- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Quality Audit Professional 2 analyzes and investigates quality issues. The ... Quality Audit Professional 2 work assignments are varied and frequently require...independent determination of the appropriate courses of action. The Quality Audit Professional 2 supports… more
- Cherry Bekaert (Lansing, MI)
- …we'd like to hear from you. Lets grow your career as an **Insurance Audit Manager** supporting our Louisville practice. **What your day looks like:** + Communicating ... ensure that engagement risks are identified and appropriate responses (including specific audit steps) are taken. + Mentor and develop associates by providing timely… more
- Humana (Lansing, MI)
- …generally aligned based on the associate and business task at hand. The Quality Compliance Professional participates in performance and quality improvement ... both external and internal, required by NCQA and the State Contract. The Quality Compliance Professional (2) participates in, with potential to lead, Kentucky… more
- Humana (Lansing, MI)
- …caring community and help us put health first** The Business Technical Support Professional provides support for handling and analyzing data that pertains to the ... compliance of Humana producers. The Business Technical Support Professional will work assignments involve moderately complex to complex issues where the analysis of… more
- Humana (Lansing, MI)
- …and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental and contractual requirements, ... determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the execution of the organization's risk… more
- Trustmark (Lansing, MI)
- …Experience group. The primary function of this role is to train and audit new and existing staff in all products including appropriate claim handling. Ensures ... Key Accountabilities + Deliver new hire training.Deliver ongoing functional and professional development training + Maintain, update and create new knowledge… more
- Ally (Lansing, MI)
- …and completion of control testing projects on a timely basis with the highest quality , in compliance with Ally Policies and professional standards. * Use data ... consultation to management regarding emerging control practices. * Assess IT audit staff against established performance and leadership criteria; provide timely,… more
- Ally (Lansing, MI)
- …auditors are constant learners. Curiosity drives them - it's why they began their audit journey in the first place. Using a growth mindset is what fuels their ... agile environment and use your critical thinking skills for completing assigned audit activities. Also, An individual would need to be flexible and adaptable… more
- Highmark Health (Lansing, MI)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Ally (Lansing, MI)
- … guidelines while prioritizing work to meet established goals and metrics (timeliness, quality , and customer satisfaction) . Audit employee system tax set-up and ... . Assist in the finalization of Time and Labor audit and file preparation as needed to ensure timely...focus on customer care to provide a positive and quality experience * Ability to identify trends and pro-actively… more
- State of Michigan (Lansing, MI)
- …Quality Specialist serves as the recognized resource for quality assurance, quality control, and laboratory audit activities for the State of Michigan; ... and will lead efforts in the creation, expansion, and maintenance of quality programs at the CRA Reference Laboratory, ensuring alignment with current regulatory… more
- Ally (Lansing, MI)
- …refund process. Ensure all transactions are processed in a timely manner. * Audit Responsibilities: Conduct audit duties, focusing on due diligence processes ... vendors. Verify vendor compliance with company standards and regulatory requirements. * Quality Control: Maintain quality control over dealer inventory insurance… more
- Eliassen Group (Lansing, MI)
- …and direct mail communications, proofreading other team members' work, documenting audit requirements and obtaining approvals from various key partners. The ... remain in compliance with company policies and procedures and maintain internal audit document files Communicate the creative details and timelines with all key… more
- Canon USA & Affiliates (Lansing, MI)
- …including ongoing maintenance/support of finance systems, user training and internal/external audit support. Perform all duties in accordance with the company's ... rates or tariffs of company are both compliant with the respective professional and governmental regulations, as well as competitive and sustainable (ie monitoring… more
- Datavant (Lansing, MI)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding...manner ensuring that appropriate changes are implemented. + Support audit processes ensuring work flows and results are properly… more
- Cherry Bekaert (Lansing, MI)
- …guide and support you at each stage of your personal and professional journey. To support the continued growth of our Deal Advisory ... Participate in performance reviews and new business development activities + Perform quality of earnings and working capital analyses + Identify and evaluate matters… more
- Cherry Bekaert (Lansing, MI)
- …a collaborative environment focused on enabling your career growth and continuous professional development. Our Marketing Department team is looking for a SEO ... SEO audits using tools like Screaming Frog, SEMrush Site Audit , and Google Search Console to identify and resolve...search results + Assist in identifying opportunities for acquiring high- quality backlinks + Assist with tracking and analyzing SEO… more
- Option Care Health (Lansing, MI)
- …business teams. Collaborate across all functions including Operations, Market Access, Internal Audit , Legal, Clinical & Quality , Human Resources and Finance and ... and other functions. Collaborate with Compliance Operations on healthcare professional engagement process, Corporate Integrity Agreement requirements, internal investigations,… more
- Sedgwick (Lansing, MI)
- …reviews, and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... client. + Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim… more
- Sedgwick (Lansing, MI)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... client. + Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim… more