- Molina Healthcare (Detroit, MI)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical… more
- Henry Ford Health System (Detroit, MI)
- …Ford Health System Fund Accounting department is currently seeking a Senior Financial Analyst to join our team. This position is responsible for the post-award ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more
- Corewell Health (Grand Rapids, MI)
- …claims payments, billing and enrollment, care management, medical, pharmacy and behavioral health authorizations, customer service interactions, prescription ... in plan documents have been interpreted accurately and consistently, determine if pharmacy and medical policies have been applied appropriately or if additional… more
- CVS Health (Lansing, MI)
- …ensuring complete and timely reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to Medicare. The candidate will contribute to ... Bachelor's degree preferred/specialized training/relevant professional qualification. **Preferred Qualifications** + Healthcare/ pharmacy industry experience and knowledge of pharmaceutical products. +… more
- Cardinal Health (Lansing, MI)
- …up) familiarity preferred + General knowledge of EDI + Experience with healthcare or pharmacy workflows or IT software, preferred + Experience with EMR / EHR, ... pharmacy management software, and/or healthcare billing software, preferred + Ability to communicate free of technical language to the business and end-user +… more
- Henry Ford Health System (Detroit, MI)
- …care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast ... Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the… more
- Henry Ford Health System (Detroit, MI)
- …care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast ... Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the… more
- Henry Ford Health System (Detroit, MI)
- …care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast ... Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the… more
- Henry Ford Health System (Rochester Hills, MI)
- …care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast ... Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the… more
- Centene Corporation (Lansing, MI)
- …of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy , external reporting + Extract, load, model, and reconcile large amounts of ... data across multiple system platforms and sources + Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management + Develop reports and deliverables and make recommendations to… more