- Molina Healthcare (MI)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... opportunities for cost savings. + Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key… more
- Evolent (Lansing, MI)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on...role plays a critical part in both **Medical Cost Management ** and **Product Management ** , leveraging advanced… more
- Prime Therapeutics (Lansing, MI)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst ... activity and quality efforts involving utilization and/or medication therapy management , network management , client delegation agreements and accreditation… more
- Highmark Health (Lansing, MI)
- …testing and projects to solve unique problems/questions identified by middle/ senior management , business partners, coalitions and governmental agencies. ... the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise… more
- Elevance Health (Dearborn, MI)
- …healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures financial performance of core Carelon products leveraging ... ** Senior Health Economist - Managed Care** **Location:** This role requires... claims , authorization, and membership data to tell a detailed story to… more
- University of Michigan (Ann Arbor, MI)
- …primary platform. Utilization of version control software such as GitHub. + Work with senior staff to complete the monthly, quarterly, and yearly updates of the KECC ... these changes. + Prepare sets of standard analysis files including Medicare claims and other data sources. + Under direction of the programming supervisor,… more