Top 232 Data & technical business Jobs in East Lansing, Mi

Supervisor, Special Investigations Unit Operations
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- 5 years
- Word processing
- Research
- Dental insurance
- Opportunities for advancement
Compliance Technology and Data Administrator
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- Computer Science
- 5 years
- Mid-level
- Dental insurance
- Opportunities for advancement
Encounter Data Specialist
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- 5 years
- Word processing
- Research
- Dental insurance
- Opportunities for advancement
3d
Program Manager
American Tooling Center —Lansing, MI
- Weekends as needed
- Background check
- 7 years
- Engineering
- Health insurance
- Dental insurance
Quick Apply
Marketing Analyst
Aristocrat Interactive —Lansing, MI
- $73,500 - $145,600 a year
- Full-time
- Hybrid work
- Background check
- Marketing
- Mid-level
- Health insurance
- Dental insurance
ITPA11 - Data Warehouse Developer
State of Michigan —Lansing, MI
- $24.32 - $44.63 an hour
- Online Application
- Hybrid work
- Computer Science
- High school
- Office
- Paid parental leave
- Health savings account
4d
Data Analyst Coordinator I
Michigan State University —East Lansing, MI
- Full-time
- Mid-level
- SQL
- Analysis skills
9d
ITPA12 - Senior Business Analyst
State of Michigan —Lansing, MI
- $33.45 - $48.09 an hour
- Online Application
- Hybrid work
- Computer Science
- High school
- Office
- Paid parental leave
- Health savings account
7d
Facilities Maintenance Systems Admin Assistant
Meijer —Lansing, MI
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Research
- Store discount
- Paid parental leave
Senior Data Analyst
Niowave Inc. —Lansing, MI
- Full-time
- Azure
- Computer Science
- 8 years
Quick Apply
Business Systems Analyst/Technical Consultant
Solution Technology Associates —Okemos, MI
- 5 years
- Travel
- Reliable transportation
Business Analyst
Intone Networks —Lansing, MI
- Contract
- 6 years
- Organizational skills
- Senior level
Document Analyst
Emergent Holdings —Lansing, MI
- Full-time
- Customer service
- Word processing
- Computer literacy
Training Specialist
Emergent Holdings —Lansing, MI
- Full-time
- Public speaking
- Mid-level
- Master's degree
11d
Human Resources Generalist
State of Michigan —Lansing, MI
- $43,084 a year
- Overtime
- Mid-level
- Office
- Administrative experience
- Disability insurance
- Health insurance
Business Intelligence Analyst
GreenStone Farm Credit Services —East Lansing, MI
- Computer Science
- Mid-level
- Office
- Paid parental leave
- AD&D insurance
Document Analyst
AF Group —Lansing, MI
- Customer service
- Word processing
- Computer literacy
2d
Operations Administrator - Department of Public Works and Environmental Services
City of East Lansing —East Lansing, MI
- $83,512.26 - $116,894.70 a year
- Full-time
- 7 years
- Inventory management
- Office
- Paid parental leave
- Paid holidays
Business Analyst
Stafford Gray —Lansing, MI
- Contract
- Hybrid work
- Azure
- Computer Science
- 8 years
Quick Apply
Business Analyst -II
Select Minds LLC —Lansing, MI
- $82,500 - $88,000 a year
- Full-time
- Hybrid work
- Office
- US work authorization
- Senior level
- Opportunities for advancement
Quick Apply
8d

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Supervisor, Special Investigations Unit Operations

Delta Dental of Michigan -
Okemos, MI

Apply Now

Job Details

Full-time

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Contract documentation review
Healthcare financial misconduct investigations
Contract review
Team leadership
Word processing
Spreadsheets
Contract interpretation
Research
Health insurance knowledge
Healthcare billing investigations
Insurance investigations
Presentation preparation
Productivity software
Insurance (Financial sectors)
Healthcare ethical conduct investigations
Technical Proficiency
Data analysis software

Full Job Description

Job Title:

Supervisor, Special Investigations Unit Operations

Number of Positions:

Location:

Okemos, MI

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

Plans, organizes, and supervises the Provider Auditor Focused Review Special Investigation Unit (SIU) , including oversight of data research and review, and audit and investigation activities. E nsures all team operations align with corporate and departmental goals and objectives, maintains compliance with applicable standards and policies, and supports continuous improvement in Focused Review processes.

Primary Job Responsibilities:

Supervises and monitors the daily administrative and technical functions of the Focused Review SIU teams, data research and review, and audit and investigation activities to ensure efficient, compliant operations that support departmental and corporate goals and objectives.
Supports staff recruitment, onboarding, and development by assisting with interviewing, training, mentoring, and evaluating team members to promote accountability and achievement of individual and team objectives.
Oversees staff engaged in data research, report development, and analytics, serving as a resource for audit and research questions and providing guidance to internal and external stakeholders on reporting issues, provider agreements, processing policies, client contracts, and regulatory compliance for both commercial and government programs.
Implements and enforces policies, procedures, and standards for audits and investigations, and assists in preparing departmental reports and analyzing business processes to ensure compliance with regulatory requirements for both commercial and government programs.
Facilitates communication with law enforcement and legal representatives by supporting the preparation of documentation and responses to subpoenas, and assisting with administrative or judicial proceedings related to fraud, waste, and abuse.
Builds and maintains collaborative relationships with business partners to provide operational support, clarify requirements, and promote effective use of SIU services and solutions.
Acts as a liaison for staff and internal departments, providing expertise and interpretation of dental policies, procedure codes, and processing guidelines related to claims adjudication, fraud, waste, and abuse activities.
Assists in developing and implementing departmental strategies, goals, and objectives to support continuous improvement and operational excellence.
Supports budget monitoring and resource allocation for the Focused Review SIU teams as directed by management.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor’s degree in business administration , criminal justice, or related field a nd five years of experience conducting investigations, audit s, or complex data analy sis . Previous leadership experience is preferred , as well as experience reviewing claims activity, provider behavior, or group contract compliance. Will accept any suitable combination of education, training, or experience.

Position requires advanced knowledge of the insurance industry operations; strong investigative skills related to fraud, waste, and abuse; proficiency with analytic al tools, word processing, spreadsheet, and presentation software skills; strong verbal and written communication skills, strong organizational and analytical skills; the ability to lead investigative teams ; the ability to interpret contract language and identify indicators of fraudulent activity ; the ability to manage multiple assignments with competing deadlines; and the ability to resolve complex problems using independent judgment. Professional certifications such as CFE, CIA, AHFI are preferred .

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Apply Now

Refine Your Search

data & technical business jobs in east lansing, mi

Supervisor, Special Investigations Unit Operations

Compliance Technology and Data Administrator

Encounter Data Specialist

Program Manager

Marketing Analyst

ITPA11 - Data Warehouse Developer

Data Analyst Coordinator I

ITPA12 - Senior Business Analyst

Facilities Maintenance Systems Admin Assistant

Senior Data Analyst

Business Systems Analyst/Technical Consultant

Business Analyst

Document Analyst

Training Specialist

Human Resources Generalist

Business Intelligence Analyst

Document Analyst

Operations Administrator - Department of Public Works and Environmental Services

Business Analyst

Business Analyst -II

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