• Senior Medicare Analyst

    R1 RCM (Detroit, MI)
    …intelligent automation, and workflow orchestration. We are seeking to expand our Medicare reimbursement team by adding a senior analyst . Working as a part of ... the Government Navigation Suite service line, the Reimbursement Senior Analyst will partner with team...the data **Qualifications:** + 2+ years' experience working with Medicare Reimbursement + Medicare Disproportionate… more
    R1 RCM (09/03/25)
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  • Senior Financial Analyst II - Hospital…

    Marshfield Clinic (Iron Mountain, MI)
    …support the most exciting missions in the world!** **Job Title:** Senior Financial Analyst II - Hospital Reimbursement & Reports **Cost Center:** 101651010 ... of America) **Job Description:** **JOB SUMMARY** The Senior Financial Analyst II - Hospital Reimbursement & Reports...within the Health System. This individual will assist with Medicare and Medicaid Cost Report coordination, Wage Index, S10,… more
    Marshfield Clinic (08/29/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Lansing, MI)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
    Humana (08/14/25)
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  • Lead Analyst , Payment Integrity

    Molina Healthcare (Sterling Heights, MI)
    …Description** **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 shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
    Molina Healthcare (08/20/25)
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  • Rev Cycle Business Analyst Sr.- PB Denials

    University of Michigan (Ann Arbor, MI)
    Rev Cycle Business Analyst Sr.- PB Denials Apply Now **Job Summary** We are seeking a detail-oriented and analytical Revenue Cycle Business Analyst to join our ... professional billing claims process to ensure accuracy, timeliness, and maximum reimbursement . This role plays a critical part in streamlining operations,… more
    University of Michigan (09/03/25)
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  • Senior Analyst , Medical Economics (Vbc)…

    Molina Healthcare (MI)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical… more
    Molina Healthcare (08/31/25)
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  • Sr. Compliance Analyst - Remote

    Prime Therapeutics (Lansing, MI)
    …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement . Works directly with business partners across the enterprise.… more
    Prime Therapeutics (08/14/25)
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  • Payor Contracting Sr. Financial Analyst…

    Henry Ford Health System (Troy, MI)
    …to Government fee schedules and analyzing existing healthcare (claims) data and reimbursement terms and payment methodologies; with the goal of driving necessary ... rate sections of proposed contracts and amendments to ascertain that all necessary reimbursement terms are included, and rates are depicted as negotiated. 4. Prepare… more
    Henry Ford Health System (08/22/25)
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  • Finance Operations Analyst

    CVS Health (Lansing, MI)
    …the day to day responsibilities related to ensuring complete and timely reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to ... Medicare . The candidate will contribute to establishing reporting and achieving desired financial targets by ensuring accurate posting of AR and driving efficient and… more
    CVS Health (09/04/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Grand Rapids, MI)
    …coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + ... of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. +...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
    Molina Healthcare (08/14/25)
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