- NuTechs (Bloomfield Hills, MI)
- Responsive recruiter IT Business Analyst Shape the Future of Insurance Operations Through Technology Innovation Join our client's team as an IT Business Analyst ... adoption across the organization. This role is perfect for an experienced analyst who thrives on driving digital transformation in the insurance industry. What… more
- Iconma LLC (Detroit, MI)
- Our Client, a Health Insurance company, is looking for a Business Analyst for their Detroit, MI/Remote location. Responsibilities: Create and present reports and ... for the ongoing improvement of the updated process The Support analyst assists in the planning, coordinating, developing, and implementing of approved… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** ** Claims Analyst ** **Location:** Trinity Health PACE Corp Michigan, Livonia, MI **Status:** Full time ... HYBRID, will work in the office each Wednesday. **Position Purpose:** The Claims Analyst is responsible for analyzing and reviewing claims for accuracy,… more
- Molina Healthcare (Detroit, MI)
- …review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on … more
- 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
- TEKsystems (Detroit, MI)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
- R1 RCM (Detroit, MI)
- …process. To thrive you must have experience with data mining, trending and auditing claims . **Responsibilities** + The Senior Analyst must be highly efficient in ... The Senior Revenue Cycle Analyst will help validate and review hospital accounts...two years of experience data mining, trending and auditing claims with accuracy expectations met + HS Diploma +… more
- University of Michigan (Ann Arbor, MI)
- Financial or Bus Analyst Sr Apply Now **Job Summary** Under limited supervision, the Business Analyst plays a critical role within Hospital Billing to pull data ... challenge policy and procedure for how they are processing claims . The role will involve working with many different...**Job Opening ID** 265912 **Working Title** Financial or Bus Analyst Sr **Job Title** Financial or Bus Analyst… more
- XPO, Inc. (Ann Arbor, MI)
- Analyst , Warranty Recovery Requisition Id: 381257 Business Unit: LTL Location: ANN ARBOR, MI, US, 48105 **What you'll need to succeed as an Analyst , Warranty ... related work or military experience + 1 year of experience filing warranty claims , pulling data, developing reports and utilizing Microsoft Excel for data capturing… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information ... Prior Denials or AR experience in Hospital or Physician claims and experience working in a production-based environment is...you will experience working as a Denials & AR Analyst I:** + You will be investigating and analyzing… more
- Molina Healthcare (Detroit, MI)
- **Job Description** **Job Summary** The Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. ... The analyst will support existing lines of business and expansion...to accurately request and analyze impact reports of affected claims . + Analyzes, interprets, and maintains configurable tables and… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... 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
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Henry Ford Health System (Troy, MI)
- Reporting to the CDM Manager, the CDM Analyst is responsible for supporting and maintaining the Charge Description Master (CDM), including being responsible for the ... accuracy and completeness of the CDM. The CDM Analyst also supports the CDM Coordinator and Senior CDM...+ EPIC certification in CDM Management, PB or HB Claims certified preferred. + If not EPIC CDM certified,… more
- Molina Healthcare (Detroit, MI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... strong experience with Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience is Excel is required… more
- ManpowerGroup (Plymouth, MI)
- The Benefits Analyst is responsible for the administration, analysis, and optimization of employee benefits programs, including health insurance, retirement plans, ... to employee inquiries and resolve issues related to benefits coverage and claims . . Collaborate with third-party vendor to manage and administer leave programs,… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Senior Medical Economic Analyst plays a critical role in analyzing healthcare utilization and medical cost trends to support data driven ... data, and tools. + Advance analytical skills. + Knowledge of medical claims data and managed care membership data. + Knowledge of reimbursement (Commercial,… more
- Deloitte (Detroit, MI)
- …and functional expertise in the areas of Underwriting, Rating, Policy Administration, Claims and/or Distribution to deliver effective solutions to clients. As a ... of the following areas: Insurance Products, Underwriting, Rating, Policy Administration, Claims or Distribution + 2 years' experience in logical structuring,… more
- Molina Healthcare (Detroit, MI)
- …technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, Association** Certified Business Analysis ... Professional (CBAP), Certification from International Institute of Business Analysis preferred To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a… more
- University of Michigan (Ann Arbor, MI)
- …which is led by Dr. Ananda Sen , PhD. The analyst would work on departmental projects that are typically internally or ... the department's QTRAC Data and Methods Hub team, the analyst will have access to mentors who can help...position will be devoted to secondary analysis of Administrative Claims , or archived data obtained from large national data… more
