- Highmark Health (Lansing, MI)
- …riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring ... and analyzing medical and utilization management activities to ensure compliance with internal policies, state, CMS, and federal regulations. This role serves as a… more
- Highmark Health (Lansing, MI)
- …+ Supports and leads the design, development, execution, dissemination and interpretation of clinical and population health analyses, metrics and reports using ... clinical, member, financial and administrative data to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to successful… more
- R1 RCM (Detroit, MI)
- …with health information privacy (including, but not limited to, HIPAA), healthcare compliance , regulatory analysis and interpretation , and/or compliance ... AI, intelligent automation, and workflow orchestration. As our **Privacy Analyst ** , you will work with the other members...you will assess, monitor, investigate, educate on, and promote compliance with all federal and state data and information… more
- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and… more
- CenterWell (Lansing, MI)
- …SMEs. The Informaticist 2 work assignments are varied and frequently require interpretation and independent decision making to determine the appropriate courses of ... Humana is seeking an experienced Informaticist 2 / Data Analyst to support its medication adherence initiatives. This role...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- SitusAMC (Lansing, MI)
- …professional with 0-2 years of industry and/or relevant experience, typically at an Analyst level role or external equivalent. + Knowledge of the Warehouse Financing ... and commercial mortgage warehouse facility structure through business term sheet interpretation + Knowledge of mortgage related products, both government agency… more
- Banner Health (MI)
- …regard to interpretation of coding guidelines prior to referral to senior manager, educator or Coding Quality Analyst . MINIMUM QUALIFICATIONS High school ... treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code… more