- Morley (Saginaw, MI)
- …500 clients in a positive workplace that's close to home? As an experienced Business Analyst at Morley, you'll analyze and help implement both internal and ... Do you have a solid background in IT / business analysis? Would you like to work on a...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- Prime Therapeutics (Lansing, MI)
- …the future of pharmacy with us. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home ... Delivery Program Claims Analyst is responsible for serving as...as assigned **Minimum Qualifications** + Bachelor's degree in IT, Business , Science or related area of study, or equivalent… more
- Molina Healthcare (Detroit, MI)
- …are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. ... committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements. +… more
- Molina Healthcare (Grand Rapids, MI)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
- Molina Healthcare (Sterling Heights, MI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update… more
- Prime Therapeutics (Lansing, MI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Lansing, MI)
- …Reporting Analyst - Remote **Job Description** The Data & Reporting Analyst is responsible for supporting the business in decision making and operations ... efforts by providing data, reporting and business intelligence services. This role is responsible for working...modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Sedgwick (Lansing, MI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Process Improvement Project Analyst - Casualty **PRIMARY PURPOSE** **:** ... to include experience with leading quality initiatives and data intensive projects, claims operations, and general business experience with emphasis on data… more
- Prime Therapeutics (Lansing, MI)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst ... for being the primary point of contact for new internal and external business partners with regard to related regulatory activity and quality efforts involving… 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 key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
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