- Highmark Health (Lansing, MI)
- … clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and ... in decision-making, identifying non-compliance issues, and developing and implementing quality control procedures. The Analyst also administers inter-rater… more
- Highmark Health (Lansing, MI)
- …and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing ... of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational ... building scalable, healthcare-focused data solutions. **KNOWLEDGE/SKILLS/ABILITIES** * Partner with clinical , operational, and business teams to understand data needs… more
- Molina Healthcare (MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- Molina Healthcare (Grand Rapids, MI)
- …Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating healthcare business needs into technical ... to building scalable, healthcare-focused data solutions. JOB DUTIES: + Partner with clinical , operational, and business teams to understand data needs and translate… more
- CVS Health (Lansing, MI)
- …candidate will coordinate the identification of potential claim editing & clinical program enhancements to ensure compliance with Federal and State Legislation. ... and partner with functional leads and other business areas to ensure quality and end-to-end payment accuracy functions in the Federal/State legislation policy space.… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY/PRIMARY FUNCTION: The Senior (Sr.) Application Analyst is responsible for participating in the overall design, implementation, training, ... documentation, operation, and support of Clinical or Business applications and reports. This includes contributing to the planning, design, implementation, and… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY/PRIMARY FUNCTION: The Senior (Sr.) Application Analyst is responsible for participating in the overall design, implementation, training, ... documentation, operation, and support of Clinical or Business applications and reports. This includes contributing to the planning, design, implementation, and… more
- Norstella (Lansing, MI)
- …therapies to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...health records (EHRs). You will be responsible for translating clinical and medical data requests into structured queries, ensuring… more
- Evolent (Lansing, MI)
- …better health outcomes and a more connected care journey. We are hiring for a Senior Analyst to join our Strategic Solutions & Value Team to support Evolent's ... of business cases. + Support the execution of operational initiatives, including clinical quality improvement, cost of care reduction, and provider/member… more