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Results based on filters ( 2696 jobs found )

Lead Reports Developer - Medicare/Medicaid

Molina Healthcare
Warren, MI
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JOB DESCRIPTION Job Summary Collects, validates, analyzes, and organizes ...
Details
Summary
About the job:
healthcare data into meaningful reports for management decision making as well as designing, developing, testing and deploying reports to provider networks and other end users for operational and strategic analysis. Maintains existing portfolio of compliance and operational reports. KNOWLEDGE/SKILLS/ABILITIES - Collaborate with customers to create specifications for new reports and support change requests for existing reports with line-of-sight into business processes - Creates reports using Microsoft SQL Reporting...
Location:
Warren, MI
Job Type:
Full-Time
Permanent
Occupation:
Business Intelligence Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Reporting Analyst, SIU-(Remote)

Molina Healthcare
Warren, MI
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Job Description Job Summary Under direct supervision of the Manager, the ...
Details
Summary
About the job:
Reporting Analyst, SIU supports a team in the Special Investigation Unit (SIU). The Reporting Analyst, SIU will ensures FWA referrals are logged, documented, assigned for investigation and appropriately reported to state and federal regulators. and/or law enforcement as appropriate. Ensures that appropriate information is timely and accurately gathered and reported to state and federal regulators as appropriate (monthly, quarterly and annually). Provide oversight of designated SIU tracking systems. Duties may include:...
Location:
Warren, MI
Job Type:
Full-Time
Permanent
Occupation:
Compliance Officers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Program Manager, Payment Integrity

Molina Healthcare
Warren, MI
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JOB DESCRIPTION Job Summary Responsible for internal business projects and ...
Details
Summary
About the job:
programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties - Active collaborator with people who are responsible for internal business...
Location:
Warren, MI
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
State of Michigan
Certifications / Licenses:
Project Management Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Mgr, Claims Operations & Research

Molina Healthcare
Warren, MI
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JOB DESCRIPTION Job Summary Responsible for administering claims payments, ...
Details
Summary
About the job:
maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Oversees analysis of complex claim inquiries and reimbursement issues using data from internal and external sources to expeditiously resolve claim related concerns. Identifies and interprets trends and patterns in datasets to root cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data...
Location:
Warren, MI
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Big Data Engineer - Medicare/Medicaid

Molina Healthcare
Warren, MI
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Job Summary We are seeking a highly skilled and forward-thinking Big Data ...
Details
Summary
About the job:
Engineer to join our healthcare data team. This role encompasses the end-to-end design, development, and management of large-scale data systems tailored for healthcare analytics. The ideal candidate will be responsible for architecting and maintaining robust, scalable, and secure data pipelines that support critical decision-making across the organization. This position requires deep technical expertise in modern Big Data tools, real-time and batch data integration, and a strong understanding of data governance and...
Location:
Warren, MI
Job Type:
Full-Time
Permanent
Occupation:
Data Warehousing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Clinical Information Systems Specialist

Molina Healthcare
Warren, MI
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Job Description Job Summary Develop educational content and resources for ...
Details
Summary
About the job:
major clinical systems and systems projects/implementations of considerable complexity. Prepares training resources and content, conducts research to resolve customer initiated issues related to systems processing to enhance the end user experience. Responsible for workflow analysis, training, implementation, and on-going support of the EMR/PM applications. Creates and delivers system training across the enterprise to orient employees to Molina clinical systems. Responsible for the development, implementation, and...
Location:
Warren, MI
Job Type:
Full-Time
Permanent
Occupation:
Training and Development Specialists
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Program Manager, Payment Integrity

Molina Healthcare
Sterling Heights, MI
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JOB DESCRIPTION Job Summary Responsible for internal business projects and ...
Details
Summary
About the job:
programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management. Job Duties - Active collaborator with people who are responsible for internal business...
Location:
Sterling Heights, MI
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
State of Michigan
Certifications / Licenses:
Project Management Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Mgr, Claims Operations & Research

Molina Healthcare
Sterling Heights, MI
Actions
Apply
Save to My Profile
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Report this job
JOB DESCRIPTION Job Summary Responsible for administering claims payments, ...
Details
Summary
About the job:
maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Oversees analysis of complex claim inquiries and reimbursement issues using data from internal and external sources to expeditiously resolve claim related concerns. Identifies and interprets trends and patterns in datasets to root cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data...
Location:
Sterling Heights, MI
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Big Data Engineer - Medicare/Medicaid

Molina Healthcare
Sterling Heights, MI
Actions
Apply
Save to My Profile
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Report this job
Job Summary We are seeking a highly skilled and forward-thinking Big Data ...
Details
Summary
About the job:
Engineer to join our healthcare data team. This role encompasses the end-to-end design, development, and management of large-scale data systems tailored for healthcare analytics. The ideal candidate will be responsible for architecting and maintaining robust, scalable, and secure data pipelines that support critical decision-making across the organization. This position requires deep technical expertise in modern Big Data tools, real-time and batch data integration, and a strong understanding of data governance and...
Location:
Sterling Heights, MI
Job Type:
Full-Time
Permanent
Occupation:
Data Warehousing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Reporting Analyst, SIU-(Remote)

Molina Healthcare
Sterling Heights, MI
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
Job Description Job Summary Under direct supervision of the Manager, the ...
Details
Summary
About the job:
Reporting Analyst, SIU supports a team in the Special Investigation Unit (SIU). The Reporting Analyst, SIU will ensures FWA referrals are logged, documented, assigned for investigation and appropriately reported to state and federal regulators. and/or law enforcement as appropriate. Ensures that appropriate information is timely and accurately gathered and reported to state and federal regulators as appropriate (monthly, quarterly and annually). Provide oversight of designated SIU tracking systems. Duties may include:...
Location:
Sterling Heights, MI
Job Type:
Full-Time
Permanent
Occupation:
Compliance Officers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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