- Robert Half Accountemps (Flint, MI)
- …We are a healthcare organization based in Flint, Michigan, United States, currently seeking a Medical Claims Analyst . In this role, you will be responsible ... * Minimum of three years of experience in a similar role as a Medical Claims Analyst * Proficiency in using Cerner Technologies for claim administration *… more
- Molina Healthcare (MI)
- …& ABILITIES:** + 1-3 years claims analysis experience + 5+ years medical claims processing experience across multiple states, markets, and claim types + ... **PREFERRED EXPERIENCE:** + 1-3 years claims analysis + 6+ years medical claims processing experience + Project management + Expert in Excel and PowerPoint… more
- Molina Healthcare (MI)
- …sources. **Preferred Qualifications:** + Experience with Medicaid + Experience with medical claims , authorization, and membership data + Advanced proficiency ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and...reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments… 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 ... GENERAL SUMMARY: As a Senior Medical Economics Analyst , your primary objective...associated with medical cost containment initiatives. Analyze medical and pharmacy claims to identify early… more
- R1 RCM (Detroit, MI)
- …your new position. **Here's what you will experience working as a Denials & AR Analyst :** + Investigate and analyze claims to identify denial reasons and create ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...automation, and workflow orchestration. As our **Denials & AR Analyst ** , you will help R1 clients by analyzing… more
- University of Michigan (Ann Arbor, MI)
- …Analyst will perform data management, programming, and analysis using administrative claims , electronic medical record (EMR), surveillance, and other data ... Opioid Research Institute Data Analyst Apply Now **How to Apply** A cover...Office of the Vice President for Research and the Medical School Office of Research in 2023 to catalyze… 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
- 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 ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- Henry Ford Health System (Troy, MI)
- …issues on an ongoing basis and provide root/cause analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists, Legal ... SUMMARY: Responsible for the prompt and thorough investigation of medical and pharmacy member appeals and grievances for Health...for all cases. In addition, in this role the analyst will be required to keep abreast of regulatory… more
- CVS Health (Lansing, MI)
- …**Position Summary** This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and validate claims ... able to work independently and with others to review claims tied to different overpayment projects in the Overpayment...our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll… more
- R1 RCM (Detroit, MI)
- …& AR Senior Analyst :** + You will be investigating and analyzing claims to identify denial reasons. + Drafting complex and contractual appeals and letters to ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...and workflow orchestration. As our Denials and AR Senior Analyst , you will help R1 by managing assigned accounts… 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 and ... Computer Science, Data Science **Preferred Experience** + Preferred experience in Medical Economics , and Strong Knowledge of Performance Indicators: + Proactively… 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 cost ... in Finance, Economics, Math, or Computer Science Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively identify… more
- McLaren Health Care (Flint, MI)
- …Care functions (eg accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, ... We are looking for a Business Analyst II to join us in leading our...all information systems, including benefits and pricing requirements for claims processing systems. Develops and maintains financial, management, standard… more
- Evolent (Lansing, MI)
- …as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal (Evolent Account ... + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience using Microsoft… more
- Prime Therapeutics (Lansing, MI)
- …Management) experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical , and/or financial data + Basic to intermediate SAS ... decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information,… more
- Molina Healthcare (Warren, MI)
- …and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress 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
- CVS Health (Lansing, MI)
- …health care more personal, convenient and affordable. **Position Summary** The Sr Analyst Project Management position within the NextGen Train 6 Reporting and ... Qualifications** Experience with HRP and/or NextGen Ecosystem Knowledge of claims processing **Education** Bachelor's degree or equivalent experience **Pay Range**… 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 ... ensuring contractual obligations are met, supplier concerns are addressed, and claims against suppliers are resolved. + Review purchase orders and contracts… more