare (Detroit, MI)
- …opportunities for improvement and problem resolution, evaluate patient status and health care procedures/techniques, and monitor quality of patient care. ... job - we provide a comprehensive benefit package that prioritizes your health , professional development, and work-life balance. The available plans and programs… more