8 compliance analyst jobs found in Lansing, MI

SUMMARY:  Provider Relations Specialist I Responsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality, consistent and accurate medical payment information to internal and external customers.  Provider Relations Specialist II Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software and reference library to determine appropriateness of codes and excessive charges. Responsible for making coding determinations according to state rules and regulations.  PRIMARY RESPONSIBILITIES:  PRIMARY RESPONSIBILITIES: Provider Relations Specialist I •    Utilizes ACD phone lines to manage incoming calls and inquiries. •    Provides high level of customer service for all internal or external customers thru telephonic, email and fax. •    Demonstrates dependable work ethic. •    Manages confidential client information with discretion and good...

SUMMARY:  Provider Relations Specialist I Responsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality, consistent and accurate medical payment information to internal and external customers.  Provider Relations Specialist II Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software and reference library to determine appropriateness of codes and excessive charges. Responsible for making coding determinations according to state rules and regulations.  PRIMARY RESPONSIBILITIES:  PRIMARY RESPONSIBILITIES: Provider Relations Specialist I •    Utilizes ACD phone lines to manage incoming calls and inquiries. •    Provides high level of customer service for all internal or external customers thru telephonic, email and fax. •    Demonstrates dependable work ethic. •    Manages confidential client information with discretion and good...

This role will focus primarily on technical training (Example: billing & policy operations, Claims and Underwriting) and soft skills training (sales & customer experience).   SUMMARY Delivers and facilitates training to groups, managers, external customers and/or on-the-job (one-on-one) training. Topics primarily relate to operational training, processes, procedures and technologies.  Provides guidance and assists in the design and development of training programs and preparation of training materials. Conducts evaluations of training and provides follow-up training to trainees as needed. Recommends training tools and formats. Works with managers and employees to identify methods of improving employee performance. Participates in the design and development of training plans/curriculum Project manages the implementation of training from end to end working with business SME and leaders; owning full implementation of training Assesses training needs using surveys,...

SUMMARY:  Provider Relations Specialist I Responsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality, consistent and accurate medical payment information to internal and external customers.  Provider Relations Specialist II Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software and reference library to determine appropriateness of codes and excessive charges. Responsible for making coding determinations according to state rules and regulations.  PRIMARY RESPONSIBILITIES:  PRIMARY RESPONSIBILITIES: Provider Relations Specialist I •    Utilizes ACD phone lines to manage incoming calls and inquiries. •    Provides high level of customer service for all internal or external customers thru telephonic, email and fax. •    Demonstrates dependable work ethic. •    Manages confidential client information with discretion and good...

SUMMARY This role will focus primarily on underwriting and claims training. Candidates within a commutable distance to Lansing, MI will be considered Hybrid (1-3 days per week in office) Delivers and facilitates training to groups, managers, external customers and/or on-the-job (one-on-one) training. Topics primarily relate to operational training, processes, procedures and technologies.  Provides guidance and assists in the design and development of training programs and preparation of training materials. Conducts evaluations of training and provides follow-up training to trainees as needed. Recommends training tools and formats. Works with managers and employees to identify methods of improving employee performance. RESPONSIBILITIES Participates in the design and development of training plans/curriculum Project manages the implementation of training from end to end working with business SME and leaders; owning full implementation of training Assesses training...

OBJECTIVE IT Procurement Manager Objective The IT Procurement Manager is responsible for leading the strategic sourcing, contracting, and lifecycle management of technology goods and services to support enterprise business and technology objectives. This role ensures the effective acquisition of IT hardware, software, cloud services, and professional services through disciplined procurement practices that optimize cost, mitigate risk, and ensure compliance with regulatory, security, and internal control requirements. The IT Procurement Manager partners closely with IT, Finance, Legal, Compliance, and business stakeholders to deliver value-driven vendor relationships, support budget planning and forecasting, and advance a consistent, transparent, and scalable IT procurement framework. RESPONSIBILITIES IT Procurement Manager Responsibilities The IT Procurement Manager oversees the sourcing, negotiation, and management of...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. Please note that we are not currently hiring fully remote positions. All candidates must have the ability to work in one of our tech offices from time to time. Our tech offices for this role are in Lansing and Grand Rapids, Michigan. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our IT Division as an IT Security Engineer. This position is part of the IT Security department and is responsible for reducing IT Security risk and responding to incidents for the company and its affiliates. The position requires the person to:...

SUMMARY:   Delivers and facilitates training to groups, managers, external customers and/or on-the-job (one-on-one) training as well as collaborates with content team to design training material. This position is primarily responsible for the training needs of union represented jobs with a smaller amount of time spent on various non-union jobs as a secondary responsibility. Topics primarily relate to operational training, processes, procedures and technologies.  Provides guidance in the design and development of training programs and preparation of training materials. Evaluates training, develops recommendations, and project manages training solutions. Works with managers to identify methods of improving employee performance. PRIMARY RESPONSIBILITIES: Conducts training needs analysis, design, and development training.  Partners with leaders, Business Analysts, Subject-matter experts, content development and other trainers to implement training plans  Manages implementation...