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

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
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
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
Government Programs Claims Analyst - Metrics and Monitoring
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Finance
- Dental insurance
- Opportunities for advancement
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
Business Intelligence Analyst
GreenStone Farm Credit Services —East Lansing, MI
- Computer Science
- Mid-level
- Office
- Paid parental leave
- AD&D insurance
Data Analyst Coordinator I
Michigan State University —East Lansing, MI
- Full-time
- Mid-level
- SQL
- Analysis skills
9d
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
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
Document Analyst
AF Group —Lansing, MI
- Customer service
- Word processing
- Computer literacy
2d
Document Analyst
Emergent Holdings —Lansing, MI
- Full-time
- Customer service
- Word processing
- Computer literacy
Business Analyst
Stafford Gray —Lansing, MI
- Contract
- Hybrid work
- Azure
- Computer Science
- 8 years
Quick Apply
Compliance Product Analyst I
Vertafore —East Lansing, MI
- $50,000 - $550,000 a year
- Full-time
- Hybrid work
- Writing skills
- SQL
- Bachelor's degree
- Commuter assistance
- Health savings account
Quick Apply
Program Manager, Customer Care Services
ICF —Lansing, MI
- $98,614 - $167,644 a year
- Full-time
- Hybrid work
- Microsoft Word
- Background check
- Microsoft Excel
- Travel reimbursement
- Employee stock purchase plan
Project Manager/Business System Analyst
Solution Technology Associates —Okemos, MI
- System design
- Java
- SQL
Warehouse Solutions Design Manager (remote)
Ryder System —Lansing, MI
- $120,000 - $140,000 a year
- Remote
- Dry van
- Research
- Flatbed truck
- Disability insurance
- Health insurance
Change Manager I - Remote
CSAA Insurance Services, Inc. —Okemos, MI
- $129,825 - $173,150 a year
- Full-time
- Remote
- Bachelor of Science
- Data analysis skills
- Mid-level
- 401(k) matching
3d

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Encounter Data Specialist

Delta Dental of Michigan -
Okemos, MI

Apply Now

Job Details

Full-time
3 days ago

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Benefits administration
Word processing
Spreadsheets
Bachelor's degree
Desktop applications
Productivity software
Health insurance management

Full Job Description

Job Title:

Encounter Data Specialist

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:

Analyzes, corrects, and recommends solutions to internal and external stakeholders regarding encounter data issues, policies, processes, requirements, and records.

Primary Job Responsibilities:

Corrects rejected encounters in compliance with internal and external processing guidelines and best practices.
Researches, reviews, and interprets encounter data to identify potential issues and address rejected records.
Monitors, manages, and audits encounter submissions to ensure timely and accurate file submission and processing.
Develops, maintains, and updates all encounter policies and procedures.
Monitors related processes to ensure internal and external requirements are met, partners with functional areas to maintain claims system support tables, and performs data entry or general data maintenance for eligibility, providers, fee sets, and benefits for related records.
Conducts root cause analysis for encounter errors reviews results, processes, and/or system programming with other departments to minimize repeat issues.
Creates and maintains an encounter error library, policies and procedures to correct rejected encounters, and daily and weekly reports.
Analyzes trends of rejected encounters, identifies opportunities for improvement, and recommends solutions.
Develops and tests internal audit and Integrated Data Management reports to prevent rejections and oversees the completion of audit reports in other departments.
Establishes and maintains strong relationships with internal and external plans, partners, and other stakeholders to correct, prevent, and resolve encounter errors.
Serves as a subject matter expert and internal consultant on encounter data, policies, processes, corrections, and provides training to internal stakeholders regarding regulatory changes.
Leads and participates in encounter data and compliance meetings as assigned.
Oversees compliance with data integrity policies for all system configurations.

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 or a related field and five years of experience identifying, analyzing, or resolving business, system, or process issues in the administration of health plan benefits. Previous experience in the administration of Medicare and/or Medicaid programs and Centers for Medicare and Medicaid regulations and guidelines is preferred. Will accept any suitable combination of education, training, or experience.

Position requires knowledge of word processing, spreadsheet, presentation, and database applications; strong verbal and written communication skills; strong analytical skills; the ability to work independently and as part of a team; the ability to manage multiple assignments with competing deadlines; and the ability to identify and resolve complex problems using independent judgement.

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

Encounter Data Specialist

Program Manager

Supervisor, Special Investigations Unit Operations

Compliance Technology and Data Administrator

Marketing Analyst

Government Programs Claims Analyst - Metrics and Monitoring

ITPA11 - Data Warehouse Developer

Business Intelligence Analyst

Data Analyst Coordinator I

Business Systems Analyst/Technical Consultant

Business Analyst

ITPA12 - Senior Business Analyst

Document Analyst

Document Analyst

Business Analyst

Compliance Product Analyst I

Program Manager, Customer Care Services

Project Manager/Business System Analyst

Warehouse Solutions Design Manager (remote)

Change Manager I - Remote

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