- Molina Healthcare (Sterling Heights, MI)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** * Serves as … more
- Highmark Health (Lansing, MI)
- …SUMMARY** This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a ... product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements.… more
- Ford Motor Company (Livonia, MI)
- **In this position ** As Business Owner of the Parts Claims System, administer claims for US Dealers and related Carrier Claims for Inbound and Outbound ... Network. This position manages the team who processes daily claims and serves as the escalation point for dealers,...apply! As an established global company, we offer the benefit of choice. You can choose what your Ford… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- …ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research ... Third Bank. GENERAL FUNCTION: Under general supervision, the Dispute Intake Analyst provides outstanding customer service while capturing accurate customer account… more
- Rocket Software (Lansing, MI)
- …people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and ... country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and… more
- Public Consulting Group (Lansing, MI)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Prime Therapeutics (Lansing, MI)
- …build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst ... the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety...levels within the organization + Serves as the lead analyst in producing reports, scorecards, or other data using… more
- Henry Ford Health System (Troy, MI)
- …+ Demonstrated knowledge of the Medicare Advantage, Federal Government, Medicare benefits , all Commercial including Self-Funded benefit guides, contracts and ... Medicare Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide… more
- Integra Partners (Troy, MI)
- The Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of the departmental goals and initiatives. The Quality ... Assurance Analyst evaluates both... will fairly and consistently review the calls, emails, claims , etc. of our team for accuracy and provide coaching… more
- ManpowerGroup (Plymouth, MI)
- The Benefits Analyst is responsible for the administration, analysis, and optimization of employee benefits programs, including health insurance, retirement ... and troubleshooting. . Respond to employee inquiries and resolve issues related to benefits coverage and claims . . Collaborate with third-party vendor to manage… more
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