- Sedgwick (Detroit, MI)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Consumer **PRIMARY PURPOSE:** To supervise the operation ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...Excellent negotiation skills * Ability to work in a team environment * Ability to meet or exceed Performance… more
- Henry Ford Health System (Troy, MI)
- …facilitation of a large multi-disciplinary group. The Lead may work individually, as lead consultant of a project team , or in a consulting capacity for ... Are you a healthcare claims data analytics expert seeking purpose by being part of a team committed to supporting doctors, hospitals and health plans to make… more
- Henry Ford Health System (Troy, MI)
- …analysis associated with medical cost containment initiatives. Analyze medical and pharmacy claims to identify early signs of trends or other issues related to ... strategies and improve overall financial performance. + Participate in and/or lead cross-functional corporate business teams and meetings to develop medical… more
- Henry Ford Health System (Troy, MI)
- …and objectives. + Use data analytics to drive performance and set clear team goals and Key Performance Indicators (KPIs). + Develop reporting within Genesys for ... feedback on staff performance on a regular basis. + Lead efforts to perform telecom systems testing. + Comprehensive...group plans and open enrollment. + Knowledge of insurance claims and drug formularies. + Understanding of provider networks… more