- Molina Healthcare (MI)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Ann Arbor, MI)
- …conducts research to resolve customer initiated issues related to core systems processing, and coordinates and manages project teams in the development ... + 3-5 years' experience in a combination of applicable business and business systems + Computer Science or Info tech + Testing experience required + Data… more
- R1 RCM (Detroit, MI)
- …solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the ... automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing... I, you will help R1 clients by analyzing claims information so that they can resolve complex accounts.… more
- University of Michigan (Ann Arbor, MI)
- …between 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 ... Managed Care Payer/Operations Analyst Apply Now **How to Apply** A cover...operations of all payer contracts for all three health systems , which includes: Joint Operating Committee (JOC) Meetings with… more
- R1 RCM (Detroit, MI)
- …solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the ... AI, intelligent automation, and workflow orchestration. As our Service Delivery Analyst , you will work alongside Service Delivery leadership and associated team… more
- Prime Therapeutics (Lansing, MI)
- …Qualifications** + Pharmacy Benefit Management (PBM) experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... and drives every decision we make. **Job Posting Title** Member Campaign Program Analyst - Remote **Job Description** The Member Campaign Program Analyst is… more
- Evolent (Lansing, MI)
- …analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based ... RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- R1 RCM (Detroit, MI)
- …solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the ... With our proven and scalable operating model, we complement a healthcare organization's infrastructure, quickly driving sustainable improvements to net patient… more
- Henry Ford Health System (Troy, MI)
- …to regional averages, comparing to Government fee schedules and analyzing existing healthcare ( claims ) data and reimbursement terms and payment methodologies; ... revenue capture. 9. Develop queries and reports to extract claims and payor data from dbase reporting tool. 10.Perform...with both internal and external customers. + Familiarity with Healthcare EHR / Claim Systems (ie EPIC… more
- Highmark Health (Lansing, MI)
- …scope and complexity + 5 years with coding languages, analytical software, systems , tools and processes using claims , clinical, enrollment and provider ... and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality of… more