- University of Michigan (Ann Arbor, MI)
- Managed Care Payer/Operations Analyst Apply Now... Payer Analyst will report to the Manager, Managed Care Operations, and will support ... specific most often involving Out of State Payers. The Managed Care Payer Analyst will...execution and alignment with organizational objectives. + Provide strategic support to the Managed Care … more
- Molina Healthcare (Grand Rapids, MI)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to support the department's goals. + Develops and generates ad-hoc and standard… more
- Elevance Health (Dearborn, MI)
- **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured...Health family of brands, offering clinical programs and primary care options for seniors. We are a team of… more
- Molina Healthcare (MI)
- …years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid ... **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst...and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- Norstella (Lansing, MI)
- …in market research, marketing analysis, product management, consulting, biotech, pharmaceuticals, or managed care industry + Advanced writing skills and a strong ... Senior Analyst , Market Research Company: MMIT Location: Remote, United...of a team + Knowledge of the pharmaceutical and managed care industries preferred + Survey writing… more
- Molina Healthcare (MI)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and...medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles… more
- Molina Healthcare (MI)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... scrubbing, scrapping, and cleaning of data. + 3+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing… more
- Molina Healthcare (MI)
- …for Medicaid, Marketplace and Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates ... scrubbing, scrapping, and cleaning of data. * 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing… more
- Evolent (Lansing, MI)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Experience with ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Evolent (Lansing, MI)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... teams in developing the strategic approach for innovative and in-demand value-based care pursuits. + Support the development of capitated risk partnerships,… more