The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider ... Remote - This position is fully remote; the associate must be located in Michigan (MI) and attend ...
The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider ... Remote - This position is fully remote; the associate must be located in Michigan (MI) and attend ...
Digital Manufacturing Analyst (Junior / Entry-Level)
Royal Oak, MI · On-site +1
$30 - $40/hr
You will be at the forefront of digital transformation, translating complex operational data into ... Collaborate closely with engineers, reliability specialists, and remote data teams to refine key ...
Digital Manufacturing Analyst (Junior / Entry-Level)
Royal Oak, MI · On-site +1
$30 - $40/hr
You will be at the forefront of digital transformation, translating complex operational data into ... Collaborate closely with engineers, reliability specialists, and remote data teams to refine key ...
Foreign Exchange Ops Analyst 2
Detroit, MI · On-site +1
Description The Foreign Exchange (FX) Operations Analyst supports the daily processing and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Foreign Exchange Ops Analyst 2
Detroit, MI · On-site +1
Description The Foreign Exchange (FX) Operations Analyst supports the daily processing and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Foreign Exchange Ops Analyst 2
Detroit, MI · On-site +1
Description The Foreign Exchange (FX) Operations Analyst supports the daily processing and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Foreign Exchange Ops Analyst 2
Detroit, MI · On-site +1
Description The Foreign Exchange (FX) Operations Analyst supports the daily processing and ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
FX Ops Analyst 3
Detroit, MI · On-site +1
Description Summary The FX Operations Analyst 3 provides guidance and decision support for complex ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
FX Ops Analyst 3
Detroit, MI · On-site +1
Description Summary The FX Operations Analyst 3 provides guidance and decision support for complex ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
FX Ops Analyst 3
Detroit, MI · On-site +1
Description Summary The FX Operations Analyst 3 provides guidance and decision support for complex ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
FX Ops Analyst 3
Detroit, MI · On-site +1
Description Summary The FX Operations Analyst 3 provides guidance and decision support for complex ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Energy and Water Optimization Leader
Warren, MI · On-site +1
Energy and Water Optimization Leader Remote - This role is based remotely, but if the selected ... analytics, and energy management software. * Background in industrial manufacturing operations. GM ...
Energy and Water Optimization Leader
Warren, MI · On-site +1
Energy and Water Optimization Leader Remote - This role is based remotely, but if the selected ... analytics, and energy management software. * Background in industrial manufacturing operations. GM ...
Enterprise Account Executive (Central US)
Detroit, MI · Remote
$240K - $300K/yr
Remote - Central United States Reports to: EVP, Global Sales About Parsec Parsec Automation, LLC (Parsec) is a trailblazing creator and provider of manufacturing operations management software.
Quick apply
Enterprise Account Executive (Central US)
Detroit, MI · Remote
$240K - $300K/yr
Remote - Central United States Reports to: EVP, Global Sales About Parsec Parsec Automation, LLC (Parsec) is a trailblazing creator and provider of manufacturing operations management software.
MES Integration Engineer
Novi, MI · On-site +1
$97K - $131K/yr
Maumee, OH (Hybrid) or Remote (U.S.) with occasional travel to manufacturing plants ... Collaborate with Controls Engineers, MES Analysts, ERP teams, and Manufacturing Engineering to ...
Quick apply
MES Integration Engineer
Novi, MI · On-site +1
$97K - $131K/yr
Maumee, OH (Hybrid) or Remote (U.S.) with occasional travel to manufacturing plants ... Collaborate with Controls Engineers, MES Analysts, ERP teams, and Manufacturing Engineering to ...
MES Integration Engineer
Detroit, MI · On-site +1
$103K - $138K/yr
Maumee, OH (Hybrid) or Remote (U.S.) with occasional travel to manufacturing plants ... Collaborate with Controls Engineers, MES Analysts, ERP teams, and Manufacturing Engineering to ...
