- Molina Healthcare (Warren, MI)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- Trinity Health (Livonia, MI)
- …Utilizes internal and external databases and other resources to provide research , analyses and insights that assists and informs strategy development, service ... emphasizes support and learning on the track to be a Research and Insights Consultant. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates… more
- …AI, intelligent automation, and workflow orchestration. Position Summary As our Analyst , Payer Accountability, you will educate internal operating teams to ... understand and navigate payer guidelines. Every day you will research and interpret complex customer/payer contract terms in order to identify and escalate claim… more
- Trinity Health (Livonia, MI)
- …Term Disability, Military Leave, Family Medical Leave and Workers' Compensation claims with internal areas of expertise and external vendors.Acts independently to ... judgment to make decisions based on insufficient or unclear data. Conducts appropriate research to ensure data is complete and to respond to problems and unresolved… more