- Fujifilm (Lansing, MI)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Sedgwick (Lansing, MI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Molina Healthcare (Detroit, MI)
- …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- CVS Health (Lansing, MI)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists. - Makes outbound calls to obtain required information ... handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- LifePoint Health (Marquette, MI)
- …beautiful lakeside gem. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits for full-time employees Competitive Paid Time Off / Extended Illness Bank ... the preparation and maintenance of department reports. Prepares periodic reports for senior management, as delegated by the director. Works closely with clinical… more
- Highmark Health (Lansing, MI)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- United Therapeutics (Lansing, MI)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Highmark Health (Lansing, MI)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Ascension Health (Kalamazoo, MI)
- …with flexibility + **Facility:** Ascension Medical Group + **Location:** Kalamazoo, MI ** Benefits ** Paid time off (PTO) Various health insurance options & wellness ... plans Retirement benefits including employer match plans Long-term & short-term disability...the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and… more
- Medtronic (MI)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more