- Evolent (Lansing, MI)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... the country to improve patient outcomes and reduce avoidable healthcare costs. We are a lean, nimble, fast-paced team...and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure… more
- University of Michigan (Ann Arbor, MI)
- …Michigan Medicine, UM Health-Sparrow and UM Health-West and a wide range of healthcare delivery options. The Managed Care Payer Analyst will report to the Manager, ... data related to managed care programs, including reimbursement rates, claims data, and provider performance metrics. + Collect and...the Manager of Managed Care Operations and the Senior Director of Managed Care Contracting and Operations to plan,… more
- AmeriHealth Caritas (Detroit, MI)
- Your career starts now. We're looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay ... well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions… more
- Highmark Health (Lansing, MI)
- …Key responsibilities will include clinical review, assisting in navigating a complex regulatory environment, working with claims data, performing financial ... overall efficiencies. + Manage individual projects for timely review with the Director , Clinical Pharmacy. + Participate in Medicare Stars performance measures to… more