- State of Michigan (Lansing, MI)
- …The incumbent in this position functions as a Managed Care Oversight Analyst within ... Departmental Analyst 9 to P11 - MCO Oversight ...and accountability. This position assists the manager of the Managed Care Oversight Unit to manage and… more
- AmeriHealth Caritas (Detroit, MI)
- … managed health care requirements + 3 to 5 years in a managed care -related or healthcare industry + Proven experience with contract management tools (ie, ... use Contract Manager, Emptpros) + Proficiency in researching regulatory requirements and managed care industry best practices **Skills & Abilities;** + Database… more
- Intermountain Health (Lansing, MI)
- …pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy, home care , long term care , population health, consumer and patient ... scheduling, time and attendance, customer relationship management) The Principal analyst is responsible for providing overseeing technical support, configuration,… more
- AmeriHealth Caritas (Detroit, MI)
- …and provider data management preferred. + 5 to 10 years of experience in managed care or the healthcare industry. + Prior experience working with healthcare ... providers; provider relations experience preferred. + Strong knowledge of managed care concepts and provider reimbursement methodologies. + Proficiency in… more
- Henry Ford Health System (Troy, MI)
- …Minimum of five (5) years of progressive analytical experience in US health insurance, managed care , or healthcare finance and analytics. + Minimum of one (1) ... GENERAL SUMMARY: The Senior Medical Economic Analyst plays a critical role in analyzing healthcare...analytical skills. + Knowledge of medical claims data and managed care membership data. + Knowledge of… more
- Henry Ford Health System (Troy, MI)
- …includes knowledge of Medicare/Medicaid regulations as well as understanding of managed care contracts. 15.Actively participates in ongoing monitoring process ... Reporting to the CDM Manager, the CDM Analyst is responsible for supporting and maintaining the...to meet system goals including patient safety, quality of care , charge capture and improving operational efficiencies. 5. Collaborates… more
- Comerica (Auburn Hills, MI)
- Job Description SailPoint IdentityIQ Product Analyst Comerica's IAM team is seeking a skilled and experienced IAM SailPoint (IIQ) Analyst to join our dynamic ... program, ensuring that release schedules are met and risks managed . + Participates in a collaborative, dynamic Product planning...technical team and the business Product Owner, the Product Analyst IV supports driving a Release and Iteration Plan… more
- Evolent (Lansing, MI)
- …analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. + Strong understanding ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is… more
- Molina Healthcare (Grand Rapids, MI)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Molina Healthcare (Detroit, MI)
- …Target/Ranking Engine for all line of businesses. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and related financial ... **Job Description** **Job Summary** The Analyst , Risk Adjustment-Predictive Analytics role will support Molina's...cleaning of data. + 1-3 Years of experience in Managed Care Organization executing similar techno functional… more