Medicare Grievances and Appeals Corporate Medical Director
Humana - Lansing, MI
…skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products +
Created: 2024-05-02
Research Scientist
Humana - Lansing, MI
…Python, SAS, R, or similar software **Preferred Qualifications** + Healthcare or managed care working experience + Experience working with medical, pharmacy,
Created: 2024-05-02
Medicaid Researcher (Remote Eligible)
Mathematica - Lansing, MI
…as: Medicaid payment and financing policies (fee-for-service base and supplemental payments, managed care capitation rates, and state approaches to provider
Created: 2024-05-01
UMNC Prior Authorization
CVS Health - Lansing, MI
…utilization experience preferred Outpatient Clinical experience Knowledge of Medicare/Medicaid Managed care experience Med Compass Experience CM/UM Certification
Created: 2024-05-01
Associate Manager - Duals Prior Authorization
CVS Health - Lansing, MI
…department - 3+ years clinical experience as a Registered Nurse - 3+ years of Managed Care experience - 1+ years of Utilization Management experience - Travel
Created: 2024-04-30
Clinical Sales Specialist - IBD (Lansing, Flint, Saginaw)
Takeda Pharmaceuticals - Lansing, MI
…opportunities and adaptability to changing market conditions + Demonstrated understanding of managed care landscape and how it influences/impacts business +
Created: 2024-04-30
National Director, Clinical Pharmacy- Remote
CenterWell - Lansing, MI
…Conviva/CenterWell market location(s) + Experience working in a value-based care , senior care , and/or Medicare managed care **Workstyle** This is a
Created: 2024-04-28
Manager, Business Consultant - Dental Network
CVS Health - Lansing, MI
…to travel nationally as needed (up to 25% travel) * In-depth knowledge of the managed care industry and practices, as well as a strong understanding of
Created: 2024-04-26
Utilization Behavioral Health Professional
Humana - Lansing, MI
…experiences **Preferred Qualifications** + Master's Degree + One or more years of managed care experience + Experience with ASAM, MCG, or Interqual Guidelines
Created: 2024-04-25
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Senior Accreditation Professional
Humana - Lansing, MI
…NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health plan experience. + Advanced degree in a
Created: 2024-04-25
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