Quick apply
MES Integration Engineer
Detroit, MI · On-site +1
$103K - $138K/yr
Maumee, OH (Hybrid) or Remote (U.S.) with occasional travel to manufacturing plants ... Collaborate with Controls Engineers, MES Analysts, ERP teams, and Manufacturing Engineering to ...
Oracle Fusion Manufacturing Cloud Functional Consultant (AMS Support)
Adrian, MI · On-site +1
$70 - $75/hr
Remote Pay Range: $70 to $75/hr. * Oracle Fusion Manufacturing Cloud | Oracle SCM Cloud (Inventory ... Operational dashboards and KPI reporting * Exception management and manufacturing analytics
Oracle Fusion Manufacturing Cloud Functional Consultant (AMS Support)
Adrian, MI · On-site +1
$70 - $75/hr
Remote Pay Range: $70 to $75/hr. * Oracle Fusion Manufacturing Cloud | Oracle SCM Cloud (Inventory ... Operational dashboards and KPI reporting * Exception management and manufacturing analytics
Senior Apriso Developer
Troy, MI · Remote
$52.25 - $67.50/hr
... manufacturing operations, enterprise integrations, and software development best practices ... Ability to work independently in a remote environment Key Responsibilities: * Design, develop ...
Senior Apriso Developer
Troy, MI · Remote
$52.25 - $67.50/hr
... manufacturing operations, enterprise integrations, and software development best practices ... Ability to work independently in a remote environment Key Responsibilities: * Design, develop ...
Dealer Operations Specialist
Lansing, MI · On-site +1
Company Description MSX has been a trusted partner to leading vehicle manufacturers, their ... Work with dealership and digital district manager (if applicable) to analyze marketing and ...
Dealer Operations Specialist
Lansing, MI · On-site +1
Company Description MSX has been a trusted partner to leading vehicle manufacturers, their ... Work with dealership and digital district manager (if applicable) to analyze marketing and ...
This position is remote to enhance our competitive edge and expand our cross-functional ... Ability to transfer the technical knowledge to manufacturing operations * Review/prepare test ...
New
This position is remote to enhance our competitive edge and expand our cross-functional ... Ability to transfer the technical knowledge to manufacturing operations * Review/prepare test ...
New
This position is remote to enhance our competitive edge and expand our cross-functional ... Ability to transfer the technical knowledge to manufacturing operations * Review/prepare test ...
New
This position is remote to enhance our competitive edge and expand our cross-functional ... Ability to transfer the technical knowledge to manufacturing operations * Review/prepare test ...
New
Senior Principal Tool Engineer
Grand Rapids, MI · On-site +1
This position is remote to enhance our competitive edge and expand our cross-functional ... Ability to transfer the technical knowledge to manufacturing operations * Review/prepare test ...
New
Senior Principal Tool Engineer
Grand Rapids, MI · On-site +1
This position is remote to enhance our competitive edge and expand our cross-functional ... Ability to transfer the technical knowledge to manufacturing operations * Review/prepare test ...
New
Automation Sales Manager
Detroit, MI · Remote
Analyze regional manufacturing trends, competitor activity, and buyer dynamics to refine territory ... Strong understanding of manufacturing operations and industrial buying processes * Ability to ...
Quick apply
Automation Sales Manager
Detroit, MI · Remote
Analyze regional manufacturing trends, competitor activity, and buyer dynamics to refine territory ... Strong understanding of manufacturing operations and industrial buying processes * Ability to ...
Analyze regional manufacturing trends, competitor activity, and buyer dynamics to refine territory ... Strong understanding of manufacturing operations and industrial buying processes * Ability to ...
Quick apply
Analyze regional manufacturing trends, competitor activity, and buyer dynamics to refine territory ... Strong understanding of manufacturing operations and industrial buying processes * Ability to ...
