• Lead Analyst , Claims / Regulatory…

    Molina Healthcare (MI)
    …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
    Molina Healthcare (06/18/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (Warren, MI)
    …pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be...team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data,… more
    Molina Healthcare (07/17/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (Sterling Heights, MI)
    **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives ... solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. *… more
    Molina Healthcare (08/22/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (Grand Rapids, MI)
    **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... technical solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and… more
    Molina Healthcare (07/30/25)
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  • IT Business Systems Analyst Sr…

    Prime Therapeutics (Lansing, MI)
    …or Resource Manager to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across ... every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations...define, and document the requirements for changes to Prime's claims systems . **Responsibilities** + Ensure understanding of… more
    Prime Therapeutics (08/27/25)
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  • Senior Analyst , Medical Economics (Vbc)…

    Molina Healthcare (MI)
    … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health… more
    Molina Healthcare (08/31/25)
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  • Risk Adjustment Audit Operations Analyst…

    Molina Healthcare (Sterling Heights, MI)
    …for medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and ... a willingness to engage with complex datasets across varied systems . The analyst will work closely with...Python or another programming language + Basic familiarity with healthcare data types such as claims , encounters,… more
    Molina Healthcare (08/08/25)
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  • Healthcare /Facets Business Configuration…

    Henry Ford Health System (Southfield, MI)
    …of the application software based on customer requirements and ensuring that systems conform to Government Programs, and Regulatory Agency Standards. + Assist in ... is defined as six (6) years' experience in Health Care related business and/or claims processing system configuration. + Two (2) years of claims processing… more
    Henry Ford Health System (08/19/25)
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  • Senior Internal Business Systems…

    Highmark Health (Lansing, MI)
    …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
    Highmark Health (07/11/25)
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  • Lead Analyst , Technical Configuration…

    Molina Healthcare (Grand Rapids, MI)
    …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect ...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (08/27/25)
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