- Highmark Health (Lansing, MI)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- State of Michigan (Lansing, MI)
- …14 / PDB / MCOLES / Licensing and Investigations Section Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4954921) Apply Departmental Manager ... 14 / PDB / MCOLES / Licensing and Investigations Section Salary $34.25 - $51.08 Hourly Location Lansing, MI Job Type Permanent Full Time Job Number 5501-2555A-JG… more
- Cardinal Health (Lansing, MI)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Cardinal Health (Lansing, MI)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Cardinal Health (Lansing, MI)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Lansing, MI)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- State of Michigan (Lansing, MI)
- …dealers, repair facilities and mechanics. Conduct routine in-house complaint investigations against these licensed entities through telephone interviews and ... evaluation of documentary evidence. Conduct investigations of alleged unlicensed dealers and issue administrative assessments. Issue notices of noncompliance to… more
- State of Michigan (Lansing, MI)
- …or selection processes, please contact theADA coordinator (https://www.michigan.gov/ose/-/media/Project/Websites/ose/Contact/RACs.pdf) for the agency that posted ... Yes + No 07 Do you have experience working with facilities on environmental site investigations for emerging pollutants? + Yes + No 08 Do you have experience with… more
- State of Michigan (Lansing, MI)
- …and crucial services for their day to day operation. Preliminary investigations , interpretations of complex computer printouts, coordinating the deployment of ... in the application or selection processes, please contact theADA coordinator (https://www.michigan.gov/ose/-/media/Project/Websites/ose/Contact/RACs.pdf) for the agency that posted this position… more
- State of Michigan (Lansing, MI)
- …all times of the day, responding on-site when necessary to facilitate investigations , and preparing technical reports for recommendations to prevent recurrence. As a ... in the application or selection processes, please contact theADA coordinator (https://www.michigan.gov/ose/-/media/Project/Websites/ose/Contact/RACs.pdf) for the agency that posted this position… more
- Michigan State University (East Lansing, MI)
- …Cortnee Bollard, Senior Search Coordinator (they/them) Isaacson, Miller ... prior to the date of application, related to any pending investigations , findings of responsibility and/or sanctions related to professional misconduct. Although… more