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Results based on filters ( 9 jobs found )

Summer 2026 Intern - Pharmacy Services

Emergent Holdings
Kalamazoo, MI
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SUMMARY: Senior Health Services is looking for pharmacy students in their ...
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Summary
About the job:
second year to assist with the quality improvement metrics for the Blue Cross Blue Shield of Michigan Medicare population. Fully remote, full time paid summer internship. Equipment will be provided. Interns are required to work 40 hours per week from mid-May to mid-August the summer between P2 and P3 year. Primary responsibilities include telephonic outreach to patients and providers to support CMS Stars measures such as Medication Adherence and Statin Use in Persons with Diabetes (SUPD). Opportunities to learn about...
Location:
Kalamazoo, MI
Job Type:
Full-Time
Internship
Occupation:
Pharmacists
Career Level / Education:
Doctoral or professional degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Director, Financial Performance - Individual Health Insurance Markets (Hybrid Detroit)

Emergent Holdings
Detroit, MI
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Responsible for financial performance functions, including budgeting and ...
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Summary
About the job:
forecasting, performance metrics, and assisting with the planning, organizing, and directing of the company's financial plans and policies. This position is responsible for the customer experience related to financial analyses and reporting and ensures financial viability through proactive analysis and sound administration of policies and procedures. This role is responsible for communication and coordination of financial matters with Senior Health Services executive leadership. This position also supports the...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Financial Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
Certified Corporate FP&A Professional
Certified Public Accountant
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Analyst - Data Informed Strategy

Emergent Holdings
Detroit, MI
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SUMMARY Responsible to plan, organize, direct, , and lead market research ...
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Summary
About the job:
activities within the Medicare Strategy and Performance business unit; Use qualitative and quantitative methods to derive data and insights that support strategy, planning and performance activities. The ideal candidate for this department will: * Be a strategic thinker with deep business and industry knowledge of government programs. * Use data and visualization tools to drive insights to support strategy. * Possess a willingness to learn in complex industry and adaptive landscape. ESSENTIAL DUTIES AND RESPONSIBILITIES...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
Driver's License
Certified Marketing Specialist
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Director, Government Programs - Planning & Consulting

Emergent Holdings
Detroit, MI
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Job Ref: 300001874578348 Employer: Emergent Holdings Sector: Health ...
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Summary
About the job:
Insurance Qualifications: Senior Qualified Actuary Job Type: Full Time Salary and Benefits: $126,400 per year Remote: No Location Country: United States State/Province/County: Michigan - MI City: Detroit Post Code: 48226 Map: ( Show on map ) Description Job Description The Director Government Programs- Planning & Consulting position is responsible for driving the execution of strategic analytic priorities for Government Programs and CFO areas through business planning, consultation, and delivery oversight of data, analytics,...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Health Care Analyst

Emergent Holdings
Detroit, MI
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SUMMARY: The Senior Health Care Analyst is responsible for planning, ...
Details
Summary
About the job:
organizing, directing, implementing, and leading department assignments. This position operates within broad objectives to ensure optimum utilization of manpower and budget. This role researches, compiles, and analyzes appropriate and relevant data and makes recommendations for operational improvements. RESPONSIBILITIES/TASKS: * Support PBM transition tasks and participate in workstream meetings * Supports PBM audit and analytics to support Medicare pharmacy services business team. * Builds and supports business reports to...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Client Relations Compliance Consultant

Emergent Holdings
Detroit, MI
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The Client Relations Compliance Consultant leverages CMS compliance and ...
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Summary
About the job:
business needs. This role assists with Compliance operations and performance and interfaces directly with clients, serving as the primary contact for issues and requests generated by the client. The Client Relations Compliance Consultant is accountable for key measures and performance indicators, as well as communications with appropriate business owners to resolve issues. * Creates and manages user accounts in a variety of systems, including Medicare Advantage Systems, in compliance with internal policies and system...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Compliance Officers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Clinical Documentation Improvement (CDI) Reviewer

Emergent Holdings
Lansing, MI
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Departmental Preferences: * Certification in risk adjustment coding (CRC) * ...
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Summary
About the job:
Prior experience in medical record auditing (CMS, RADV, Part C IPM) * Medicare risk adjustment experience * Clinical knowledge/experience a plus The Clinical Documentation Improvement Reviewer performs concurrent medical record reviews to ensure that all conditions reported by the provider reflect the severity of illness of the patient. This position is responsible for the validation of diagnosis codes in CDI alert and the identification of missing diagnosis so that patient severity of illness is properly reflected in...
Location:
Lansing, MI
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
From:
State of Michigan
Certifications / Licenses:
Certified Radiology Coder
Certified Rehabilitation Counselor
Certified Coding Specialist
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Director, Pharmacy Quality

Emergent Holdings
Detroit, MI
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SUMMARY: This position is responsible for the Medication Adherence program ...
Details
Summary
About the job:
for BCBSM senior members. The Director will design and execute a multi-year strategy that improves adherence rates and achieves Star measure performance goals. The Director will report to the Managing Director of Pharmacy Quality and oversee a large, multidisciplinary team of pharmacists, pharmacy technicians, data analysts, and external vendors. This role requires strong cross-functional collaboration with clinical, operations, IT, finance, and external partners to integrate adherence initiatives, drive performance,...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Clinical Documentation Improvement (CDI) Reviewer

Emergent Holdings
Kalamazoo, MI
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Departmental Preferences: * Certification in risk adjustment coding (CRC) * ...
Details
Summary
About the job:
Prior experience in medical record auditing (CMS, RADV, Part C IPM) * Medicare risk adjustment experience * Clinical knowledge/experience a plus The Clinical Documentation Improvement Reviewer performs concurrent medical record reviews to ensure that all conditions reported by the provider reflect the severity of illness of the patient. This position is responsible for the validation of diagnosis codes in CDI alert and the identification of missing diagnosis so that patient severity of illness is properly reflected in...
Location:
Kalamazoo, MI
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
From:
State of Michigan
Certifications / Licenses:
Certified Radiology Coder
Certified Rehabilitation Counselor
Certified Coding Specialist
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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