- 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
- Molina Healthcare (Ann Arbor, 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 (Grand Rapids, 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
- Marshfield Clinic (Iron Mountain, MI)
- …together to support the most exciting missions in the world!** **Job Title:** Senior Financial Analyst II - Hospital Reimbursement & Reports **Cost Center:** ... Mon-Fri; day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Senior Financial Analyst II - Hospital Reimbursement & Reports is… more
- Molina Healthcare (Warren, 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 (MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- CVS Health (Lansing, MI)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in Criminal Justice or… more
- 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
- University of Michigan (Ann Arbor, MI)
- Rev Cycle Business Analyst Sr.- PB Denials Apply Now **Job Summary** We are seeking a detail-oriented and analytical Revenue Cycle Business Analyst to join our ... and enhance revenue capture. + Prepare regular reports and dashboards for senior management, highlighting key performance indicators and financial metrics. + Stay up… more
- Molina Healthcare (Sterling Heights, 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