Jobs in Analyst

Health Care Analyst

Detroit, MI

SUMMARY: The Healthcare Analyst position is responsible for assisting Medicare Advantage PPO, HMO and PDP plans meet CMS compliance requirements for PBM oversight, CMS reporting, review member eligibility and reporting, benefit set up and testing. Other related skills may be required to perform this job. The maximum hourly rate reflects budget estimates only and does…

Business Analyst

Detroit, MI

SUMMARY Responsible for coordinating the development and implementation of programs and strategies to improve operational performance. Ensure the achievement of long-term, sustainable performance outcomes within CORE Operations through performance analysis, performance coaching, and continuous performance improvement. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Analyze key performance data and trends to…

Business Process Specialist

Houston, TX

Description To support the Operations ITOT Project Systems team with upcoming Merger, Acquisition, & Divestiture activities along with representing Project Systems in the planning, design, and implementation of the S4/Hana to replace the current ECC/SAP R3. Will also support Project Systems in run the business activities including trouble-shooting issues and updating training documentation. Required Skills…

Business Analyst

Detroit, MI

Reporting Analyst for Medicare Business Performance - Business Process Management Top 3 required skills/experience: • Proven ability to translate stakeholder requirements into reporting deliverables while independently working with internal partners. • Proven ability to understand and utilize reporting system capabilities into educating and proposing innovative analytics to divisional leadership. • Identify, document and communicate system…

Business Analyst

Detroit, MI

Primary responsibility includes working closely with external customers who submit 834 membership files. Knowledge of the 834 HIPAA compliant file layout is highly desirable. Apply, analyze and manage 834 and membership business rules. Manage phone inquiries from external customers related to 834 customer inquiries. Analyze, process and/or expedite operational membership transactions; this may include timely…

Business Analyst II

Detroit, MI

SUMMARY Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Assist and support in the planning,…

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. Bachelor's Degree in Business Administration, Health Care, or a related field is preferred. Two (2) or more years of experience in related field required. RESPONSIBILITIES/TASKS: • Researches, analyzes, identifies, and evaluates data from assigned…