- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Sr . Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of ... closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the...under the Provider Process and Network Organization (PPNO). **The Sr . Provider Hospital Reimbursement Analyst will be… more
- Baylor Scott & White Health (Lansing, MI)
- **JOB SUMMARY** The Sr . Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across ... enabling timely, data-driven decisions built on trusted information. The Senior Data Governance Analyst is a key...reporting environment in a work environment. + Knowledge of healthcare and health insurance claims processing domains.… more
- Cognizant (Lansing, MI)
- **Job Title: Sr . QNXT Configuration Analyst ** **Location:** **Remote** **Job ID:** **00067091141** **About the role** As a ** Sr . QNXT Configuration ... make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You will be a valued member… more
- Norstella (Lansing, MI)
- Sr . Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Jan 5, 2026 Employment Type: Full Time Job ID: R-1548 **Description** At ... (PharmD) degree. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or industry… more
- Cardinal Health (Lansing, MI)
- …and harmonize data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare , claims feeds, internal CRM/ERP) to deliver clear, actionable ... tech, specialty pharmacy, or payer/provider a plus). + Proficiency with claims analytics and provider/facility data (Trella, Definitive Healthcare ;… more
- Molina Healthcare (Grand Rapids, MI)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr . Analyst , Network Strategy, Pricing &...contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access… more
- Molina Healthcare (Warren, MI)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr . Analyst , Network Strategy, Pricing &...contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access… more
- Molina Healthcare (MI)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina… more
- Molina Healthcare (Grand Rapids, MI)
- **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and ... and manages information from large data sources. * Analyzes claims and other data sources to identify early signs...tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to… more
- Molina Healthcare (Detroit, MI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more