• ACA/ Medicare Risk Adjustment…

    Baylor Scott & White Health (Lansing, MI)
    + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... environment independently and with cross functional groups.Knowledge of ACA, Medicare , Medicaid, MCO, TPA business requirements preferred.Experience with healthcare… more
    Baylor Scott & White Health (10/03/25)
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  • Senior Financial Analyst II - Hospital…

    Marshfield Clinic (Iron Mountain, MI)
    …world!** **Job Title:** Senior Financial Analyst II - Hospital Reimbursement & Reports **Cost Center:** 101651010 System Support- Finance **Scheduled Weekly ... of America) **Job Description:** **JOB SUMMARY** The Senior Financial Analyst II - Hospital Reimbursement & Reports...within the Health System. This individual will assist with Medicare and Medicaid Cost Report coordination, Wage Index, S10,… more
    Marshfield Clinic (08/29/25)
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  • Lead Analyst , Payment Integrity - REMOTE

    Molina Healthcare (MI)
    …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
    Molina Healthcare (09/28/25)
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  • Senior Analyst , Medical Economics (Vbc)…

    Molina Healthcare (MI)
    …provider reimbursement changes + Provide data driven analytics to Finance , Claims, Medical Management, Network, and other departments to enable critical decision ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to… more
    Molina Healthcare (08/31/25)
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  • *Revenue Integrity Analyst -Payment…

    Henry Ford Health System (Troy, MI)
    …two (1-2) years in a Healthcare or Business setting. + Knowledge of Medicare , Medicaid, Medicaid OPPS reimbursement , and other third-party billing rules/coverage ... SUMMARY: Reporting to the Manager, Payment Variance and Resolution, the RI Analyst , Payment Variance and Resolution is responsible for maintenance of underpayment… more
    Henry Ford Health System (09/17/25)
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  • Net Revenue Analyst Senior - Hybrid…

    McLaren Health Care (Grand Blanc, MI)
    …or related field. + Three years experience in a progressively more responsible reimbursement or finance role with reimbursement responsibilities. Preferred: ... **Position Summary:** Responsible for compiling complex reimbursement data to support management decision making and...reviews the schedules required to support the submission of Medicare , Medicaid and Blue Cross cost report, complying with… more
    McLaren Health Care (10/15/25)
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  • Profee Oncology Senior Complex Coder

    Banner Health (MI)
    …wide array of disciplines. Whether your background is in Human Resources, Finance , Information Technology, Legal, Managed Care Programs or Public Relations, you'll ... information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or… more
    Banner Health (09/05/25)
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