- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- Director of Field Reimbursement Management (FRM) Position Overview We are seeking an experienced, transformative leader to serve as the Director of Field ... support for our specialty products through providing education on various payer processes. Key Responsibilities + Lead, mentor, and develop a high-performing… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- **_Associate Director , Access and Affordability_** **Position Summary** The Associate Director , Access and Affordability is responsible for ensuring that ... HCPs and consumers into brand and promotional plans, ensuring alignment with payer , HCP, and patient needs. + **Messaging & Resource Development:** Collaborate with… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- The Director of Market Access Patient Experience and Reimbursement Analytics is an individual contributor role focused on analyzing and optimizing patient experience ... surface barriers, and drive actionable solutions. + Align reimbursement analytics with payer strategies and market dynamics in collaboration with Market Access and… more
- Trinity Health (Muskegon, MI)
- …on local initiatives and 20% of time spent on regional initiatives **What the Director of Strategy will need:** + Must have a broad-based knowledge of strategic ... comfortable operating in a collaborative, shared leadership environment. **What the Director of Strategy will do:** + Collaborates with ministry leaders, including… more
- Bayer (Detroit, MI)
- …minds to make a real difference, there's only one choice.** **Associate Director , Regional Marketing, Cardiovascular - Detroit, MI** **Associate Director , ... to deliver strategies to develop TLs; + Develop, implement, and maintain accountability for the interactions and feedback with regional and local external experts… more
- Highmark Health (Lansing, MI)
- **Company :** enGen **Job Description :** **JOB SUMMARY** The Director of Sales & Partnerships is a critical leadership role responsible for driving significant ... exchange capabilities, as well as outsourced technology and BPO services. The Director is a strategic thinker with experience in selling Healthcare technology… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …or business development experience in healthcare services, medical technology, or payer /provider solutions. + Proven track record of account management, strategic ... key. + Background in specialty pharmacy business development, healthcare consulting, payer relations, or value-based care models. + Understanding regulatory and… more
- Highmark Health (Lansing, MI)
- …both the return on investment (ROI), and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices… more
- Integra Partners (Troy, MI)
- …claims, identifying and resolving denials or underpayments. + Communicate with Payer Team to address rejections, request re-considerations, and appeal denied claims ... provider and internal teams.. + Maintain up-to-date knowledge of payer policies, Medicare/Medicaid requirements, and regulatory changes affecting CRT reimbursement.… more
- Trinity Health (Chelsea, MI)
- …written developmental plan with clear expectations and subsequent consequences. Assists the director in maintaining fiscal accountability for assigned area of ... schedules to ensure cost effective staffing that meets customer requirements. Represents director in problem resolution when director is unavailable. Manages… more
- Trinity Health (Grand Rapids, MI)
- …within the EMR system. Maintains up-to-date knowledge of referral/ payer prior authorization requirements, eligibility guidelines and documentation requirements. ... patients and payers to complete pre-certification process. **Care Coordination** Confirms payer is in-network with specialist. If not, contacts patient to discuss… more
- Trinity Health (Chelsea, MI)
- …for each patient while adhering to ethical practices per insurance guidelines for each payer . Works with site leader, director and/or secretarial staff to ensure ... for each patient while adhering to ethical practices per insurance guidelines for each payer . + Works with site leader, director and/or secretarial staff to… more
- Option Care Health (Farmington Hills, MI)
- …**Job Description Summary:** Under the direction of the Regional Sales Director , Health Systems Solutions (RSD, HSS), manages the development and execution ... enterprise objectives + Within their assigned team, partners with operations and payer counterparts to build regional strategic market plans to increase market… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …the Specialty Pharmacy operations for OAPI The position will report to Director , Specialty Pharmacy Operations We are seeking a detail-oriented and proactive Senior ... on operational performance, issue resolution, and process improvements to the Director of Pharmacy Operations. + Analyze pharmacy reporting in creating patient,… more
- Corewell Health (Grand Rapids, MI)
- …practice and have dedicated time to lead your team while partnering with the director of operations on division strategy. The ideal candidate has 3 to 5+ years ... collaboration with Department Chief and Academic Chair, responsible and accountability for the following:LeadershipDemonstrate personal character* Uphold, by example… more