About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Special Investigative Unit Analyst , IN - Hybrid
Qualifications:
Required:
- Associate degree in business, health care or related field.
- Three (3) years’ experience in progressively more responsible positions using analytical skills with at least two (2) years’ experience in compliance or related function.
- Two (2) years’ coding experience (specifically experience with CPT, ICD, HCPCS codes and standard industry billing procedures for both CMS 1500 and UB04 claims).
- One (1) year experience creating, maintaining, and editing SQL queries.
Preferred:
- Bachelor’s degree in business, health care or related field.
- Certification as RHIT, RHIA, CFE or CPC acceptable.
- Two (2) years’ experience and knowledge of HMO, or PPO (e.g. accounting/finance, reinsurance, regulatory compliance, claims processing, membership/eligibility, and actuarial precepts).
- Course work or work experience in statistics.
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
