- Corewell Health (Grand Rapids, MI)
- …a diverse technology. Regularly provides guidance and training to less experienced Business Systems Analysts. Essential Functions + Aware of the implications ... upon user needs, and a sound understanding of applicable business or clinical systems and industry requirements,...Required + Bachelor's Degree or equivalent + Must have risk adjustment knowledge and working experience + 5 years… more
- Molina Healthcare (Grand Rapids, MI)
- …findings. Performs Health Plan strategic analysis and planning and coordinates across business units on Risk Adjustment Program Valuation and Strategic/Scoreable ... finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models +… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** Under direct supervision of the Manager, the Reporting Analyst , SIU supports a team in the Special Investigation Unit (SIU). The ... Reporting Analyst , SIU will ensures FWA referrals are logged, documented,...quarterly and annually). Provide oversight of designated SIU tracking systems . Duties may include: performing peer reviews to ensure… more
- Molina Healthcare (Grand Rapids, 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...**Job Duties** + Extract and compile information from various systems to support executive decision-making + Mine and manage… more
- Molina Healthcare (Grand Rapids, MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... Finance teams through analyzing key business issues related to UM and CM processes and...CM analyses + Extract and compile information from various systems to support executive decision-making + Mine and manage… more
- Corewell Health (Grand Rapids, MI)
- …rules and regulations. Provides advice, guidance and recommendations to minimize risk . Identifies root causes, trends/themes and assures plans and standards are ... and direction to less experienced Compliance professionals. + Assists in the risk assessment and annual work plan activities. Assumes accountability for the… more
- Molina Healthcare (Grand Rapids, MI)
- …continuous improvement in vendor management practices. Works closely with internal business units to ensure timely regulatory filing, vendor performance management, ... process and develop recommendations to enhance regulatory compliance and risk mitigation strategies. + Monitors vendors financial, contractual, and regulatory… more