- 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
- Elevance Health (Dearborn, MI)
- **Rating/ Claims System Analyst ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one ... of our Elevance Health PulsePoint locations. The **Rating/ Claims System Analyst ** will be responsible for...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Molina Healthcare (Sterling Heights, MI)
- …business areas. **KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing requirements (1500 and UB04), provider ... and benefit configuration, and other claim reimbursement drivers + Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements. + Reviews, researches, analyzes and… more
- Molina Healthcare (Sterling Heights, 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
- R1 RCM (Detroit, MI)
- …new position. **Here's what you will experience working as a Denials & AR Analyst :** + Investigate and analyze physician-based claims to identify denial reasons; ... 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
- 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)
- …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
- 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
- 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 … 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
- 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 ... analytics, AI, intelligent automation, and workflow orchestration. As our Analyst , Payer Accountability, you will help the Billing Department understand… more
- Henry Ford Health System (Bingham Farms, MI)
- Join Henry Ford Health as a Part Time Medication Therapy Management Analyst . GENERAL SUMMARY: Shift: Part Time 20 Hour Day Shift Location: Bingham Farms, MI The ... Medication Therapy Management (MTM) Analyst assists the departmental clinical pharmacists and other staff...MTM Program to obtain patient enrollment and collect relevant medical and medication data. + Telephonic outreach to improve… more
- Molina Healthcare (Sterling Heights, 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
- 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
- Trinity Health (Detroit, MI)
- …for this role. Relocation assistance is not provided. Enters patient information/ medical record information into customized databases. Generates reports from the ... revenue and financial assistant teams to ensure accurate documentation and claims creation. This position is not remote **1.Abstracts inpatient and outpatient… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively… more
- Molina Healthcare (Sterling Heights, MI)
- …the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements. + Create Business Requirements ... operational processes including but not limited to Enrollment, UM, Claims & Care Management** **Preferred License, Certification, Association** Certified Business… more
- Molina Healthcare (Sterling Heights, MI)
- …sources. + Resource to staff for mentoring, coaching, and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + ... strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise,… more
- University of Michigan (Ann Arbor, MI)
- …Look Forward to?** + **2 to 1 match on retirement savings** + **Excellent medical , dental, and vision coverage starting on day one of employment** + **Generous Paid ... submission, error correction and insurance collections. + Initiate and process claims and other forms within prescribed guidelines; screening for accuracy,… more
- Robert Half Finance & Accounting (Grand Blanc, MI)
- …Insurance program through the preparation of insurance renewals, applications and claims . * Supporting policy governance, issues management and risk assessment ... Possess at least 4 years of experience in the position of a Risk Analyst / Manager required * Familiarity with Anti Money Laundering processes and procedures. *… more