Top 73 Processing manager 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
Card Services Manager
LAFCU —Lansing, MI
- 5 years
- Office
- Analysis skills
- 401(k)
- Tuition reimbursement
Innovation Manager
The Christman Company —Lansing, MI
- Extended hours
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Health insurance
Quick Apply
1d
Property Manager
First Housing Corporation —Lansing, MI
- Computer literacy
- Mid-level
- Office
Community Manager
Continental Management —Holt, MI
- $20 - $22 an hour
- Full-time
- Computer literacy
- Mid-level
- Ability to climb stairs
Quick Apply
3d
Disclosure Services Manager
First National Bank of America —East Lansing, MI
- Mid-level
- Office
- 3 years
- Health savings account
- Paid time off
Quick Apply
Quality Manager and Metallurgist
Aalberts Surface Technologies AA LLC —Lansing, MI
- Management
- 5 years
- Word processing
Regional Field Manager
Civic Empowerment Coalition —Lansing, MI
- $50,000 - $55,000 a year
- Weekends as needed
- Spanish
- Microsoft Outlook
- Word processing
- Continuing education credits
- Opportunities for advancement
Office Manager
Premier Dentist Partners —Okemos, MI
- $65,000 - $67,000 a year
- Full-time
- Dental office
- HIPAA
- Bachelor's degree
- Commuter assistance
- AD&D insurance
Donor Services Manager
Catholic Diocese of Lansing —Lansing, MI
- Online Application
- Mid-level
- Office
- High school diploma or GED
Quick Apply
Maintenance Manager
Michigan Milk Producers Assoc —Ovid, MI
- Full-time
- Background check
- Pass drug screening
- 8 years
- Disability insurance
- Health insurance
Quick Apply
7d
Distribution Warehouse Manager
RJ Schinner Co —Lansing, MI
- Full-time
- Mid-level
- Forklift
- 3 years
- Paid holidays
- Disability insurance
Quick Apply
Office Manager/ Chiropractic Assistant
Top Notch Chiropractic —Okemos, MI
- From $18 an hour
- Part-time
- Vital signs
- Surgery
- Writing skills
Quick Apply
3d
Supervisor, Production
LG Energy Solution Michigan, Inc. —Lansing, MI
- Mid-level
- High school diploma or GED
- Programmable logic controllers
Quick Apply
Retail Store Manager - Territory Floater E
Goodwill Industries of Central Michigan's Heartland —Lansing, MI
- $60,000 - $65,000 a year
- Weekends as needed
- Clean driving record
- Merchandising
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Bakery Associate Team Leader (Assistant Department Manager)
Whole Foods Market —East Lansing, MI
- $20.05 - $35.00 an hour
- 8 hour shift
- Inventory control
- Merchandising
- Mid-level
- Store discount
- Paid time off
19h
Head Start - Education Supervisor
Capital Area Community Services Inc. —Charlotte, MI
- $30.59 - $31.10 an hour
- Full-time
- School experience
- Writing skills
- Pass drug screening
- Health insurance
Quick Apply
Meat Laboratory Assistant Manager
Michigan State University —East Lansing, MI
- Full-time
- Merchandising
- Mid-level
- University
22h
ENVIRONMENTAL MANAGER
ESFM —Lansing, MI
- $46,000 - $46,500 a year
- Full-time
- Background check
- Microsoft Outlook
- Customer service
- Commuter assistance
- Paid parental leave
Quick Apply
7d
Sr. Strategic Account Manager
Asahi Kasei —Fowlerville, MI
- Full-time
- Hybrid work
- Up to 50% travel
- 5 years
- Bachelor of Science

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processing manager jobs near east lansing, mi

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

processing manager jobs in east lansing, mi

Supervisor, Special Investigations Unit Operations

Card Services Manager

Innovation Manager

Property Manager

Community Manager

Disclosure Services Manager

Quality Manager and Metallurgist

Regional Field Manager

Office Manager

Donor Services Manager

Maintenance Manager

Distribution Warehouse Manager

Office Manager/ Chiropractic Assistant

Supervisor, Production

Retail Store Manager - Territory Floater E

Bakery Associate Team Leader (Assistant Department Manager)

Head Start - Education Supervisor

Meat Laboratory Assistant Manager

ENVIRONMENTAL MANAGER

Sr. Strategic Account Manager

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