- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Molina Healthcare (Detroit, MI)
- …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...in QNXT or Networx + Must have knowledge on Medicare payment methods + Experience on Hospital payment methodology… more
- Trinity Health (Livonia, MI)
- …potential financial impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such ... adhere to federal, state and other third-party reimbursement regulations. Prepares Annual Medicare , Medicaid, Blue Cross and Tricare cost reporting for the Trinity… more
- Henry Ford Health System (Troy, MI)
- …including being responsible for the accuracy and completeness of the CDM. The CDM Analyst also supports the CDM Coordinator and Senior CDM Analysts. PRINCIPAL ... Reporting to the CDM Manager, the CDM Analyst is responsible for supporting and maintaining the...4. Serves as technical resource for assigned clinical or business departments throughout HFHS. Responsibility includes, but is not… more