- Molina Healthcare (Warren, MI)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- CVS Health (Lansing, MI)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Lansing, MI)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Lansing, MI)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- WelbeHealth (Lansing, MI)
- … claims with errors back to the claims team for corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, ... senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to… more
- WelbeHealth (Lansing, MI)
- … senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those ... pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners....procedures, or other established quality standards + Work alongside manager to establish and maintain claims processing… more
- Trinity Health (Pontiac, MI)
- …Nutrition Services (FANS) Department in a large or sizeable multi-hospital setting. The Senior Manager of Food & Nutrition Services is responsible for ... to identify budget variances; and prepares related reports for senior management review. Keeps Regional Manager , THS...are followed at all times to minimize/eliminate workman's compensation claims and create a safe working environment for all… more
- Danaher Corporation (Detroit, MI)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- RxBenefits (Detroit, MI)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Corewell Health (Royal Oak, MI)
- …action for unpaid accounts involving claims and litigation. Notifies the claims manager and risk administration; and assures the liability insurance carrier ... Join our team at Corewell Health as an RN Senior Clinical Risk Specialist and play a pivotal role...patient related injuries and manage the resolution of pre-notice claims . Essential Functions + Reviews and provides recommendations regarding… more
- Elevance Health (Dearborn, MI)
- ** Senior Health Economist - Managed Care** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... and business leaders passionate about transforming American healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures… more
- Walgreens (Grand Rapids, MI)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Traverse City, MI)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Medtronic (MI)
- …education, clinical evidence interpretation, and Medtronic employee education. You will provide feedback to product development, internal training and education on ... Leads coordination of new-hire training with accountability to hiring manager (CSM or RM) + Responsible for new hire...can craft a message as to why Medtronic therapies provide a competitive advantage. + Disseminate competitive information to… more
- General Motors (Warren, MI)
- …**The Role:** In this strategic role, you will serve as a ** Senior SAP Systems Configurator** responsible for delivering scalable, sustainable SAP solutions aligned ... + Parts order management. + Customer billing and invoicing. + Warranty claims and settlements. + Financial postings and cost allocations. + Supplier collaboration… more
- Cardinal Health (Lansing, MI)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- ROUSH (Troy, MI)
- …encouraged? If so, then keep reading. We fuse technology and engineering to provide product development solutions to customers in a diverse range of industries. ... big ideas on a global stage. Job Summary: The Proposal & Pricing Manager is responsible for the coordination, planning, organization, control and integration, and… more
- Fujifilm (Lansing, MI)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Lansing, MI)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- Air National Guard Units (Selfridge, MI)
- …your Educational claims . To receive credit for Education, you must provide documentation of proof that you meet the Education requirements for this position. ... SERVICE POSITION. This National Guard position is for a TITLE 32 UNIT DEPLOYMENT MANAGER (MI 191 MOF), Position Description Number NGD2506000 and is part of the MI… more