- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. **Position Summary** A payer analyst role involves understanding basic concepts of ... issues with payors when necessary. **Essential Responsibilities** Responsibilities of a plan/ payer escalation specialist include but are not limited to the ability… 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 ... to all requests within all requirements and deadlines. + Facilitate insurance payer access to Epic ECL (EpicCare Link) Provider Portal for catastrophic claims… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our R37 GenAI Lab Process Analyst in the Perfect Claim pillar, you will play a key role in both ... enabled product platform. **Here's what you will experience working as a Process Analyst :** + Analyze and optimize current edits in claim scrubbers to improve claim… more
- Intermountain Health (Lansing, MI)
- **Job Description:** The Senior Analyst , Net Revenue provides analysis and reports related to the net revenue accounting function. The senior level analyst ... skills relative to Revenue Cycle analytics than most financial analyst titles require. It should be used only for...revenue and net accounts receivable. + Produces analyses of payer performance + Provides various analyses and reports specific… more
- R1 RCM (Detroit, MI)
- …while reducing operating costs and enhancing the patient experience. As our Hospital CDM Analyst / RIS Analyst you will ensure accurate and optimal revenue ... are accurate and compliant with coding guidelines. Reimbursement Review: + Analyze payer contracts and reimbursement rates to ensure that services are billed and… more
- Evolent (Lansing, MI)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... years of professional experience in claims-based healthcare analytics with a payer , provider, clinical vendor, managed care, or related healthcare consulting entity-… more
- Evolent (Lansing, MI)
- …Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and develops analytic ... years of professional experience in claims-based healthcare analytics with a payer , provider, vendor, or related healthcare consulting entity. + Strong proficiency… more
- Henry Ford Health System (Detroit, MI)
- …PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Responsible for building basic payer /plan-specific contract terms, including common reimbursement methodologies. 2. Achieve ... and analyzing issues for areas of opportunities. 6. Escalate payer contract non-compliance issues to contract administrators/consultants EDUCATION/EXPERIENCE REQUIRED:… more
- Trinity Health (Livonia, MI)
- …to home office third party cost reports, third party appeals, third party payer contract negotiations, analysis of financial impact of changes in third party ... models and analyses to assure proper reimbursement. Participates in third-party payer preparing impact analysis and recommendations. Participates in developing and… more
- Cardinal Health (Lansing, MI)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- Evolent (Lansing, MI)
- …years of professional experience in claims-based healthcare analytics with a payer , provider, clinical vendor, managed care, or related healthcare consulting entity ... + Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs + Exceptionally strong analytical abilities, with track record of identifying and communicating insights from… more
- Molina Healthcare (Detroit, MI)
- …acceptable. **REQUIRED EXPERIENCE:** + 1-3 years of experience in Healthcare ( payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions, ... Procurement, Project Management, or Account Management + Demonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas. + Proficient with Microsoft Office Suite, databases, advanced spreadsheets, pivot… more
- Corewell Health (Caledonia, MI)
- …between physician practices, rehab services, professional billing office, coding, payer relations, compliance and revenue management operations of patient financial ... services and Corewell Health. Provides assistance to management and employees. Conducts coding quality reviews for the coding department, rehab services and physician practices. Essential Functions + Meets with providers and coding employees regularly on… more
- Highmark Health (Lansing, MI)
- …data + 5 years of project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 5 years of providing analytical consultation to clinical, ... administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for… more
- Corewell Health (Grand Rapids, MI)
- …Academy of Professional Coders Upon Hire + CRT-Professional Coder, Certified - Payer (CPC-P) - UNKNOWN Unknown Upon Hire + CRT-Outpatient Coder, Certified (COC) ... - UNKNOWN Unknown Upon Hire + CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Upon Hire + CRT-Coding Specialist, Certified-Physician Based (CCS-P) - AHIMA American Health Information Management Association Upon Hire About… more
- NASCO (Lansing, MI)
- …demand generation, corporate and executive communications, Public Relations (PR), and Analyst Relations (AR) to increase awareness and engagement with target ... record in driving business growth + Deep understanding of the healthcare industry ( payer and provider) and the value-based care landscape + Strong financial acumen… more