Jobs in Analyst

Architect

Dearborn, MI

Position Description: Responsible for Solution Architecture for one or more products, scalability, security, performance, etc. This includes consideration for cross-product interdependencies and integration. Provides troubleshooting for technical and performance issues, and guidance to product teams on technology standards. Working with Data Science supporting agile processes to deliver cloud native analytics products across many product areas.…

Business Analyst I

Detroit, MI

Responsible for assisting and supporting the Group Operational Readiness team in the project coordination, establishment, and delivery of programs including but not limited to 2022 and 2023 ASC Contracting. Top 3 Required Skills/Experience – The most important must-have skills. Include: • Advanced Microsoft Skills in Word and Sharepoint, along with intermediate skills in Excel and…

Prior Authorization Specialist

Detroit, MI

Engagement Description – This position requires the ability to multitask within a high-volume concierge contact center setting. Top 3 Required Skills/Experience – • Ability to process Coverage Determination Requests within CMS Timeframes • Ability to communicate all pharmacy benefits both verbally and written • Ability to have strong attention to detail while multitasking within a…

Business Analyst

Detroit, MI

Engagement Description – Customer Service Performance oversight Top 3 Required Skills/Experience – • Microsoft Excel • Data Analysis experience • Ability to manage multiple resources to resolve issues Required Skills/Experience – The rest of the required skills/experience. Include: • Microsoft Office Suite: Word, Outlook, PowerPoint Preferred Skills/Experience – Optional but preferred skills/experience. Include: • Experience…

Business Analyst Senior

Detroit, MI

Medicare and IKA experience are a must. Engagement Description – The resource’s primary job will be assisting our team with Medicare Advantage Audits Top 3 Required Skills/Experience – • Advanced Knowledge of Medicare Advantage Claims processing and payments • Advanced Knowledge of CMS guideline • Experience with IKA Required Skills/Experience – The rest of the…

Prior Authorization Specialist

Detroit, MI

Will this position be required to work onsite for any reason at any time? No, vaccine is not required. Engagement Description – This position requires the ability to multitask within a high-volume concierge contact center setting. Top 3 Required Skills/Experience – • Ability to process Coverage Determination Requests within CMS Timeframes • Ability to communicate…

Senior Health Care Analyst

Detroit, MI

Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management. Other related skills and/or abilities may be required to perform this job. Responsible for leading Data Governance functions and initiatives to maintain data governance maturity and support of enterprise priorities Facilitates Data Governance business…

Product Manager

Dearborn, MI

Position Description: Responsible for Solution Architecture for one or more products, scalability, security, performance, etc. This includes consideration for cross-product interdependencies and integration. Provides troubleshooting for technical and performance issues, and guidance to product teams on technology standards. Working with Data Science supporting agile processes to deliver cloud native analytics products across many product areas.…

Specialsit

Detroit, MI

Engagement Description – Responsible for assisting and supporting the Group Operational Readiness team with creating and delivering administrative services contracts, reports and other documents. Top 3 Required Skills/Experience – • Proven Microsoft Skills in Word and Sharepoint, along with intermediate skills in Excel. • Excellent administrative coordination and follow-up, as well as task tracking. •…

Senior Health Care Analyst

Detroit, MI

Engagement Description – Responsible for leading Data Governance Business Analyst functions and initiatives to maintain data governance maturity and support of enterprise priorities. Responsible for collecting, analyzing, and maintaining information to identify/evaluate issues that support prospective business decisions. Coordinate projects and prepare presentation materials for senior management. Other related skills and/or abilities may be required…

Digital Analyst

Southfield, MI

Works with all stakeholders and internal Digital Experience members to derive and document functional requirements for digital projects. Acts as a liaison between the requestors (business) and the digital strategy/design/execution teams, who interpret and act upon the requirements that this role defines and documents. Collaborates with subject matter experts to ensure requirements are accurate, complete,…

Business Analyst

Detroit, MI

Engagement Description – Position operates cross functionally within broad objectives related to the Healthy Kids Dental Medicaid program to ensure optimum oversight of dental vendor and satisfying contract requirements. Research, compile and analyze appropriate and relevant reporting and policies and make recommendations for operational improvements. Collaborate with other business areas internally and externally as well…

IT Strategic Portfolio Management

Dearborn, MI

Position Description: The ideal candidate will possess a blend of business and technical savvy, with a big-picture vision and the drive to make that vision a reality. This role involves close collaboration with IT and Finance professionals at all levels within the organization. This position requires a self-starter who is hard working and detail oriented…

Business Intelligence Analyst

Auburn Hills, MI

The Business Intelligence Analyst will work alongside product and software developer partners to put science into decision making. Responsibilities include but not limited to: • Designing, building and maintaining product/ feature health metrics and monitoring visualizations • Working closely with software designers and engineering stakeholders to answer mission-critical questions • Make recommendations by translating data…

Intermediate Controls Specialist

Detroit, MI

Intermediate Controls Specialist provides support for all plant floor related automation control based systems supported by the IT organization. Responsibilities include but not limited to: • Support includes the implementation of system changes, support of daily plant activities relating to these systems, and system management including the implementation of IT standards and incident management. •…

Systems Analyst II

Detroit, MI

Systems Analyst is responsible for planning, developing, testing and implementing IT system solutions that improve business efficiency and productivity as well as support business strategies and goals. They identify and communicate business needs and translate business requirements into technical system and functional specifications. Systems Analysts determine if internal or external solutions exist or whether new…

