• Manager, Fraud and Waste

    Humana (Lansing, MI)
    …to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Certifications (BA, MBA, JD, MSN, Clinical Certifications, ... CPC , CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience in a corporate environment… more
    Humana (08/09/25)
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  • Consultative Coding Professional

    CenterWell (Lansing, MI)
    …or similar (including IPA and Offshore coding management) + RHIA, RHIT, CCS, or CPC Certification + Ability to travel both locally and overnight. ** Preferred ... Qualifications:** + Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint + Ability to communicate effectively and sensitively with clinicians and team members in stressful situations. + Possess strong business… more
    CenterWell (08/08/25)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Lansing, MI)
    …to travel and participate in legal proceedings, arbitrations, depositions, etc. ** Preferred Qualifications** + Credentials such as a certification from the ... Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of Behavioral Health policies and… more
    CVS Health (08/08/25)
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  • Coding Auditor Educator

    Highmark Health (Lansing, MI)
    …Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder ( CPC ), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) ... abstracting and other related software. + Strong analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data… more
    Highmark Health (08/08/25)
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  • Senior Coding Educator

    Humana (Lansing, MI)
    …**Required Qualifications** + High school diploma or equivalent + Must hold AAPC CPC (Certified Professional Coder) certification + 2 years or more experience with ... injury per event /$10,000 for property damage or whichever is higher. ** Preferred Qualifications** + Bachelor's Degree + Previous experience in Medicare Advantage or… more
    Humana (08/08/25)
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  • Negotiator Analyst (Level I)

    CVS Health (Lansing, MI)
    …provider/business office phone call handling history. + Strong mathematical skills. ** Preferred Qualifications** + Coding experience, CMS, and/or CPC ... Certification. + Strong verbal and written communication skills. + Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services. + Associate's Degree. **Education** + High School Diploma or GED. **Anticipated Weekly… more
    CVS Health (08/01/25)
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  • Delivery Tax Manager- Global Employer Services,…

    Deloitte (Midland, MI)
    …+ Certified Employee Benefits Specialist (CEBS) + Certified Pension Consultant ( CPC ) + Certified Payroll Professional (CPP) + Project Management Professional (PMP) ... based on the work you do and the clients and industries/sectors you serve Preferred + Master's degree or equivalent in a related field + Experience in Managing… more
    Deloitte (07/31/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Lansing, MI)
    …+ Working knowledge of SQL or Python for data analysis. **Qualifications Preferred :** + Experience with Business Intelligence (BI) tools such as Power BI ... Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder ( CPC ) + Certified Coding Specialist (CCS) **To comply with HIPAA security standards… more
    Evolent (07/18/25)
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  • Senior Client Coding Project Manager

    Datavant (Lansing, MI)
    …Minimum Associate's degree, preferably in a healthcare-related field. + Bachelor's degree preferred , preferably in a healthcare-related field. + Minimum 8 years of ... coders in an outpatient or inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and… more
    Datavant (06/28/25)
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  • Document & Coding Education Development…

    Henry Ford Health System (Detroit, MI)
    …Microsoft Office and/or Microsoft Access applications. + Data analytics experience preferred . CERTIFICATIONS/LICENSURES REQUIRED: + At least one of the following ... certifications is required: CPC , CCS, CCS-P, RHIT or RHIA Additional Information + Organization: Corporate Services + Department: CDI - Education Development +… more
    Henry Ford Health System (06/20/25)
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