• Senior Stop Loss Claims Analyst/HNAS

    Highmark Health (Lansing, MI)
    …payment request. Refers the claim to the cost containment and RxOps departments for review of high dollar charges if applicable. + Determines whether to pend or ... Identifies issues which can be used to educate/train internal staff , streamline, and improve processes and update documentation. +...health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in… more
    Highmark Health (09/20/25)
    - Related Jobs
  • Operations Process Engineer

    Jackson National Life Insurance Company (Lansing, MI)
    …the underlying technological and manual connectivity between individually owned and peer -owned processes that will be impacted by process improvements/changes. + ... stakeholders. + Responsible for consulting with business leaders and teams to review /approve new or modified processes & capabilities and the associated change… more
    Jackson National Life Insurance Company (08/30/25)
    - Related Jobs
  • Sediment Remediation Modeler (Engineer, Scientist…

    CDM Smith (Detroit, MI)
    …* Experience with numerical and desktop model development, calibration, application, and peer review . * Experience evaluating the feasibility of sediment ... sex (including pregnancy, pregnancy related conditions, childbirth and related medical conditions, sexual orientation, gender identity or gender expression),… more
    CDM Smith (08/26/25)
    - Related Jobs
  • RN - Registered Nurse - 32 Hours Per Week…

    Henry Ford Health System (Brighton, MI)
    …personnel as required. + Participate in staff meetings, department QI activities, peer review and voluntary committees. + Comply with all infection control ... Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment… more
    Henry Ford Health System (08/19/25)
    - Related Jobs