QA Analyst II

Brighton, MI

Engagement Description – Supports the IT development process by executing and maintaining test plans, identifies issues and works with development team on resolution. • Execute functional and regression tests for web-based applications, quoting tools, and administrative system releases • Monitors/triages/debugs issues and helps identify fixes • Contributes to continuous improvement in processes • Work as…

User Support

Dearborn, MI

Position Description: The Document Collaboration Services team provides end-to-end service support for the following customer-facing product offerings: Office 365 SharePoint and OneDrive, Microsoft 365 Power Suite (Apps, Automate, BI) and MS Forms. This is an Operational Support position which involves: - Interacting with end users; Internal Ford employees and external partners (i.e. Suppliers and Dealers)…

Systems Analyst III

Detroit, MI

Identify and communicate business needs and translate business requirements into technical system and functional specifications. Support one or more moderately to highly complex business processes/systems for multiple business units. Participate in business short-term planning sessions to ensure understanding of business goals, direction and business requirements; provide input from an IT systems perspective. Serve as a…

Systems Analyst II

Detroit, MI

• 3 years’ experience in NASCO 3270 mainframe including preparing/executing test claims for all lines of business • Minimum 3 years’ experience in BFM/BFAST environment, GENO Table, Procedure & Diagnosis Files • Experience in CSR creation, updates & development • Knowledge of Medical, Benefit and Payment Policy • Ability to work effectively with multiple internal/external…

Business Analyst

Detriot, MI

Essential Duties and Responsibilities: • Works closely with Operations, Application Development, and IT QA to ensure development and testing efforts are completed and meet all outlined requirements in the implemented solution. • Perform business testing and defect identification before code is deployed to production. • Perform sanity check after production launch. • Skilled on Salesforce…

Business Analyst III

Detroit, MI

Serve as a liaison between the business area and the IT organization to provide technical solutions required for the achievement of business goals. Collect, analyze, develop, document, and communicate business requirement. Support one or more highly complex business processes, requiring design or integration of technical solutions that may cross multiple function of the business •…

Prior Authorization Specialist

Detroit, MI

Will this position be required to work onsite for any reason at any time? No, vaccine is not required. Engagement Description – This position requires the ability to multitask within a high-volume concierge contact center setting. Top 3 Required Skills/Experience – • Ability to process Coverage Determination Requests within CMS Timeframes • Ability to communicate…

Graphic Designer

Detroit, MI

Engagement Description – Seeking a communications professional with experience in graphic design and writing. This position will develop and design communications utilizing provided content. Position may be asked to revise previously designed materials. Must provide samples of previous work. Top 3 Required Skills/Experience – • Experience with Adobe creative apps and Microsoft Office suite •…

Prior Authorization Specialist

Detroit, MI

SUMMARY: Support providers (pharmacists and physicians) with Medicare Part D drug coverage inquiries, Grievances, and prior authorizations. RESPONSIBILITIES/TASKS: Answer telephones in an efficient and timely manner to lend appropriate assistance to providers. Process prior authorization requests under the supervision of a Clinical Pharmacist. Apply pharmacy prior authorization criteria used in the adjudication of pharmacy PA…

Business Analyst Adv

Detroit, MI

Top 3 Required Skills/Experience – • Knowledge of Stars, Risk Adjustment, Provider Network Management, and Medical Management. • Excellent analytical, planning, problem solving, verbal, and written skills to communicate complex ideas. • Ability to work independently, within a team environment, and communicate effectively with employees at all levels. Required Skills/Experience – The rest of the…

Prior Authorization Specialist

Detroit, MI

Will this position be required to work onsite for any reason at any time? No, vaccine is not required. Engagement Description – This position requires the ability to multitask within a high-volume concierge contact center setting. Top 3 Required Skills/Experience – • Ability to process Coverage Determination Requests within CMS Timeframes • Ability to communicate…

Prior Authorization Specialist

Detroit, MI

Will this position be required to work onsite for any reason at any time? No, vaccine is not required. Engagement Description – This position requires the ability to multitask within a high-volume concierge contact center setting. Top 3 Required Skills/Experience – • Ability to process Coverage Determination Requests within CMS Timeframes • Ability to communicate…

Systems Analyst III

Detroit, MI

Systems Analyst III Departmental Requirements • Five (5) years of experience as business analyst or systems analyst • Experience facilitating JAD/Requirements Elicitation sessions • Healthcare experience DEPARTMENTAL PREFERENCES • Competent to work at a high technical level for the entire application development life cycle • Healthcare experience with knowledge of EDI-278 transactions • Strong understanding…

IT Strategic Portfolio Management Senior

Dearborn, MI

Position Description: The ideal candidate will possess a blend of business and technical savvy, with a big-picture vision and the drive to make that vision a reality. This role involves close collaboration with IT and Finance professionals at all levels within the organization. This position requires a self-starter who is hard working and detail oriented…

Architect

Dearborn, MI

Position Description: • To provide technical solutions leveraging SAP and non-SAP technologies, such as S/4HANA, Ariba, BPC, Informatica MDM, Informatica IICS, PCF, APIGEE, Vertex cloud and Open Text Invoicing. • To troubleshoot the complex production issues including performance issues. • To establish technical standards and evaluate custom solutions. • To lead the vendor architecture evaluation…

Pharmacy Authorization Specialist

Detroit, MI

SUMMARY: Support providers (pharmacists and physicians) with Medicare Part D drug coverage inquiries, Grievances, and prior authorizations. RESPONSIBILITIES/TASKS: • Answer telephones in an efficient and timely manner to lend appropriate assistance to providers • Process prior authorization requests under the supervision of a Clinical Pharmacist.- • Apply pharmacy prior authorization criteria used in the adjudication…