- Molina Healthcare (Warren, MI)
- …Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research , analysis and modeling of complex healthcare claims data, pharmacy ... understand and provides insights needed to support strategic investment decisions + Research and develop reports and analyses for senior management and effectively… more
- Carrington (Lansing, MI)
- …projects Maintain calendar of events and key deadlines. + Conduct factual research including gathering relevant information from a variety of resources. + Assist ... with resolving cases by gathering and organizing information needed for assessing settlement opportunities and preparing draft requests for settlement approval. + Prepare check requests, vendor payee forms, IT access and change forms, and FedEx labels. +… more
- Trinity Health (Livonia, MI)
- …with individuals and groups representing diverse perspectives. 7. Ability to research , analyze and assimilate information from various **Hourly Pay Range:** $27.41 ... - $ 41.13 **Our Commitment to Diversity and Inclusion** Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all… more
- Molina Healthcare (Ann Arbor, MI)
- …effectiveness of strategic initiatives with the ability to frame strategic challenges with research and synthesis to draw out solutions and create action plans. + ... Develop processes for efficient and effectively monitoring regulatory regulations and ensuring regulations are implemented effectively. + Identifies and supports duals training needs across the enterprise and health plans. + Leads team to support business… more
- Trinity Health (Livonia, MI)
- …& ability to readily acquire new knowledge. Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives. ... Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.… more
- Henry Ford Health System (Troy, MI)
- …Problem solving and decision making ability. + Demonstrated ability to research , analyze, design, plan, organize, coordinate, implement, and perform necessary ... follow-up as related to documentation and support materials. + Coaching and counseling. + Organization and planning. + Leadership and management. + Quality improvement. Additional Information + Organization: Corporate Services + Department: CBO - Insurance… more
- Henry Ford Health System (Troy, MI)
- …including effective design of the insurance recovery and patient pay workflows, research and identification of root causes resulting in edits and denials, ... development of error prevention initiatives, and coordination with CBO staff, HFHS business units, and internal customers to drive performance improvement. EDUCATION/EXPERIENCE REQUIRED: + High school degree or equivalent. Associate's degree or equivalent… more
- Henry Ford Health System (Detroit, MI)
- …patient care every day. They are encouraged to participate in quality assurance activities, research and shared governance to make a difference in the care given to ... patients and families. Henry Ford Nursing uses evidence-based practice, professional practice standards and the Henry Ford Hospital Professional Nurse Practice Model to drive nursing practice. Thank you for your interest in Henry Ford Health! + Under minimal… more
- Molina Healthcare (MI)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server… more
- Cognizant (Lansing, MI)
- …CLM best practice communities** . **Continuous Improvement & Innovation** + Research **emerging CLM technologies and industry trends** to enhance implementation ... methodologies. + Standardize **reusable CLM implementation frameworks, playbooks, and accelerators** . + Develop **training materials, knowledge-sharing sessions, and documentation** for internal and external stakeholders. **Qualifications:** + **7+ years of… more