- Molina Healthcare (MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, ... and accurate reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims … more
- Prime Therapeutics (Lansing, MI)
- …Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems Analyst (BSA) Senior IT is responsible for serving as a ... stakeholders, development team and broader project team. The BSA Sr IT is also responsible for partnering with the...to educate and advance the business systems analyst practice within the Claims IT team… more
- Carhartt, Inc. (Dearborn, MI)
- …HybridFLSA: ExemptJob Band: Professional Job SummaryThe Sr . Treasury and Risk Analyst serves as a critical role, supporting senior level team members ... + Leads gathering and preparation of insurance renewal data, including considering business changes that may impact submissions. Tracks claims submitted under… more
- Prime Therapeutics (Lansing, MI)
- …we make. **Job Posting Title** Sr . Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
- Molina Healthcare (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...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… 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 (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 (MI)
- **Knowledge/Skills/Abilities** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Grand Rapids, 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...and existing health plans. + Must have experience on claims processing system, benefit configuration. + SQL knowledge is… 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 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
- Henry Ford Health System (Detroit, MI)
- …restrictions. Establishes and facilitates communication with individuals, departments, business units, insurance carrier, workers compensation administrator, and ... + Serves as a liaison between the employee, third party administrator/ claims manager, HFHS benefits administration team, and HR representatives regarding LOA… more
- Intermountain Health (Lansing, MI)
- …understanding and knowledge of the concepts and principals outlined within the Business Analyst Body of Knowledge (BABOK) guide. **Physical Requirements:** ... **Job Description:** As a Business Systems Analyst , you will work...projects. Requirements may be specific to healthcare insurance products, claims , sales activities or other service-related processes; all in… more
- Prime Therapeutics (Lansing, MI)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Evolent (Lansing, MI)
- …mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal ... structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between institutional vs… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: As a Senior Medical Economics Analyst , your primary objective will be to identify, analyze, and explain emerging medical trends. You will play a ... analysis associated with medical cost containment initiatives. Analyze medical and pharmacy claims to identify early signs of trends or other issues related to… more
- HealthEdge Software Inc (Lansing, MI)
- …in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key...are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business … more
- Evolent (Lansing, MI)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Analytics team offers candidates the opportunity to work with key business , analytics, product, and operational leaders to deliver client-specific analytical… more
- Henry Ford Health System (Troy, MI)
- …(HAP's): Commercial, Medicare Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business . Analyst must identify trending issues on an ongoing ... basis and provide root/cause analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists,...+ Minimum of two (2) years of experience reviewing Claims . + Must have successful experience with business… more
- Molina Healthcare (Grand Rapids, MI)
- …a growth mindset. **Job Summary** The QA role within our Agile team is a Senior Analyst position dedicated to ensuring the highest quality standards for our ... : + You have proven experience as a QA Analyst within an Agile environment. + Experienced testing on-premise...You can prioritize. + You have experience with QNXT, claims processing , healthcare insurance and SQL + You… more
- Defense Logistics Agency (Battle Creek, MI)
- …Responsibilities Performs portions of (or full studies) and analysis to support Business Case Analysis (BCA) or Strategic Planning teams or to determine compliance ... systems and compiles raw data sets into manageable and coherent data for senior and tactical level staff. Validates systems data processes to ensure operational… more