• Medical Claims Analyst

    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
    Robert Half Accountemps (01/07/25)
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  • Analyst , Medicaid Rebates

    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
    Sumitomo Pharma (11/07/24)
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  • Recovery Savings Analyst

    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
    CVS Health (01/10/25)
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  • Business Analyst II, MI - Remote - McLaren…

    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
    McLaren Health Care (01/08/25)
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  • Senior Analyst , Client Analytics - 2+…

    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
    Evolent (12/05/24)
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  • Sr. Applied Stars and Quality Analytics…

    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
    Prime Therapeutics (12/24/24)
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  • Senior Analyst Project Manager

    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
    CVS Health (01/05/25)
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  • PBM Sr Business Intelligence Data Visual…

    Prime Therapeutics (Lansing, MI)
    …with data consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
    Prime Therapeutics (01/08/25)
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  • Risk Manager- Enterprise

    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
    Robert Half Finance & Accounting (01/03/25)
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