Top 1712 Contract administration Jobs in Michigan

Special Investigations Unit Investigator
Delta Dental of Michigan —Okemos, MI
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Dental insurance
- Opportunities for advancement
1d
Manager, U.S. Health Care Benefits Administration
Ford Motor Company —Dearborn, MI
- $115,500 - $218,100 a year
- Online Application
- Hybrid work
- 7 years
- HIPAA
- Office
- Paid parental leave
- Paid holidays
Special Education Teacher
Michigan International Prep School —Davison, MI
- $55,000 - $62,000 a year
- Full-time
- Hybrid work
- Background check
- High school
- Teaching Certification
- Health insurance
- Dental insurance
Certified Athletic Trainer- Grosse Pointe North High School
HealthQuest Physical Therapy —Saint Clair Shores, MI
- $32 an hour
- Weekends as needed
- High school
- BLS Certification
- Clinic experience
- Health savings account
- Health insurance
Certified Athletic Trainer- L’Anse Creuse High School
HealthQuest Physical Therapy —Mount Clemens, MI
- $33 an hour
- Weekends as needed
- High school
- BLS Certification
- Clinic experience
- Health savings account
- Health insurance
Physical Therapist
Pediatric Health Consultants Inc —Oakland County, MI
- $42.00 - $50.50 an hour
- Part-time
- School experience
- Physical & Rehabilitation Medicine
- Mid-level
- Continuing education credits
- Paid time off
Quick Apply
Director of Long Term Care
HealthtechS3 —Sault Ste. Marie, MI
- From $27 an hour
- 8 hour shift
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
Audio Visual Construction Project Manager
CSM Group —Kalamazoo, MI
- From $120,000 a year
- Full-time
- Construction site
- Ability to lift 50 pounds
- Driving
- Wellness program
- Paid parental leave
Quick Apply
10d
Senior School Lead
CM Schumacher Consulting, LLC —Michigan
- $93,500 - $125,000 a year
- Full-time
- Background check
- School experience
- 3 years
- Paid time off
- Professional development assistance
Quick Apply
10d
School Based Speech Language Pathologist - PRN - Flexible Schedule!
PSI Solutions —Muskegon, MI
- Contract
- School experience
- Mid-level
- Master's degree
- Continuing education credits
- Health insurance
Quick Apply
Director of Procurement & Laboratory Operations
Confidential —Michigan
- $130,000 - $140,000 a year
- Full-time
- 5 years
- Finance
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
7d
General Manager
Wawonowin Country Club —Champion, MI
- $60,000 - $68,000 a year
- Weekends as needed
- Background check
- Inventory management
- Mid-level
- Paid time off
- Employee discount
Quick Apply
13h
Aftermarket Warranty Clerk
Shea Automotive Group —Flint, MI
- Full-time
- Background check
- Microsoft Outlook
- Dealership
- Health savings account
- Health insurance
Quick Apply
Project Manager - Utilities
Progressive Recruitment —Ypsilanti, MI
- $75,000 a year
- Microsoft Excel
- 5 years
- Engineering
- Dental insurance
- Vision insurance
Registered Nurse Faculty
PES School of Nursing Education LLC —Grand Rapids, MI
- $9,000 a year
- Temporary
- Background check
- School experience
- Classroom
Quick Apply
NCAA Mentor
Michigan International Prep School —Plymouth, MI
- $42,500 a year
- Full-time
- Hybrid work
- Background check
- Customer service
- Ability to sit for extended periods
- Health insurance
- Dental insurance
13d
Netsuite System Administrator - Financial Data Analyst
Futuramic Tool & Engineering —Warren, MI
- Overtime
- Computer literacy
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Associate Attorney
Greenfelder Copes —Chesaning, MI
- Full-time
- Writing skills
- Mid-level
- US work authorization
- Health insurance
- Paid time off
Quick Apply
Sr. Construction Project Manager
Brady Sullivan Properties —Southfield, MI
- Full-time
- Carpentry
- Construction site
- Customer service
Quick Apply
Project Engineer – Commercial Construction
Diag Partners —Farmington Hills, MI
- $100,000 - $130,000 a year
- Full-time
- Mid-level
- Travel
- Organizational skills
Quick Apply
1d

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contract administration jobs near michigan

Special Investigations Unit Investigator

Delta Dental of Michigan -
Okemos, MI

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Job Details

Full-time
1 day ago

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Data mining
Dental terminology
Bachelor's degree
Financial data analysis tools
Data analysis software

Full Job Description

Job Title:

Special Investigations Unit Investigator

Number of Positions:

Location:

Okemos, MI

Location Specifics:

Fully Remote

Job Summary:

Candidates must reside in Michigan within a reasonable commuting distance of our Okemos, MI office for team meetings, collaborative sessions, and training.

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:

Responsible for the research and reporting of internal and external activities of providers and members involved in questionable conduct as it pertains to treatment patterns, claim submissions, contract agreements, and state licensing requirements.

Primary Job Responsibilities:

Plans, coordinates, prepares, and performs in-depth provider and member audits, and researches questionable conduct using data extraction and analysis tools and techniques.
Conducts interviews, requests and preserves evidence, reviews auditee’s treatment and financial records, controls, and other pertinent records.
Prepares written communications to the auditee and mid to senior level management, including requests, audit reports and general correspondence to ensure compliance with contracts or state licenses.
Educates providers and members regarding contractual requirements in order to gain or maintain compliance with participating agreements, client contracts, and applicable laws and regulations.
Provides assistance to law enforcement agencies or attorneys in the detection, defense, and prosecution of fraud, to include responding to subpoenas, preparing documentation, and testifying in administrative or judicial proceedings regarding violations of contracts.
Makes recommendations to enhance system controls and contract agreements in order assist in preventing aberrant behavior.
Develops training programs and educates corporate staff in Anti-Fraud activities.
Assists in implementing, supporting, developing and maintaining relationships with Delta Dental affiliates.

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

#LI-Remote

Minimum Requirements:

Position requires a bachelor's degree in accounting, business administration, finance, healthcare administration, information technology, or a related field and three years of experience auditing, utilizing analytical tools and software, dental claims billing or review, or as a dental hygienist. Will accept any suitable combination of education, training, or experience.

Position requires advanced knowledge of dental terminology and dental procedure codes; knowledge of common data mining tools, such as Audit Command Language (ACL), SQL Developer and IBM’s Fraud and Abuse Management System (FAMS); strong verbal and written communication skills; strong organizational and analytical skills; ability to manage multiple assignments with competing deadlines; and the ability to resolve complex problems using independent judgment.

An Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), or Certified Internal Auditor (CIA) designation is 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

contract administration jobs in michigan

Special Investigations Unit Investigator

Manager, U.S. Health Care Benefits Administration

Special Education Teacher

Certified Athletic Trainer- Grosse Pointe North High School

Certified Athletic Trainer- L’Anse Creuse High School

Physical Therapist

Director of Long Term Care

Audio Visual Construction Project Manager

Senior School Lead

School Based Speech Language Pathologist - PRN - Flexible Schedule!

Director of Procurement & Laboratory Operations

General Manager

Aftermarket Warranty Clerk

Project Manager - Utilities

Registered Nurse Faculty

NCAA Mentor

Netsuite System Administrator - Financial Data Analyst

Associate Attorney

Sr. Construction Project Manager

Project Engineer – Commercial Construction

I want to receive the latest job alert for contract administration in michigan

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