- 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
- Highmark Health (Lansing, MI)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Deloitte (Detroit, MI)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... + Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims + Experience in performing configuration changes and system builds… more
- Cognizant (Lansing, MI)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... unit being supported, as well as an understanding of the IT organization's systems and capabilities in order to participate in project activities and research requests on an ongoing basis; Assist in obtaining consensus by facilitating communication between… more
- Molina Healthcare (Warren, MI)
- **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- Molina Healthcare (Warren, 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
- Carrington (Lansing, MI)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Molina Healthcare (Warren, 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
- State of Michigan (MI)
- Departmental Analyst 9-12 (Veteran Service Officer) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4951975) Apply Departmental Analyst ... To view the full position description for the Departmental Analyst 9-P11, please click here. (https://MCSC.state.mi.us/AgencyPDFs/MVAA-25-100b 9-11 PD.pdf) To view… more
- Prime Therapeutics (Lansing, MI)
- …and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst is responsible for ... coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final… more
- CVS Health (Lansing, MI)
- …Senior Data Analyst will be responsible for pulling participation and claims data using SQL, analyzing it, and deriving conclusions and meaningful insights. The ... analyst will work closely with stakeholders to understand their...the ability to communicate effectively with various stakeholders. The analyst will also be expected to develop and maintain… more
- Highmark Health (Lansing, MI)
- …Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing data relevant to the handling of ... all types of complex adjusted claims ; conducting reviews of all organizational or functional activities...remediation and Regulatory and legal guidelines. In addition, the Analyst will identify potential areas of processing vulnerability through… more
- University of Michigan (Ann Arbor, MI)
- Revenue Chrg Intgrty Analyst Apply Now **Job Summary** The Charge Integrity Analyst plays an essential role in Michigan Medicine's Revenue Cycle. Analysts ... Assignment Table (CCAT) and Cost Center Table (BCC) + MiChart Rules (Router, Claims Manager, Revenue Guardian, etc.) + Fee Schedules + Maintain and support Charge… more
- University of Michigan (Ann Arbor, MI)
- Health Information Analyst II - Compliance & Auditing Apply Now **Job Summary** Use the EPIC EHR Release Module within specified timeframes to find, review, and ... produce medical records needed for Hospital and Professional Billing claims when requested by payers, auditors, or governmental agencies. Prepare medical records for… more
- Ford Motor Company (Dearborn, MI)
- …great products people use and love. **In this position ** The Quality Analyst will report to the Plant Vehicle Evaluation Manager. They will complete assignments ... manufacturing Co-Lead for the assigned Variability Reduction team. The analyst will work amongst the product development team members...data as applicable. + Assist with triage of ECB claims and verbatims with VRT engineers. + Determine with… more
- Prime Therapeutics (Lansing, MI)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
- Evolent (Lansing, MI)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Evolent (Lansing, MI)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) - Preferred +… more
- Sedgwick (Grand Rapids, MI)
- …Fortune Best Workplaces in Financial Services & Insurance IT Systems Analyst Specialist Job Description Join us in delivering cutting-edge technology solutions ... equivalent combination of education and experience required. Experience in multi-line claims management processes and system requirements preferred. **TAKING CARE OF… more
- Humana (Lansing, MI)
- …and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements for users other than those ... directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts financial, economic, and other data to provide… more