- Molina Healthcare (Detroit, MI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Molina Healthcare (Detroit, MI)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Continental (Auburn Hills, MI)
- …annual renewals + Liaison with auditors of insurance carriers + Management of claims and support litigations processes. + Surety Bonds Management - needed for ... Customs + Incentives: Lead annual activities for our active/future incentives from States...the following areas: + Risk assessment and mitigation + Regulatory compliance and audits + Working with underwriters +… more