- Molina Healthcare (MI)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- University of Michigan (Ann Arbor, MI)
- Opioid Research Institute Data Analyst Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the ... action employer. **Job Detail** **Job Opening ID** 257816 **Working Title** Opioid Research Institute Data Analyst **Job Title** Data Architect Intermediate… more
- State of Michigan (Lansing, MI)
- Departmental Analyst 9-P11 (Student Loan Programs) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4764509) Apply Departmental Analyst ... program operations and recommend modification of policies and procedures for the Claims and Collections Section. Assist in liaison activities with the lender… 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 ... assigned to support a series of charge sources. Throughout the year, the analyst will assist departments with new charge build and resolving charging issues.… more
- Sumitomo Pharma (Lansing, MI)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... assets, and in-house advanced technology capabilities, we aim to accelerate discovery, research , and development to bring novel therapies to patients sooner. For… more
- Prime Therapeutics (Lansing, MI)
- …our passion and drives every decision we make. **Job Posting Title** Health Data Analyst Sr- REMOTE **Job Description** The Senior Health Data Analyst provides ... **Additional Qualifications** + Advanced troubleshooting skills, including in-depth client data research , which may involve research and drivers of utilization;… more
- Molina Healthcare (MI)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… more
- Molina Healthcare (Grand Rapids, 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 (MI)
- **Knowledge/Skills/Abilities** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and… more
- Corewell Health (Grand Rapids, MI)
- …the provider's negotiated contract to determine correct configuration of the claims payment system(s). Knowledge of facility and physician reimbursement methods will ... combined with data analysis and business decision-making abilities to determine correct configuration. Analyst will take the lead, and serve as a liaison on problem… more
- Molina Healthcare (Warren, MI)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and Identifying targeted Interventions and tracking outcome. Assist with research , development, and completion of special performance improvement projects.… more
- Molina Healthcare (MI)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... Generates Provider Related reports to facilitate and support Provider Services/Provider Problem Research & Resolution. + Must be able to write policies and… more
- Carhartt, Inc. (Dearborn, MI)
- …Classification: HybridFLSA: ExemptJob Band: Professional Job SummaryThe Sr. Treasury and Risk Analyst serves as a critical role, supporting senior level team members ... + Manages monthly bank reconciliation process. Resolves reconciling items through research and escalation. + Leads gathering and preparation of insurance renewal… 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 cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL… more
- Molina Healthcare (Detroit, MI)
- …+ Actively participates in all stages of project development including research , design, programming, testing and implementation to ensures the released product ... operational processes including but not limited to Enrollment, UM, Claims & Care Management** **Preferred License, Certification, Association** Certified Business… more
- Molina Healthcare (Detroit, MI)
- …analysis. + Works with internal, external and enterprise clients as needed to research , develop, and document new standard reports or processes. + Implements and ... to support the departments goals. + SQL, Databricks, Python + Claims knowledge/QNXT **JOB QUALIFICATIONS** **Required Education** Associate's Degree or equivalent… more
- University of Michigan (Ann Arbor, MI)
- …and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, ... Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. **Who We Are** Why… more
- McLaren Health Care (Shelby Township, MI)
- …tasks accurately and timely. **BILLING:** Responsible for billing hospital and physician claims , for inpatients and outpatients treated in the hospital and clinic, ... necessary maintenance to patient accounts in the billing and claims editing systems. + Responds timely to all patient...vendors in a timely and professional manner. + Notify Analyst of edits that needs to be built and… more
- Robert Half Finance & Accounting (Grand Blanc, MI)
- …communications, and training. * Working with all departments to research , analyze and review business intelligence reporting. * Developing, implementing, ... Insurance program through the preparation of insurance renewals, applications and claims . * Supporting policy governance, issues management and risk assessment… more
- Trinity Health (Livonia, MI)
- …Term Disability, Military Leave, Family Medical Leave and Workers' Compensation claims with internal areas of expertise and external vendors.Acts independently to ... judgment to make decisions based on insufficient or unclear data. Conducts appropriate research to ensure data is complete and to respond to problems and unresolved… more