- Prime Therapeutics (Lansing, MI)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory ... Analyst is responsible for leading portions of departmental regulatory review and analysis, external audits and accreditation processes, and participates in… more
- Molina Healthcare (Grand Rapids, MI)
- …**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 executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Molina Healthcare (MI)
- …identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and various claims related resources + Strong ... Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data… more
- HTC Global Services Inc (Troy, MI)
- …and a variety of other perks. The Epic Revenue Cycle Applications Analyst is responsible for the design, build, configuration, optimization, and support of ... charge capture and claim submission to payment posting and account resolution. The analyst acts as a subject matter expert (SME) in Epic billing workflows,… more
- Molina Healthcare (Grand Rapids, MI)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint… more
- Prime Therapeutics (Lansing, MI)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
- Intermountain Health (Lansing, MI)
- …identify trends, and recommend changes to care site and revenue cycle leadership. The analyst should also be able to lead committee meetings and present their ... **Job Description:** The Denials Analyst is responsible for tracking denials across the...areas of denial prevention in compliance with policy and regulatory requirements. + Lead and drive denials… more
- Molina Healthcare (MI)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Henry Ford Health System (Troy, MI)
- …and appeals by working with internal support departments and in accordance to regulatory guidelines. The Lead Appeal & Grievance Support will also assist ... GENERAL SUMMARY: The Lead Appeal & Grievance Support is responsible for...manner. + Serve as first line contact for A&G Analyst for day to day operational issues. + Function… more
- Tenet Healthcare (Detroit, MI)
- …documentation for both the department and for assigned projects Perform data analyst functions that generate knowledge via data mining, visualization, or other ... analytics. Serve as a resource to others performing this work. Lead the creation of best practices, resources, and tools that enable new analytical capabilities.… more