- 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
- 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)
- …Questions Job Description Geologist 9-P11 Conducts and/or reviews geologic/hydrogeologic site investigations and remedial actions pursuant to Part 201 of the Natural ... actions, and involve fewer stakeholders and low public controversy. Basic site investigations also involve fewer services to coordinate and less intensive oversight… more
- State of Michigan (Lansing, MI)
- …area IT systems are used to support disease surveillance for case investigations and prepare for emerging health threats, vaccine inventory, Syndromic Surveillance, ... equivalent to an Information Technology Infrastructure, Programmer/Analyst or IT Project Coordinator P11 or one year equivalent to an Information Technology… 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
- State of Michigan (Lansing, MI)
- …Code (Code) and Administrative Rules; and assists in the review of routine investigations submitted for licensure to determine compliance with the Code and Rules. ... 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)
- …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