- Globus Medical, Inc. (MI)
- …open billings in a timely manner + Identifies and reports to management any payer issues with regards to billing and collections + Reviews, analyzes, and reconciles ... various priorities in a fast-paced environment + Working knowledge of payer reimbursement guidelines and government, regulatory and company billing and compliance… more
- University of Michigan (Ann Arbor, MI)
- …specialty pharmacy expansion, 340B regulatory reporting, pharmacy supply chain, payer contracts, clinical pharmacy KPIs and pharmacy financial performance. + ... Collaborates with leadership to identify problems, ensure data availability as actionable information to improve outcomes, and drive continuous improvements. + Provide strategic guidance and thought leadership to shape the department's data strategy and… more
- Oracle (Lansing, MI)
- …closely with product, architecture, and domain experts to transform complex payer -provider processes into intelligent, automated systems. This role is critical to ... driving innovation, optimizing healthcare financial performance, and accelerating digital transformation across the health-tech landscape. **Responsibilities** Key Responsibilities + **Leadership and strategy** Define and drive the AI engineering vision,… more
- CenterWell (Lansing, MI)
- …and Specialty Care to lead strategy and execution for our referral management, payer prior authorization, and specialist network solutions. This role is critical to ... shaping how our patients and care teams experience internal and external specialty care. The ideal candidate combines strong business acumen, deep customer empathy, and a proven ability to create measurable value in highly matrixed healthcare settings. You… more
- Oracle (Lansing, MI)
- …(registration types, visit classes, and encounter mapping) + Insurance, payer , and financial class configuration (eligibility verification rules, coverage mapping) ... + Rules, alerts, and validations to support accurate and compliant patient intake + Integration and dependency awareness with downstream billing and clinical systems + Experience designing and configuring Registration workflows that ensure accurate patient… more
- Sumitomo Pharma (Lansing, MI)
- …and marketing materials. + Proficient knowledge and understanding of the payer landscape including commercial, Medicaid, and Medicare or relevant experience. + ... Demonstrates the ability to analyze complex data to develop strategic and actionable business plans to deliver sales results. + Candidates must have excellent communication & organizational skills and be proficient with technology platforms and business… more
- Oracle (Lansing, MI)
- …all levels of the organization. 8. Strong knowledge of federal, state, and payer -specific regulations and policies. 9. Ability to work in a fast-paced environment ... and manage multiple priorities. **Responsibilities** Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies… more
- Cognizant (Lansing, MI)
- …management and managing clinical denials from Providers to the Health Plan/ Payer . The comprehensive process includes analyzing, reviewing, and processing medical ... necessity denials for resolution. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and other teams. **In this role, you will:** . Maintain ownership and responsibility for assigned accounts. . Maintain working… more
- Datavant (Lansing, MI)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare… more
- R1 RCM (Detroit, MI)
- …of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare ... organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com . more
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