- Sedgwick (Lansing, MI)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation | AZ, ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance… more
- Humana (Lansing, MI)
- …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director… more
- Humana (Lansing, MI)
- …healthcare operations, or insurance industry, with at least 1 year in a supervisory or team lead role. **Knowledge & Skills:** + Solid understanding of claims ... a part of our caring community and help us put health first** The Supervisor, Claims Review makes appropriate claim decision based on strong knowledge of claims … more
- Carrington (Lansing, MI)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred ... to reduce costs and eliminate non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including,… more
- Cognizant (Lansing, MI)
- **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote ** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a ... You will be a valued member of the delivery team and work collaboratively with stakeholders across business and...payer domain systems. **In this role, you will:** + Lead the implementation and customization of Facets Claims… more
- Trinity Health (Farmington Hills, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $19.2123-$28.8184) Performs the day-to-day billing and ... Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing...revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s).… more
- Trinity Health (Farmington Hills, MI)
- …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $17.1538-$25.7307) Performs day-to-day billing and follow-up ... Serves as a member of the billing and follow-up team at a PBS location responsible for billing and...revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s).… more
- Prime Therapeutics (Lansing, MI)
- …drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
- Prime Therapeutics (Lansing, MI)
- …Experience with data consolidation and modeling **Preferred Qualifications** + Team lead /supervisory/management experience + Business Intelligence consulting ... drives every decision we make. **Job Posting Title** Reporting Principal - Remote **Job Description** The Finance Reporting Principal is responsible for supporting… more
- Molina Healthcare (Sterling Heights, MI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update...MRDT processes to be built by the TCIM Development team including new fee schedule processes. + Performs manual… more
- Prime Therapeutics (Lansing, MI)
- …pharmacy with us. **Job Posting Title** Principal Solution Strategist - JUDI - Remote **Job Description** **We are currently on the lookout for a Principal Solution ... Strategist to help lead the Medicare and Medicaid migrations for the JUDI...products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims… more
- Prime Therapeutics (Lansing, MI)
- …pharmacy with us. **Job Posting Title** Manager Reporting & Analytics - Remote **Job Description** The Manager Reporting and Analytics is responsible for developing ... to scope, quality, efficiency, budget, schedule and benefit. **Responsibilities** + Lead the development of the department reporting strategy based on compliance… more
- Prime Therapeutics (Lansing, MI)
- …drives every decision we make. **Job Posting Title** Sr Solution Strategist - Remote **Job Description** **Calling all Solution Strategists! We are looking for a ... Solutions Strategist to be a part of our JUDI Team . If you are interested in working within a...utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions… more
- Prime Therapeutics (Lansing, MI)
- …Posting Title** Sr. Solution Strategist - Benefit Configuration - JUDI - Remote **Job Description** **The Senior Solution Strategist - Benefit Configuration** is ... presentations utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions + Create,… more
- Morley (Kalamazoo, MI)
- …level? As a remote Art Director on Morley's award-winning in-house creative team , you'll lead with vision and creativity, shaping experiences for major ... **About the Role** **_Location: Remote - Michigan residents_** **_(minimal travel required)_** Ready...to understand client business needs + Our in-house creative team + Live event production partners, writers, video /… more
- Molina Healthcare (Sterling Heights, MI)
- …Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue ... **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise, manages relationships… more
- Molina Healthcare (MI)
- …Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue ... 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
- Prime Therapeutics (Lansing, MI)
- …every decision we make. **Job Posting Title** Health Plan Account Manager Sr - Remote **Job Description** The Sr Health Plan Account Manager serves as a line of ... clients, account leaders and internal partners to fulfill client commitments, lead client communications, coordinate product presentations and adoption, and champion… more
- Prime Therapeutics (Lansing, MI)
- …non-lawyer and lawyer professionals and is a key member of the legal department's leadership team . **Responsibilities** + Lead and mentor a team of attorneys ... make. **Job Posting Title** Deputy General Counsel, Litigation - REMOTE **Job Description** The Deputy General Counsel Litigation leads...and regulations such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed… more
- Trinity Health (Farmington Hills, MI)
- …Work Hours: 8:30 am to 5:00 pm (EST) - Monday thru Friday Work Remote Position (Pay Range: $19.2123-28.8184) Performs day- to- day customer service activities within ... Business Services (PBS) location. Serves as part of a Customer Service team at an assigned PBS location responsible for ensuring excellent customer satisfaction… more