- Cardinal Health (Lansing, MI)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Gentiva (Jackson, MI)
- …with all company policies and regulatory standards. **As a Senior Hospice RN Patient Care Manager , you will:** + Lead and support hospice patient care ... experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and...+ We maintain a drug-free workplace Keywords: hospice RN manager , patient care manager senior,… more
- Highmark Health (Lansing, MI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Humana (Lansing, MI)
- …of professional experience working with complex populations, home and community-based services or in managed care settings. + Two (2) or more years of management ... to be screened for TB. **Preferred Qualifications** + Certified Care Manager (CCM). + Three (3) or... (CCM). + Three (3) or more years of managed care experience in Medicare and/or Medicaid,… more
- Molina Healthcare (Lansing, MI)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts including but not… more
- Humana (Lansing, MI)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- CDM Smith (Lansing, MI)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Molina Healthcare (Jackson, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with leadership based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting.… more
- Henry Ford Health System (Jackson, MI)
- …Strong computer skills and knowledge. Experience in discharge planning, home health care , rehabilitative medicine, or managed care preferred. Knowledge ... for options and services to meet an individual's and family's health care needs. The goals of the case manager are to promote patient safety, quality of care … more
- CVS Health (Lansing, MI)
- …expertise, with advanced knowledge in one or more of the following at a managed care or provider organization: DSNP programs, Managed Care ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Lansing, MI)
- …utilizing and navigating multiple software programs concurrently. **Preferred Qualifications** - Managed care experience -Advanced training (ie, Board-certified ... requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care … more
- CVS Health (Lansing, MI)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Lansing, MI)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Pacific Northwest National Laboratory (Lansing, MI)
- …and opportunities of tomorrow. **Responsibilities** As a Senior Digital Project Manager , you are involved in leading strategic initiatives for the laboratory ... and oversee the quality of deliverables and products. The Senior Digital Project Manager takes a holistic project approach by collaborating with users, business, and… more
- UMB Bank (Lansing, MI)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… more
- Western Digital (Lansing, MI)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… more
- Highmark Health (Lansing, MI)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... + 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced training and experience in cognitive behavioral therapy… more
- Boehringer Ingelheim (Lansing, MI)
- …depending upon geography. * Knowledge across portfolio is preferred. * Strong understanding of managed care and its impact on the industry. * Excellent judgment ... Manager ) at the Health System's various sites of care and with the Health Systems Affiliated HCPs. The...vehicle or authorized rental vehicle. * Strong understanding of managed care environment and intricacies of health… more
- Cardinal Health (Lansing, MI)
- …independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and ... and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the… more
- Intermountain Health (Lansing, MI)
- …pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy, home care , long term care , population health, consumer and patient ... nature and span cross functional areas. Work collaboratively with the DTS Project Manager (if applicable) team assuring key initiatives are organized, planned, and … more