- Molina Healthcare (Detroit, MI)
- …cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans ... is a general role in which employees work with multiple types of business data. Will work cross functionally across multiple business areas.… more
- Molina Healthcare (Detroit, MI)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- ManpowerGroup (Warren, MI)
- Job title: Warranty/ Claims Data Analyst Location: Hybrid In Warren MI 48093 Duration: 12 months Contract with potential to convert to FTE Pay Range: $26-$29/hr. ... on site) Summary: The main function of a Data Analyst is to coordinate changes to computer databases, test,...Labor Information System (GMLID) 2. Work with the Dealer Business Center (DBC) to resolve warranty claim rejects Self-Starter… more
- Molina Healthcare (Detroit, MI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- Molina Healthcare (Detroit, MI)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more
- University of Michigan (Ann Arbor, MI)
- Revenue Chrg Intgrty Analyst Apply Now **Job Summary** The Charge Integrity Analyst is responsible for a wide variety of charge-related functionality and ... a series of charge sources. Throughout the year, the analyst will assist departments with new charge build and...and Cost Center Table (BCC) + MiChart Rules (Router, Claims Manager, Revenue Guardian, etc.) + Fee Schedules +… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify… more
- University of Michigan (Ann Arbor, MI)
- HEALTH INFORMATION MANAGEMENT ANALYST II - COMPLIANCE AND AUDITING Apply Now **Job Summary** Utilize the EPIC Release Module to locate, analyze, and produce medical ... records required to substantiate Hospital and Professional Billing claims in response to payer, auditor, and government agency requests. Process medical record… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Molina Healthcare (Detroit, MI)
- …Description** Who you are : + You have proven experience as a QA Analyst within an Agile environment. + Experienced testing on-premise and cloud based ETL/BI ... You can prioritize. + You have experience with QNXT, claims processing , healthcare insurance and SQL + You...QA role within our Agile team is a Senior Analyst position dedicated to ensuring the highest quality standards… more
- Molina Healthcare (Detroit, MI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...+ Must have experience in system configuration. + Monitor claims , create , generate and analyze reports using Excel… more
- Lineage Logistics (Novi, MI)
- …Sourcing and Procurement team. Lineage is currently searching for a Procurement Analyst to join our growing team. Ideal candidates possess experience and/or ... education in business , supply chain management, finance or economics combined with...contractual obligations are met, supplier concerns are addressed, and claims against suppliers are resolved. + Review purchase orders… more
- Molina Healthcare (Detroit, MI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and… more
- Carhartt, Inc. (Dearborn, MI)
- …+ Leads gathering and preparation of insurance renewal data, including considering business changes that may impact submissions. Tracks claims submitted under ... ExemptJob Band: Professional Job SummaryThe Sr. Treasury and Risk Analyst serves as a critical role, supporting senior level...set forth by our founder, Hamilton Carhartt. We Lead Business by creating value, delivering on results, and making… more
- Molina Healthcare (Detroit, MI)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
- Sedgwick (Detroit, MI)
- …their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workforce Planning Analyst **PRIMARY PURPOSE:** To provide workforce development strategies and… more
- Molina Healthcare (Detroit, MI)
- …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods… more
- Exotic Automation & Supply (New Hudson, MI)
- …in the Pricing system. + Maintenance and submission of customer rebates and subsidy claims to Suppliers. + Input/Upload of Supplier Price Updates from price files. + ... or requested. Knowledge, Skills and Abilities Required: + Bachelor's degree in business or related area (will consider equivalent job experience). + Two years… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Detroit, MI)
- …opportunities to support clinical savings initiatives. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims and authorization data to identify trends or other issues ... exhibits and data visualizations to illustrate key trend drivers + Work with business owners to track performance indicators of medical interventions + Extract and… more