- Sedgwick (Lansing, MI)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** * Thorough knowledge of ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Consumer **PRIMARY PURPOSE:** To supervise the operation of… more
- HomeSafe Alliance (Lansing, MI)
- **Title:** Assistant Claims Manager (Military Move) **HomeSafe Alliance** is the single global household goods movement manager of over 300,000 Military Household ... motivated **Assistant** **Cl** **aims Manager** to assist in all aspects of claims management, to support and promote process improvement methodologies and best… more
- Sedgwick (Lansing, MI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Lansing, MI)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Carrington (Lansing, MI)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims...and requirements that resulted in the loss. + Keep Supervisor informed of all trends and problems including, but… more
- Highmark Health (Lansing, MI)
- …are met. Represent the department in compliance audits as it relates to the supervisor functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- Mathematica (Lansing, MI)
- …predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of people. Mathematica's team reached the second round ... involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Mathematica (Lansing, MI)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Michigan State University (East Lansing, MI)
- …work mixed with in-office work as mutually agreed upon with the supervisor . DUTIES AND RESPONSIBILITIES + Provide risk management consultative services to campus ... externally contracted risk management services including insurance brokerage, actuarial, claims administration and information technology. + Negotiate on behalf of… more
- CROSSMARK (Lansing, MI)
- …clean and secured in the agreed upon area of the backroom. * When Supervisor is absent, communicate with store management about the upcoming events and the execution ... of past events in their store. * When Supervisor is absent, be the point person for all...the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related… more
- Walgreens (Lansing, MI)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Sedgwick (Lansing, MI)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- Prime Therapeutics (Lansing, MI)
- …/ scrum leading experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the ... and ability to adjust focus **Reporting Structure** + Reports to a Supervisor or Manager in Workforce Management, Shared Services or Member Operations Potential… more
- Mathematica (Lansing, MI)
- …include: * Assisting with quantitative analyses using Medicaid enrollment, claims /encounter, financial and program data to support program monitoring, improvement, ... high attention to detail * Familiarity with Medicaid enrollment, claims , financial, or program data is preferred * Excellent...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Mathematica (Lansing, MI)
- …and maintaining clinical quality measures, supporting states with implementing all-payer claims databases, alternative payment models, or tools to support analytics, ... policy issues. * Familiarity with Medicare or Medicaid enrollment, claims , financial, or program data is preferred. * Excellent...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Michigan State University (East Lansing, MI)
- …from clinical trials and observational studies, including health insurance claims data; preparation of research reports, manuscripts, presentations; assistance with ... of clinical trials + Experience managing large data sets including health insurance claims data + Experience with longitudinal data analyses + Knowledge of SAS and… more
- Intermountain Health (Lansing, MI)
- …execution of contracts under the supervision of the credentialing/contracting supervisor . These responsibilities include the drafting, implementation, tracking, and ... (including controlled substance DEA certification), current malpractice coverage and claims history. Queries the National Practitioner Database. 4. Prepares… more
- Humana (Lansing, MI)
- …years or more years of equivalent work experience in Grievance and Appeals, Claims , Authorizations, CMS, Provider Disputes and/or healthcare industry + 1 or more ... insights/findings to Senior Leadership + 2 or more years of leadership ( Supervisor , Manager or above) experience + Strong knowledge of Medicare and Medicaid… more
- Walgreens (Lansing, MI)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. Operations + Counsels' patients and ... ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with… more
- CVS Health (Lansing, MI)
- …+ Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more