- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Disaster Recovery Analyst will be responsible for assisting with the development of advance arrangements and procedures to ensure that the HFH ... below: + Business Impact Analysis + Emergency Management Planning + Governance/Risk/ Compliance /Third Party Attestations & Audits + Develop and maintain disaster… more
- Molina Healthcare (Grand Rapids, MI)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims, pharmacy , and lab datasets. + Build and maintain efficient ETL pipelines to… more
- Highmark Health (Lansing, MI)
- …computer applications to include MS Excel and/or MS Access **Preferred** + Prior pharmacy experience with a pharmacy benefit manager (PBM), consultant, ... pharmacy provider, or another organization specializing in pharmacy **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Strong… more
- Corewell Health (Grand Rapids, MI)
- …all types of health care fraud including member, employer group, agent, pharmacy , provider, etc. Investigates, collects and documents findings for management review. ... by utilizing system tools, interviews, medical records audits, data mining, perform compliance audits of medical claims, fee screens and other payment mechanism to… more
- Highmark Health (Lansing, MI)
- …Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field **OR** 6 years of relevant work ... Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field **LICENSES or CERTIFICATIONS** **Required** +… more
- Henry Ford Health System (Troy, MI)
- …to current processes, reviewing and editing consolidated financial statements and regulatory compliance reports. + Ensure compliance with controls over financial ... 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
- 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 ... Assist management in driving business decisions based on data + Ensure compliance with federal and state deliverable reporting requirements by performing data… more
- Evolent (Lansing, MI)
- …+ Perform research and analysis of complex healthcare claims, eligibility, and pharmacy data to make recommendations based on relevant findings. + Extract, manage, ... may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final… more