- Evolent (Lansing, MI)
- …skills + Microsoft Office experience (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims , configuration, authorizations, clinical ... You'll Be Doing:** Evolent Health is looking for a Senior Product Owner to be a key member of...key member of the Product team, focused on client data integrations. This individual will play a critical role… more
- Molina Healthcare (Warren, MI)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- Stryker (Kalamazoo, MI)
- …The Senior Legal Analyst must prepare accurate and timely reports using data analytics. The Senior Legal Analyst maintains legal files and materials ... **What you will do:** As a Senior Legal Analyst you will be...purposes. + Billing Guideline Reviewer for EPL and Investigation claims . + Monitor CT Corporation mailbox for service of… 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 ... + Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and collaborates with… more
- Evolent (Lansing, MI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a ... our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will...narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims… more
- Molina Healthcare (Grand Rapids, MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to… more
- Henry Ford Health System (Troy, MI)
- …applications, data , and tools. + Advance analytical skills. + Knowledge of medical claims data and managed care membership data . + Knowledge of ... GENERAL SUMMARY: The Senior Medical Economic Analyst plays a...analyzing healthcare utilization and medical cost trends to support data driven decision-making within the health plan. Responsibilities include… more
- Highmark Health (Lansing, MI)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Highmark Health (Lansing, MI)
- …+ 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project ... Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities and/or create analytics and… more
- CVS Health (Lansing, MI)
- …Salesforce. + Market and place stop loss policies, negotiating terms based upon claims data , strategy, relationships and cost avoidance/reduction efforts. + Work ... to understand potential impacts for custom requests. + Manage and interpret operational data and apply to fee development and financial analysis. + Present to… more
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