- Henry Ford Health System (Detroit, MI)
- …calculations, third party cost reports and audits and various other reimbursement projects. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Coordination and filing of ... recording of monthly net revenues using contractual models 3. Assessing reimbursement impacts of changes in regulations and/or contracts 4. Prepare reconciliations… more
- Trinity Health (Livonia, MI)
- …regarding such regulatory changes. Monitors policies and procedures to ensure reimbursement practices adhere to federal, state and other third-party reimbursement ... system/process improvement recommendations. Prepares analyses and interprets highly complex reimbursement issues. Prepares complex financial models and analyses to… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our R37 GenAI Lab Senior Process Analyst in the Perfect Claim pillar, you will play ... new GenAI enabled product platform. **Here's what you will experience working as a Senior Process Analyst :** + Analyze and optimize current edits in claim… more
- R1 RCM (Detroit, MI)
- …With our proven and scalable operating model, we complement a healthcare organization's infrastructure, quickly driving sustainable improvements to net patient ... enhancing the patient experience. As our **Medicare Bad Debt Analyst ** you will work with the project leads and...ready for their review prior to submitting to the manager/ senior manager. Working as a part of the Government… more
- Molina Healthcare (Warren, MI)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes… more
- Molina Healthcare (Warren, MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM...tools to monitor trend drivers and provide recommendations to senior leaders on UM and CM improvements. Responsible for… more