Top 11 Claims analyst Jobs in Lansing Mi

Clinical Operations Program Integrity Analyst
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- Computer Science
- Mid-level
- 3 years
- Dental insurance
- Opportunities for advancement
Claims Analyst - REMOTE
Ryder System —Lansing, MI
- $90,000 - $100,000 a year
- Full-time
- Remote
- Customer service
- Bachelor's degree
- Experience equivalent to degree accepted
- Disability insurance
- Health insurance
14d
Hospital Billing Analyst
Deloitte —Lansing, MI
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
13d
Data & Reporting Analyst
Michigan Public Health Institute (MPHI) —Lansing, MI
- $27.43 - $31.06 an hour
- Overtime
- Computer literacy
- Research
- Mid-level
2d
Commercial Claims Quality & Performance Analyst III - Remote
CSAA Insurance Services, Inc. —Okemos, MI
- $74,295 - $99,050 a year
- Full-time
- Remote
- High school diploma or GED
- Bachelor's degree
- Continuous improvement
- 401(k) matching
23h
Epic Tapestry Membership Sr. Analyst
Deloitte —Lansing, MI
- $80,000 - $110,000 a year
- Full-time
- Microsoft Excel
- 5 years
- HIPAA
Board Certified Behavior Analyst (BCBA)-Lansing
Gateway Pediatric Therapy —Lansing, MI
- $77,000 - $85,000 a year
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Clinic
- Continuing education credits
- Mileage reimbursement

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Medical Biller
Great Lakes Center of Rheumatology —Lansing, MI
Revenue Cycle Management: Oversee the entire billing cycle, including charge entry, claim submission, payment posting, and denial management to optimize cash…
$16 - $24 an hour
Quick Apply
Billing and Accounts Receivable Manager
Deloitte —Lansing, MI
Bachelor's degree, preferably in information technology, business, or healthcare related field; or equivalent experience.
$140,000 - $160,000 a year
5d

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Claims Analyst - REMOTE
Ryder System —Columbus, OH
Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Handles cases in compliance with state statutes.
$90,000 - $100,000 a year
14d
Claims Analyst
Arrive Logistics —Columbus, OH
You will drive comprehensive claim management from initiation to resolution, integrating strategic analysis of claims trends to identify risks and develop…
Quick Apply

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claims analyst jobs near lansing mi

Clinical Operations Program Integrity Analyst

Delta Dental of Michigan -
Okemos, MI

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Job Details

Full-time

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Reporting and dashboarding tools
Health insurance knowledge
Productivity software
Research findings presentation
Data analysis software

Full Job Description

Job Title:

Clinical Operations Program Integrity Analyst

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:

Designs, develops and deploys data-driven analytics and predictive models to support Government Programs Clinical Operations in strengthening program integrity and improving reporting and decision-making.

Primary Job Responsibilities:

Designs, develops, validates, and deploys predictive models and other advanced analytics using appropriate analytical techniques and software tools.
Administers end-to-end analytical research for Government Programs Clinical Operations initiatives, including defining objectives, selecting and evaluating data, determining analytical approaches and methods, performing analysis and testing, conducting quality assurance, and interpreting results.
Serves as a consultant to internal and external customers on reporting, analytics, and research questions, translating business needs into clear deliverables and actionable insights.
Partners with the Government Programs Clinical Operations team to review and analyze provider billing and treatment patterns, identify potential outliers or areas of concern, and develop monitoring action plans.
Develops and deploys needs assessments, case studies, and related analytic deliverables to support monitoring activities and inform operational decisions.
Plans, coordinates, and performs provider research for preliminary investigative reviews, including analysis to identify outlying data, substantiate referrals, and make recommendations on actions needed.
Develops, maintains, and enhances departmental dashboards and databases to store, organize, and present data, and ensures data availability and usability for reporting and analysis.
Troubleshoots and resolves system, data, and database issues and supports data quality, integrity, and consistent definitions across sources.
Collects and curates data by analyzing business results and by developing, initiating, and managing new information studies as needed.
Transforms, cleans, and converts data into analysis-ready formats and creates repeatable processes that improve efficiency and reproducibility.
Builds and maintains tools and scripts to automate data collection and recurring analytical workflows.

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 computer science, information systems, business administration or a related field and three years of experience performing data analytics in a business setting. Will accept any suitable combination or education, training, or experience.

Position requires general knowledge of insurance business, the claims processing system and other business applications; the ability to use data extraction and analysis tools, such as Microsoft Office, Oracle Discoverer, SQL, Tableau, and ACL; strong verbal and written communication skills; strong analytical skills; the ability to convey written and oral summaries of data analysis to clients, team members, and business leaders; and the ability to resolve problems using independent judgment.

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.

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Refine Your Search

claims analyst jobs in lansing mi

Clinical Operations Program Integrity Analyst

Claims Analyst - REMOTE

Hospital Billing Analyst

Data & Reporting Analyst

Commercial Claims Quality & Performance Analyst III - Remote

Epic Tapestry Membership Sr. Analyst

Board Certified Behavior Analyst (BCBA)-Lansing

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