McLaren Health Care

Clinical Support Specialist-Remote

McLaren Health Care · Full Time · 13 days ago

McLaren Health Care

🌎 United States ⭐ 2-5 yrs exp 💼 Support

The Clinical Support Specialist supports care coordination programs to drive clinical and financial performance within Population Health value-based contracts. Responsibilities include performing patient outreach, overseeing daily navigator operations, and analyzing data to improve physician performance and quality outcomes.

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Patient Account Representative I

McLaren Health Care · Full Time · a month ago

McLaren Health Care

🌎 United States ⭐ 0-2 yrs exp 💼 Sales

The representative is responsible for billing hospital and physician claims while managing follow-up tasks with third-party payors to ensure timely payment. They also perform account maintenance and resolve claim edits to support continuous quality improvement.

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Care Coordinator Registered Nurse - Remote in Michigan

McLaren Health Care · · 3 months ago

McLaren Health Care

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The RN Care Manager acts as a patient advocate, assessing, planning, implementing, and evaluating services needed to meet health requirements using clinical and community resources to ensure quality, cost-effective outcomes. Responsibilities include providing telephonic care management, conducting multi-dimensional assessments, and implementing targeted interventions to prevent hospitalizations and emergency room visits.

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Patient Navigator - Remote In Michigan

McLaren Health Care · · 3 months ago

McLaren Health Care

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

The Patient Navigator assists patients in navigating the healthcare system, including medical, administrative, and support services, by identifying needs and reducing barriers to timely treatment. Essential functions involve facilitating and coordinating patient care, ensuring timely diagnoses and treatment through communication, record management, and connecting patients with necessary support resources.

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Provider Compensation Analyst - Remote in Michigan

McLaren Health Care · Full Time · 4 months ago

McLaren Health Care

🌎 United States ⭐ 0-2 yrs exp 💼 Finance

The role involves examining, interpreting, and processing data to provide insights for decision-making within provider compensation, including internal valuation, benchmarking, and modeling. Responsibilities also include writing and executing various database reports and ensuring the reconciliation of provider compensation to contractual terms.

medical forecasting operations operations-support

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Coder, Special Investigative Unit

McLaren Health Care · Full Time · 4 months ago

McLaren Health Care

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The SIU Coder performs medical claims and records reviews to assist in investigations and ensures compliance with coding practices. They collaborate with SIU Auditors and serve as the subject matter expert for coding activities.

medical documentation organization compliance

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Compliance Audit Analyst

McLaren Health Care · Full Time · 4 months ago

McLaren Health Care

🌎 United States ⭐ 2-5 yrs exp 💼 Legal

The Compliance Audit Analyst is responsible for identifying, analyzing, and performing compliance audits across all lines of business. This role supports the Compliance Program and performs quality assurance activities to detect and prevent non-compliance.

organization compliance

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Provider Compensation Analyst - Remote in Michigan

McLaren Health Care · Full Time · 4 months ago

McLaren Health Care

🌎 United States ⭐ 0-2 yrs exp 💼 Finance

The Provider Compensation Analyst is responsible for examining and processing data to provide insights and support decision-making in provider compensation. This includes tasks such as data analysis, reconciliation of compensation to contractual terms, and consulting with management to determine information requirements.

medical forecasting operations operations-support

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