- Robert Half Accountemps (Sterling Heights, MI)
- Description We are offering a short term contract employment opportunity for a Medical Claims Analyst in STERLING HEIGHTS, Michigan. This role is in the ... meet auditing standards. Requirements * Minimum of three years of experience as a Medical Claims Analyst or in a similar role * Proficiency in using computer… more
- Sedgwick (Detroit, MI)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Performance Assurance Analyst - Property Claims (Part Time Opportunity) **PRIMARY PURPOSE** ... **:** Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest… more
- R1 RCM (Detroit, MI)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing... I, you will help R1 clients by analyzing claims information so that they can resolve complex accounts.… more
- R1 RCM (Detroit, MI)
- …As our Underpayments Analyst , you will help R1 clients by analyzing claims information so that they can identify, analyze, and resolve complex accounts. Every ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...Analyst :** + You will be investigating and analyzing claims to identify denial reasons and create appeal letters… more
- Integra Partners (Troy, MI)
- …member to help us turbocharge our analytical capabilities and thinking. The Business Analyst role will report to the Service Operations Director to support the ... overall development and growth of the Customer Service, Provider Claims & Appeals and Escalations departments, playing a key role in our growth and driving our… more
- University of Michigan (Ann Arbor, MI)
- Senior Data Analyst Apply Now **Who We Are** The MVC is a statewide collaborative quality initiative (CQI), aiming to improve the health of Michigan through ... right cost, and the right time. MVC provides member organizations with claims -based healthcare utilization data to empower local quality improvement activities. In… more
- Ford Motor Company (Wayne, MI)
- …the driving forces behind our success. **In this position ** The Quality Analyst will report to the Plant Vehicle Evaluation Manager. They will complete assignments ... manufacturing Co-Lead for the assigned Variability Reduction team. The analyst will work amongst the product development team members...you'll do ** + Assist reviewing and binning early claims binning claims and customer concerns with… more
- Elevance Health (Dearborn, MI)
- **Provider Contract/Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live ... miles of one of Elevance's Pulse Point locations. **The Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of Care and/or… more
- Elevance Health (Dearborn, MI)
- **Actuarial Analyst III** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that ... onsite will be discussed as part of the hiring process. The **Actuarial Analyst III** completes very diverse and complicated projects and performs very complex… more
- Sedgwick (Detroit, MI)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Data Analyst Manager **PRIMARY PURPOSE** **:** To manage a staff of data analysts; ... and promotional growth opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401k, PTO and more A _s required by law,… more
- Henry Ford Health System (Troy, MI)
- …roadblocks and meet or exceed customer requirements and expectations. + Knowledge of medical claims data and managed care membership data. + Knowledge of ... SUMMARY: Support new healthcare data analytic capabilities for premium, enrollment, claims and non-claim expenses. Performance evaluation in terms of quality,… more
- R1 RCM (Detroit, MI)
- …the appropriate discharge disposition/increases in reimbursement. RESPONSIBILITIES Abstract information from Medical Records of Managed Care claims for accurate ... work products to R1' s clients. The Medicare Advantage Analyst is primarily responsible for researching underpayments as they...discharge status information on all managed care claims Research medical records for post-acute care,… more