- CVS Health (Lansing, MI)
- …initiatives/programs and completes State/HSAG PIP templates for submission. + Assists Senior Quality Manager and Director with coordination and implementation of ... 5+ years clinical and/or managed care experience in the healthcare industry and quality management preferred. + 3-5 years of Project Management experience.… more
- Prime Therapeutics (Lansing, MI)
- …Come build the future of pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business ... residency sponsorship **Additional Qualifications** + 3-5 years' experience in clinical operations, quality , network, pharmacy or project management OR a managed… 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** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices.… 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 ... understands that while great products are important, it's the quality of our service that truly defines us. We...and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of… more
- CVS Health (Lansing, MI)
- …actionable insights to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting. This is an individual contributor role. Job ... data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid … more
- Datavant (Lansing, MI)
- …is focused on ensuring the work we do for our customers is of the highest quality and yields positive outcomes. To achieve this, you will leverage a wide array of ... and insights about coding output to enhance productivity and quality , and turn those needs into actionable reporting +...+ Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and… more
- Cardinal Health (Lansing, MI)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to… more