Fraud Detection Analyze fraud events for suspicious activity. Execute fraud prevention measures to reduce loss exposure. Track actions and financial transactions in case management system. Administrative Responsibilities Assign and track daily work events to the team. Complete weekly/monthly recurring reports. Complete additional assignments as requested. Act as a back up

Financial Analysis Support Provide financial support to business units. Maintain financial oversight and make recommendations on financial issues to assigned business unit (s). Act as primary financial partner for assigned business unit(s) and be an active participant at team meetings. Review and Analysis of Monthly Results Coordinate and execute the review of monthly rep

The Henry Ford Health System Fund Accounting department is currently seeking a Senior Financial Analyst to join our team. This position is responsible for the post award administration of sponsored research projects, including government grants and contracts, private agency grants, gifts and internally funded projects. This includes all accounting functions to ensure proj

Positions Location Lansing, MI Job Description General Purpose of Job The role of Financial Analyst Senior will analyze a wide variety of financial and patient level data within the Finance department. This role will perform a variety of complex and confidential duties requiring a thorough knowledge of the organization's policies and procedures. Essential Duties This job

Eligible for a $2,500 Sign on Bonus Eligible for Full Time Benefits Shift Full Time The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals. Is a subject matter expert in the resolu

As a key leader in the Risk Adjustment team, the successful candidate will develop and execute strategies, programs and projects for both the MA and ACA LOB while managing key performance indicators to drive operational excellence. Responsible for leading, developing and facilitating the team to ensure the application of industry best practices related to accuracy, effici

The Performance Improvement Specialist is responsible for supporting the management of multiple Performance Improvement projects from original concept through design and implementation, which are strategically focused and drive performance and financial results. This position has a significant impact on the division's ability to meet business expectations of those we serv

Are you ready to lead the charge in revolutionizing reimbursement practices for one of the nation's top tier academic and integrated health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and third party payer reimbursement programs. Reporting to the System Vice President of Contracting

Corewell Health is seeking a highly skilled and experienced Senior Risk Analyst to join our clinical risk team, providing essential support to our West and South regional teams. This pivotal role requires an individual with experience producing data from a robust and dynamic platform, managing projects, and swiftly adapting to shifting priorities. The ideal candidate will

Eligible for a $2,500 sign on bonus Eligible for Full Time benefits Shift Full Time Day Shift The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals. Is a subject matter expert in

Under general supervision, responsible for all functions relating to ensuring that all appropriate practitioners are enrolled in government programs and commercial health plans. Primary responsibilities include taking a new provider application from receipt to inclusion in directory and making ongoing updates. Responsibilities include data entry, data collection, analysis