- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Claims Processing Operations Lead ,** you will ... providing solutions for internal teams. **Here's what you will experience working as a Claims Processing Operations Lead :** + Lead team meetings and… more
- Molina Healthcare (Detroit, MI)
- …healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare data, including ... and manage information from large data sources + Analyze claims and other data sources to identify early signs...and investigate complex suspect areas regarding UM and CM operations and their impact on medical cost, initiate in-depth… more
- Molina Healthcare (Detroit, MI)
- …healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- General Motors (Warren, MI)
- …Technology, or a related field (or equivalent experience). + 5+ years in warranty claims processing for an automotive manufacturer or a related field. + Strong ... understanding of both OEM and dealer operations related to warranty claims . + In-depth...and Zero Congestion and we embrace the responsibility to lead the change that will make our world better,… more
- Meijer (Monroe County, MI)
- …other business partners to coordinate the investigation, processing , and defense of claims . + Develop and lead the accident investigation committee and first ... effort within the assigned supply chain location(s). The EHS Specialist will lead the development, maintenance, and continuous improvement of programs as well as… more
- Trinity Health (Livonia, MI)
- …Must have extensive knowledge in the guidance outlined in the Medicare Claims Processing Manual, Medicare Program Integrity Manual, & National Correct ... assessments consider legal and regulatory compliance risks applicable to Trinity Health operations as identified by Department of Health & Human Services (DHHS) -… more
- Trinity Health (Livonia, MI)
- …direction from immediate supervisor as needed.Responsible for reviewing, coordinating and processing all activities for Short Term Disability, Military Leave, Family ... Medical Leave and Workers' Compensation claims with internal areas of expertise and external vendors.Acts independently to evaluate and determine employee… more