financial claims examiner ii Jobs in detroit, mi

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Epic Resolute PB Claims Analyst

Talent Groups

•

Remote

Full-time

Position: Epic Resolute PB Claims Analyst Location: Remote Job Type: Direct Hire Job Description:The Professional Billing Claims Analyst position will be housed under a subsidiary organization. To implement, maintain, support, and maximize the use of clinical, financial, and administrative portions of the software applications utilized by client in conducting daily operations under the direction of the Manager of Professional Billing and Claims.Responsibilities: Maintaining current clinical, f
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Posted 3 days ago

Guidewire UAT- Orange County CA but 100% remote

Tech Rakers

•

Remote

Third Party, Contract

Job Title: Guidewire UAT Location: Orange County CA but 100% remote Duration: 18 months (Extensions) Top Skills' Details Bachelor s degree in Accounting/Finance preferred or relevant technical field. Progressive and relevant systems/applications, and/or accounting experience. At least 2 years of prior accounting systems testing experience. Prior insurance accounting or similar field is a plus. Prior experience with Guidewire or Tableau is a plus. Detail-oriented and appreciation for work accurac
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Posted 3 days ago

Application Analyst Epic Resolute Professional Billing, Claims & Remittance

Tranzeal, Inc.

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Remote or San Francisco, California, USA

Contract

Application Analyst Epic Resolute Professional Billing, Claims & Remittance Job Summary: We re seeking an experienced Application Analyst with deep expertise in Epic Resolute Professional Billing, Claims, and Remittance modules. This role will be key in implementing, optimizing, and supporting Epic billing applications, enhancing revenue cycle workflows, and ensuring system integrity and performance. Key Responsibilities: Lead configuration and implementation of Epic Resolute and Claims/Remittan
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Posted 19 days ago | Updated 8 hours ago

Technical Business Analyst (Claims/HRP)- W2

PamTen Inc

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Remote

Contract

Project Description: This position is responsible for understanding stakeholder needs and business issues to be addressed in the Enrollment Applications. Collaborate with the Product owner to assess configuration, EDI Eligibility transactions data mapping, Open Enrollment process, Exchange (Affordable Care Act) processes. Understand Eligibility and Premium billing functions. Assess requirements associated with new input and output Eligibility feeds, define UAT scope/testing needs and validate re
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Posted 18 days ago

Data Analyst - Cloud (Remote)

S2Tech

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Remote

Full-time

Data Analyst - Cloud Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a strong reputatio
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Posted 3 days ago | Updated 3 days ago

Senior Data Analyst

PARAKEET WORLD SOLUTIONS LLC

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Remote

Full-time

Job Title : Senior Data Analyst Location: Fort Worth, TX (100% Onsite)Type: Full-Time (W2 only)Duration: 5 Months This is a FTE req from an existing client, which is in software consulting company. They would hire the candidate on their payroll to work on the clients We are seeking an experienced Senior Data Analyst to join our client s Enterprise Data team. The ideal candidate will have 8+ years of hands-on experience, with a deep understanding of the P&C insurance domain, strong data modellin
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Posted 3 days ago | Updated 3 days ago

Finance Manager (Remote in US)

Gainwell Technologies LLC

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Remote or Columbus, Ohio, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a dynamic Finance Manager to serve as a financial leader in building and implementing a high-performing financia
Posted 60+ days ago | Updated 6 hours ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Detroit, Michigan, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted moments ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Warren, Michigan, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted moments ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Sterling Heights, Michigan, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted moments ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Rochester, Michigan, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted moments ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

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Remote or Warren, Michigan, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 1 hour ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

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Remote or Warren, Michigan, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 1 hour ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

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Remote or Sterling Heights, Michigan, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 1 hour ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Ann Arbor, Michigan, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted moments ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

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Remote or Rochester, Michigan, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 1 hour ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Toledo, Ohio, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted moments ago

Data Engineer, Management & Governance Manager

Accenture LLP

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Detroit, Michigan, USA

Full-time

Data Engineer, Management and Governance Manager (Accenture LLP; Detroit, MI): Accenture LLP has multiple openings for the position of Data Engineer, Management and Governance Manager in Detroit, MI, and the job duties are as follows: Analyze, design, build, test, implement and maintain multiple system components or applications.Develop or update project plans for information technology projects, including project objectives, technologies, systems, information specifications, schedules, funding
Posted 57 days ago | Updated 9 hours ago

Data Scientists Analysts

Apex Systems

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Dearborn, Michigan, USA

Full-time

Job#: 2080754 Job Description: Ford Motor Company 12 Month Contract Hybrid Dearborn MI -> Must be local or relocate to Michigan $66/HR Do you believe data tells the real story? We do! Redefining mobility requires quality data, metrics and analytics, as well as insightful interpreters and analysts. Thats where Global Data Insight & Analytics makes an impact. We advise leadership on business conditions, customer needs and the competitive landscape. With our support, key decision makers can act i
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Posted 19 days ago | Updated 10 hours ago

Senior Network Pricing Analyst - Hybrid in Las Vegas, NV

UnitedHealth Group

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Remote or Las Vegas, Nevada, USA

Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Why work for the leading organization in health care to help improve the lives of millions? You'll fin
Posted 9 days ago | Updated 9 hours ago