- 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
- Molina Healthcare (Sterling Heights, 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
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information ... Prior Denials or AR experience in Hospital or Physician claims and experience working in a production-based environment is...you will experience working as a Denials & AR Analyst I:** + You will be investigating and analyzing… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- General Motors (Warren, MI)
- …Role** The Warranty Data Analytics team is looking for an innovative, forward-thinking analyst to join their team. The Warranty Data Analytics Sr Finance Analyst ... input for quarterly reserve adequacy studies based on actuarial analysis of claims spend + Assess reserve balances using actuarially accepted techniques appropriate… 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
- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Senior Medical Economic Analyst plays a critical role in analyzing healthcare utilization and medical cost trends to support data driven ... data, and tools. + Advance analytical skills. + Knowledge of medical claims data and managed care membership data. + Knowledge of reimbursement (Commercial,… more
- ManpowerGroup (Plymouth, MI)
- The Benefits Analyst is responsible for the administration, analysis, and optimization of employee benefits programs, including health insurance, retirement plans, ... to employee inquiries and resolve issues related to benefits coverage and claims . . Collaborate with third-party vendor to manage and administer leave programs,… more
- Molina Healthcare (Sterling Heights, MI)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes. **JOB QUALIFICATIONS** **Required… more
- Molina Healthcare (Sterling Heights, MI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... strong experience with Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience is Excel is required… more
- Deloitte (Detroit, MI)
- …and functional expertise in the areas of Underwriting, Rating, Policy Administration, Claims and/or Distribution to deliver effective solutions to clients. As a ... of the following areas: Insurance Products, Underwriting, Rating, Policy Administration, Claims or Distribution + 2 years' experience in logical structuring,… more
- McLaren Health Care (Shelby Township, MI)
- …and human resources. **BILLING:** Responsible for billing hospital and physician claims , for inpatients and outpatients treated in the hospital and clinic, ... Performsnecessary maintenance to patient accounts in the billing and claims editing systems. + Responds timely to all patient...and insurance companies to resolve bill/claim edits. + Notify Analyst of edits that needs to be built and… more
- Ford Motor Company (Sterling Heights, 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...you'll do ** + Assist reviewing and binning early claims binning claims and customer concerns with… more
- Molina Healthcare (Sterling Heights, MI)
- …staff for mentoring, coaching, and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + Reviews regulatory ... management or team leadership experience + 10 years' work experience preferable with claims data and/or healthcare environment + Strong knowledge of Excel, SQL, and… more
- Insight Global (Auburn Hills, MI)
- …in troubleshooting and diagnosing technical issues regarding product support, warranty claims , or maintenance products on medium and heavy-duty truck and trailer ... customer support, technical support, store manager, parts manager, or warranty analyst * Automotive Electrical Component Experience: understanding of brakes, engine,… more
- Trinity Health (Livonia, MI)
- …Term Disability, Military Leave, Family Medical Leave and Workers' Compensation claims with internal areas of expertise and external vendors.Acts independently to ... years of progressive experience with increased responsibility in a Disability Analyst /Coordinator/Specialist or support role, in a high-volume work environment or an… more