Departmental Specialist 13 - Rates and Encounter Data Section
State of Michigan - Lansing, MI
…subject matter expert in processing and utilization of encounter data submitted by managed care entities (ie - Medicaid Health Plans, MIChild Health Plans,
Created: 2024-04-26
Sr. Value-Based Programs Professional
Humana - Lansing, MI
…impact** Required Qualifications + Bachelors Degree + 3-5 years of experience in managed care operations, value-based care , and/or provider reimbursement and
Created: 2024-05-09
Provider Network Negotiation Specialist
Sedgwick - Lansing, MI
…To negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network;
Created: 2024-05-09
HCBS Consultant/Sr. HCBS Consultant
Mathematica - Lansing, MI
…aging, disability, or behavioral health programs within state agencies or applicable managed care , provider, or third-party consultants is preferred. The
Created: 2024-05-03
Senior Forecasting and Pharmacoeconomics Analyst - Remote
Prime Therapeutics - Lansing, MI
…a comprehensive understanding of the specialty industry and financial impact from the managed care viewpoint. Ensures all reports are working in an efficient
Created: 2024-05-01
Associate Director, Medical Value and Outcomes, East Region
Sanofi Group - Lansing, MI
…economics, health outcomes, public health or health policy is a plus. + Managed care experience (eg, experience as medical/clinical executive within managed
Created: 2024-04-29
Hospital / Institutional Customer Representative - Anti-Infectives - Fort Worth, TX
Merck - Lansing, MI
…key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local
Created: 2024-04-27
Medical Director - North Central Region - Medicaid
Humana - Lansing, MI
…post residency or fellowship. + Excellent communication skills + Knowledge of the managed care industry including Medicare and Medicaid. + Possess analysis and
Created: 2024-04-25
Sr. Value-Based Programs Professional (Remote US)
Humana - Lansing, MI
…**Required Qualifications:** + Bachelor's Degree + 3-5 years of experience in managed care operations, provider reimbursement and analytics, and value-based
Created: 2024-04-24
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Sr Director, Value Based Pricing - Preferably on the West Coast
Prime Therapeutics - Lansing, MI
…**Responsibilities** + Knowledge of and experience with Medicaid pharmacy practice, managed care pharmacy practice, and/or pharmaceutical rebate contracting. +
Created: 2024-04-23
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