• Senior Medicare Analyst

    R1 RCM (Detroit, MI)
    …We are seeking to expand our Medicare reimbursement team by adding a senior analyst . Working as a part of the Government Navigation Suite service line, ... the Reimbursement Senior Analyst will partner with team members...partner with team members to work primarily on the Medicare Disproportionate Share Hospital (DSH) solution. The team works… more
    R1 RCM (09/03/25)
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  • Senior Actuarial Analyst

    Molina Healthcare (Detroit, MI)
    **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... support executive decision-making. + Research and develop reports and analysis for senior management; effectively communicate results. + Assist in the preparation of… more
    Molina Healthcare (07/25/25)
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  • Senior Analyst , Operational…

    Molina Healthcare (Detroit, MI)
    …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
    Molina Healthcare (08/22/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (Detroit, MI)
    **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing… more
    Molina Healthcare (07/17/25)
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  • Appeals & Grievance Analyst (Hybrid - Troy,…

    Henry Ford Health System (Troy, MI)
    … Advantage, Medicare -Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide root/cause ... analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists,...from State and Federal agencies and speak before members, senior leaders and other key stakeholders to present appeal… more
    Henry Ford Health System (09/11/25)
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  • Risk Adjustment Audit Operations Analyst

    Molina Healthcare (Detroit, 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
    Molina Healthcare (08/08/25)
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