- Humana (Lansing, MI)
- …put health first** Humana Healthy Horizons is seeking a Senior Implementation Business Project Manager to manage a specific defined business area (non-IT) within ... the IT implementation activities. This is NOT a traditional Project Manager role. The Senior Implementation Business...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… 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
- Prime Therapeutics (Lansing, MI)
- …terms of scope, quality , budget, issue/risk management and schedule. The Senior Project Manager will provide strong technical experience to the approach of ... pharmacy with us. **Job Posting Title** North Carolina Senior Project Manager / Operations Lead - Remote...responsible for orchestrating all activities for the North Carolina Medicaid PBM account implementation and projects throughout the life… 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 ... and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for...leading solutioning sessions and balancing competing priorities across Medicare, Medicaid lines of business. + Serve as a key… more
- Cayuse Holdings (Lansing, MI)
- **Overview** **_JOB TITLE:_** Support Services Program Manager / Specialist **_CAYUSE COMPANY:_** Cayuse Civil Services, LLC **_LOCATION_** Remote **_SALARY:_** ... by the client.** **The Work** The Support Services Program Manager /Specialist responsible for driving technical integration projects, providing expert consultation… 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 ... caring community and help us put health first** The Senior IT Product Manager - Information Marketplace & Data Governance is responsible for the strategic vision,… 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)
- …Overview** The Senior Organizational Effectiveness Professional serves as the strategic project manager and operational backbone for the learning design ... to scale impact efficiently. **Key Responsibilities** **Learning Program & Project Management** + Lead end-to-end project management...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- CenterWell (Lansing, MI)
- …of clinical questions related to authorization determinations. * Collaborate with Quality , Compliance, and Audit teams to support medical reviews and audits. ... **Compliance & Risk Management** * Ensure compliance with Medicare, Medicaid , and commercial payer authorization and revalidation requirements. * Maintain… 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