Commercial Document Review Analyst
Grand Rapids, MI · On-site +1
The Commercial Document Review Analyst provides advanced operational, analytical, and quality ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Commercial Document Review Analyst
Grand Rapids, MI · On-site +1
The Commercial Document Review Analyst provides advanced operational, analytical, and quality ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Commercial Document Review Analyst
Detroit, MI · On-site +1
The Commercial Document Review Analyst provides advanced operational, analytical, and quality ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Commercial Document Review Analyst
Detroit, MI · On-site +1
The Commercial Document Review Analyst provides advanced operational, analytical, and quality ... Remote roles will also have the opportunity to come together in our offices for moments that matter.
Remote Manufacturing Operations Analyst information
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Senior Provider Network Operations Analyst
Southfield, MI • Remote
Full-time
Posted 12 days ago
AmeriHealth Caritas rating
8.3
Based on 73 frontline employees who took The Breakroom Quiz
Job description
Role Overview: The Senior Provider Network Operations Analyst serves as a subject matter expert within Provider Network Operations and is responsible for operational accuracy, regulatory compliance, claims configuration, provider data, and related network operations.
Work Arrangement:
- Remote - This position is fully remote; the associate must be located in Michigan (MI) and attend monthly meetings as needed in Southfield, MI.
- Requires reliable high-speed internet (minimum 50 Mbps download / 5 Mbps upload)
- Internet reimbursement may be available where required by law or contract
Responsibilities:
- Review/approve and audit Payment Integrity (PI) vendor and internal prospective and retrospective edits/projects/recoveries.
- User Acceptance Testing (UAT)/Client Review & audit (provider data, Appian Advanced Group ID (AGID) configuration, and set-up concentration) reviews requests prior to initial submission to Enterprise Operations (EO) and claims post-production.
- Facets claims edit configuration concentration (Appian) – intake, review, impact assessment, and initial submission; UAT reviews requests prior to initial submission to EO and claims post-production.
- Encounter error reconciliation representation, oversight, and management – including identification and initiation of claim or provider changes necessary to mitigate/prevent future errors.
- Management and resolution of state complaints.
- State policy and contract amendment changes analysis and management.
- Internal or vendor medical policy or Health Value Optimization (HVO) edit changes and initiatives.
- Monitor and review state communications and changes, lead initial analysis/determination of action, provide direction on work request submissions to level I analysts, and test/audit subsequent changes.
- Business Process Outsourcing (BPO) and/or other intake/workflow tool management.
- Single-case agreement management/ownership, including letter development and coordination with Provider Network Management (PNM).
- Serves as the subject matter expert in state-specific health reimbursement rules and provider billing requirements and as liaison to the Enterprise Operations Configuration Department.
- Maintain a current working knowledge of processing rules, contractual guidelines, state/Plan policy, and operational procedures to effectively provide technical expertise and business rules.
- Acts as the resource to other departments by developing and managing work plans which document the status of key relationship issues and action items for high-profile providers.
- Performs other related duties and projects as assigned
Education & Experience:
- American Academy of Professional Coders (AAPC) certification (CPC, COC, CIC, CRC) or NHA (CBCS) certification required.
- Associate’s degree preferred, or equivalent combination of education and experience in a healthcare field.
- 3 to 5 years of claims analysis experience in healthcare, managed care, or Medicaid environment preferred.
- Claims processing and Provider data maintenance knowledge required
- Understanding of and experience related to healthcare claims payment configuration process/systems and its relevance/impact on network operations required
- Strong working knowledge of Microsoft Excel, Access, Word, and other MS Office tools; ability to work with pivot charts, Access databases, and data analytics.
Skills & Abilities:
- Ability to focus on technology and business issues, as well as communicate appropriately with both technology and business experts
- Strong analytic problem-solving skills
- Superior organizational skills required
- Critical thinking skills
- Strong customer service skills
- Data and reporting analysis
What AmeriHealth Caritas employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About AmeriHealth Caritas
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1983