- Robert Half Accountemps (Flint, MI)
- Description We are looking for a meticulous Medical Claims Analyst to join our team in Flint, Michigan. In this role, you will play a pivotal part in ... This is a Contract-to-Permanent opportunity for individuals with a strong background in medical claims and coding. Responsibilities: * Assign accurate medical… more
- WelbeHealth (Lansing, MI)
- ** Claims Audit Analyst ** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most ... ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role...environment where every person feels uniquely cared for. + Medical insurance coverage ( Medical , Dental, Vision) starting… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** ** Claims Analyst ** **Location:** Trinity Health PACE Corp Michigan, Livonia, MI **Status:** Full time ... work in the office each Wednesday. **Position Purpose:** The Claims Analyst is responsible for analyzing and...day a week. **What you will do:** + Analyze medical claims and review billing information. Refer… more
- Molina Healthcare (Ann Arbor, MI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly preferred. **JOB QUALIFICATIONS** **Required Education**… more
- Molina Healthcare (MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… 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...Medicine?** + 2:1 match on retirement savings + Excellent medical , dental, and vision coverage starting on day one… more
- R1 RCM (Detroit, MI)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing... I, you will help R1 clients by analyzing claims information so that they can resolve complex accounts.… more
- Munson Healthcare (Traverse City, MI)
- Reimbursement Analyst - Home Infusion Pharmacy Job Code: 2907 Job Summary Works as a team member to accomplish goals of the Munson Healthcare Home Infusion Pharmacy, ... of ICD-10, HCPCs and CPT coding Essential Duties SPECIFIC DUTIES - REIMBURSEMENT ANALYST 1. Participates in all the functions and processes that support the Pharmacy… more
- Henry Ford Health System (Troy, MI)
- …intelligence applications, data, and tools. + Advance analytical skills. + Knowledge of medical claims data and managed care membership data. + Knowledge of ... GENERAL SUMMARY: The Senior Medical Economic Analyst plays a critical role in analyzing healthcare utilization and medical cost trends to support data driven… 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 opportunity ... 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)
- …science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare ... Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst… more
- Centene Corporation (Lansing, MI)
- …tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity ... with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay Range: $55,100.00 -… 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
- Prime Therapeutics (Lansing, MI)
- …or STARS experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical , and/or financial data + Intermediate SAS or SQL coding ... decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides… more
- Humana (Lansing, MI)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Corewell Health (Grand Rapids, MI)
- … medical records, internal documentation from enterprise-wide systems including: claims payments, billing and enrollment, care management, medical , pharmacy ... and behavioral health authorizations, customer service interactions, prescription claims , medical policies, and plan documents).Evaluate information gathered to… more
- Evolent (Lansing, MI)
- …team at Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract development and will ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Evolent (Lansing, MI)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from ... innovative analytics solutions that drive decision-making for clients by performing medical economics analyses to determine cost and utilization drivers. Showcase… more
- Molina Healthcare (MI)
- …Medicare/MMP + Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and collaborates ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more