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Payments Risk Analyst Jobs in Michigan (NOW HIRING)

McLaren

Coordinator Managed Care

Auburn Hills, MI · On-site

$18.25 - $24.50/hr

Conducts contract modeling and analysis with an understanding of population health and value-based ... payments, risk contracting, capitation and bundled payments. 3. Five+ (5) years' experience in ...

Fifth Third

Risk Business Analyst III

Farmington Hills, MI · On-site

$43 - $59.25/hr

Excellent presentation skills Risk Business Analyst III At Fifth Third, we understand the ... such payment based upon company, line of business and/or individual performance. Our extensive ...

Carhartt

Sr. Analyst, Accounts Payable

Dearborn, MI · On-site

$20.75 - $27.50/hr

Act as escalation point for complex vendor, payment, or system issues with material financial or reputational risk. * Mentor AP and T&E Specialists and Analysts by setting analytical standards ...

K-Tek Resourcing

Be Seen First

Payment Specialist

Jackson, MI · On-site

... Strong analytical and problem-solving skills for resolving payment failures, variances, and investigations. · Understanding fraud control mechanisms, OFAC/AML compliance, and risk-mitigation ...

New

dfb

Credit Analyst

Dearborn, MI · On-site

Evaluate risk level associated with lending to potential borrowers by analyzing their financial history, payment habits, and overall creditworthiness. * Provide recommendations based on analysis ...

dfb

Credit Analyst

Dearborn, MI

Evaluate risk level associated with lending to potential borrowers by analyzing their financial history, payment habits, and overall creditworthiness. * Provide recommendations based on analysis ...

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Payments Risk Analyst information

What are the key skills and qualifications needed to thrive as a Payments Risk Analyst, and why are they important?

To thrive as a Payments Risk Analyst, you need strong analytical skills, knowledge of financial regulations, and experience in risk assessment, typically supported by a degree in finance, economics, or a related field. Familiarity with transaction monitoring systems, data analysis tools like SQL or Excel, and certifications such as CAMS or CFE are commonly required. Attention to detail, critical thinking, and effective communication are vital soft skills to excel in this role. These competencies are crucial for identifying and mitigating payment fraud, ensuring regulatory compliance, and maintaining the integrity of financial operations.

What are some common challenges faced by Payments Risk Analysts in monitoring and mitigating transaction fraud?

Payments Risk Analysts often encounter the challenge of quickly identifying and responding to evolving fraud patterns while maintaining a seamless customer experience. The role requires balancing proactive risk detection with minimizing false positives, which can inadvertently affect legitimate transactions. Analysts must collaborate closely with data scientists, compliance teams, and customer service to continuously refine fraud detection models and stay updated on emerging threats. Staying adaptable and leveraging advanced analytics tools are key to success in this fast-paced environment.

What are Payments Risk Analysts?

Payments Risk Analysts are professionals responsible for identifying, assessing, and mitigating risks associated with payment processing systems and transactions. They analyze transaction data to detect fraudulent activities, ensure compliance with regulations, and develop strategies to minimize financial losses for organizations. Their work often involves using advanced analytics and risk management tools to monitor trends, investigate suspicious activities, and recommend improvements to payment processes.
What are the most commonly searched types of Payments Risk Analyst jobs in Michigan? The most popular types of Payments Risk Analyst jobs in Michigan are:
What are popular job titles related to Payments Risk Analyst jobs in Michigan? For Payments Risk Analyst jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Payments Risk Analyst jobs in Michigan look for? The top searched job categories for Payments Risk Analyst jobs in Michigan are:
What cities in Michigan are hiring for Payments Risk Analyst jobs? Cities in Michigan with the most Payments Risk Analyst job openings:
Payments Risk Analyst jobs near you
Infographic showing various Payments Risk Analyst job openings in Michigan as of June 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution.
Alternative Payment Model Coordinator (Hybrid/Troy, MI) - Health Alliance Plan

Alternative Payment Model Coordinator (Hybrid/Troy, MI) - Health Alliance Plan

HAP (Health Alliance Plan)

Troy, MI • On-site

Other

Posted 3 days ago

Job description

GENERAL SUMMARY:
The Alternative Payment Model (APM) Coordinator supports the planning, implementation, and ongoing management of value-based care programs and alternative payment models across the organization. This role ensures accurate tracking of quality metrics, financial performance, reporting requirements, provider engagement, and compliance with payer and government program expectations. The APM Coordinator works closely with clinical, operational, financial, and analytics teams to improve outcomes and support organizational success in valuebased arrangements.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

  • Coordinate activities related to CMS, commercial, and Medicaid/Medicare Advantage APMs (e.g., Shared Savings, Bundled Payments, PCMH, ACO programs).
  • Maintain program timelines, deliverables, reporting requirements, and communication workflows.
  • Support readiness assessments and implementation plan for new APM contracts or performance years.
  • Tracks impactful program elements such as payment timelines & notification requirements.
  • Monitor quality, cost, utilization, and risk-adjustment metrics tied to APM performance.
  • Collaborate with analytics teams to validate data accuracy and identify trends or performance gaps.
  • Assist in preparing dashboards and reports for clinical leadership and executive teams.
  • Provider & Stakeholder Engagement.
  • Serve as a liaison between clinical teams, administrative staff, payers, and leadership regarding APM activities.
  • Coordinate provider education on program requirements, quality measures, risk coding, and performance updates.
  • Support communication plans that drive provider alignment and engagement in APM initiatives.
  • Ensure compliance with payer program guidelines, CMS reporting expectations, and contract requirements.
  • Maintain accurate program documentation, audit files, and policy materials.
    Assist with preparation of materials for internal and external audits.
  • Operational Support.
  • Facilitate regular APM meetings, prepare agendas, track action items, and drive accountability.
  • Support crossfunctional teams with workflow development, documentation updates, SOPs, and improvement initiatives.
  • Monitor deadlines, submissions, and payer notifications to ensure timely completion.
  • Perform additional responsibilities as assigned.

EDUCATION/EXPERIENCE REQUIRED:

  • Bachelor's degree in healthcare administration, Business, Public Health, or related field (or equivalent experience).
  • Minimum of two (2) years of experience in healthcare administration, population health, valuebased care, managed care, or quality improvement.
  • Understanding of APM concepts such as shared savings, bundled payments, risk adjustment, HEDIS measures, and value-based contracts.
  • Strong analytical, organizational, and project coordination skills.
  • Proficiency with Microsoft tools (Excel, Teams, SharePoint, PowerPoint) and data systems.
  • Excellent verbal, written, and interpersonal communication abilities.
  • Experience with CMS Innovation Center models, ACOs, or pay-for-performance programs, preferred.
  • Familiarity with healthcare quality frameworks (NCQA, HEDIS, CMS Star Ratings, MIPS), preferred.
  • Experience working with EMRs, population health platforms, or analytics tools, preferred.
  • Project management or lean process improvement experience/certification (e.g., CAPM, Lean Six Sigma), preferred.
Additional Information
  • Organization: HAP (Health Alliance Plan)
  • Department: Provider Contracting
  • Henry Ford Health Location: HAP (Health Alliance Plan) 
  • Shift: Day Job
  • Union Code: Not Applicable

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