- Molina Healthcare (Warren, MI)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- CVS Health (Lansing, MI)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Lansing, MI)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Lansing, MI)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- Trinity Health (Pontiac, MI)
- …Nutrition Services (FANS) Department in a large or sizeable multi-hospital setting. The Senior Manager of Food & Nutrition Services is responsible for ... to identify budget variances; and prepares related reports for senior management review. Keeps Regional Manager , THS...are followed at all times to minimize/eliminate workman's compensation claims and create a safe working environment for all… more
- Danaher Corporation (Detroit, MI)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- RxBenefits (Detroit, MI)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Corewell Health (Royal Oak, MI)
- …action for unpaid accounts involving claims and litigation. Notifies the claims manager and risk administration; and assures the liability insurance carrier ... Join our team at Corewell Health as an RN Senior Clinical Risk Specialist and play a pivotal role...patient related injuries and manage the resolution of pre-notice claims . Essential Functions + Reviews and provides recommendations regarding… more
- Elevance Health (Dearborn, MI)
- ** Senior Health Economist - Managed Care** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... and business leaders passionate about transforming American healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures… more
- Walgreens (Grand Rapids, MI)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more