- Zurich NA (Lansing, MI)
- …and litigation management skills. This position can be office, hybrid, or fully remote anywhere in the lower 48 states. ** Claims Handling & Investigation:** ... will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will...Location(s): AM - Schaumburg, AM - Atlanta, AM - Remote Work (US), AM - Overland Park, AM -… more
- Prime Therapeutics (Lansing, MI)
- …of pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
- Molina Healthcare (Detroit, MI)
- …Analysis_ * Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. * Applies understanding of ... health care regulations, managed care claims workflows, and provider reimbursement models to shape payment integrity related recommendations and action plans. *… more
- Molina Healthcare (Sterling Heights, MI)
- …those concepts. + Knowledge of In Lieu of Service (ILOS) pollicy and claims billing processes. + Generate leads from referrals and local-tactical research and ... prospecting. + Schedule individual meetings and group presentations from assigned/self-generated leads. + Travel across State of Michigan, up to 25% of time required **REQUIRED EDUCATION:** Bachelor's Degree or equivalent experience. **PREFERRED EDUCATION:**… more
- Molina Healthcare (Sterling Heights, MI)
- …DUTIES:** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, ... likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and associated records by… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior ... Product Manager work assignments involve moderately complex to complex issues...Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support… more
- Prime Therapeutics (Lansing, MI)
- …future of pharmacy with us. **Job Posting Title** Mgr Reporting & Analytics - Remote **Job Description** The Manager Reporting and Analytics is responsible for ... improvement, and inter-departmental requirements + Serve as mentor and manager of team of reporting; develop and coach staff...+ Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Zurich NA (Lansing, MI)
- AVP Underwriting Manager - Middle Market 125567 Zurich is currently looking for an Assoc Underwriting Manager or AVP, Underwriting Manager - Middle Marketto ... This role will be filled at either theAssoc Underwriting Manager or AVP, Underwriting ManagerLevel. The hiring manager...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...+ Ability to communicate effectively with colleagues, supervisor, and manager . + Ability to work independently. + Strong organizational… more
- State of Michigan (MI)
- …Construction Specialist 13/ Property Asset Manager Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5189470) Apply Building Construction ... Specialist 13/ Property Asset Manager Salary $36.86 - $52.05 Hourly Location Various, MI...Hourly Location Various, MI Job Type Permanent Full Time Remote Employment Flexible/Hybrid Job Number 1803-26-AM109 Department LEO-MSHDA Opening… more