6 general medicine jobs found in Lansing

Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including...

Become a part of our caring community and help us put health first The Lead Systems Engineer is responsible for design, analysis, configuration and maintenance of complex systems software solutions in a virtual environment, based on a thorough knowledge of systems engineering and programming concepts and techniques. Systems software engineering/programming is a specialized area of software engineering/programming focused on software that operates/controls computer hardware and provides a platform for running end user applications. Includes operating systems, device drivers, utilities, and software; development tools (e.g., assemblers, compilers, etc.). The Lead Systems Engineer works on problems of diverse scope and complexity ranging from moderate to substantial. The Lead Virtualization Engineer is responsible for architecting, implementing, and maintaining enterprise-grade virtual environments that support the organization's critical applications and services. This...

Become a part of our caring community and help us put health first The Software Engineer 2 codes software applications based on business requirements. The Software Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Software Engineer 2 standardizes the quality assurance procedure for software. Oversees testing and debugging and develops fixes. Researches complaints and makes necessary adjustments and/or recommendations to resolve complex software related issues. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's Degree in Computer...

Become a part of our caring community and help us put health first The Software Engineer 2 codes software applications based on business requirements. The Software Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Software Engineer 2 standardizes the quality assurance procedure for software. Oversees testing and debugging and develops fixes. Researches complaints and makes necessary adjustments and/or recommendations to resolve complex software related issues. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's Degree in Computer...

Become a part of our caring community and help us put health first The Business Intelligence Engineer 2 is responsible for solving complex business problems and issues using data sourced from both internal and external systems to provide actionable insights for decision-makers. Assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Business Intelligence Engineer 2 utilizes a variety of tools, technologies, applications, and best practices to collect, integrate, analyze, and present organizational data. The goal is to transform raw data into meaningful business information that supports strategic and operational objectives. The individual in this role will receive requirements from Business value streams and make decisions on how best to implement desired solutions. Adherence to established guidelines and procedures is expected. Use your skills to make an impact Required Qualifications:...

Become a part of our caring community and help us put health first Join Humana and help shape the future of healthcare through innovation and data-driven solutions. As a Data Engineer 2 at Humana, you will play a vital role in designing, building, and maintaining robust data systems that empower our teams to deliver exceptional care and insights to our members. We are seeking passionate professionals who thrive in collaborative environments and are dedicated to leveraging technology for meaningful impact. Discover your opportunity to grow your career while making a difference-apply today and become part of a team committed to excellence and wellness. The Data Engineer 2 designs, builds, and maintains data processing architectures and solutions enabling the efficient conversion of structured and unstructured data to insights at enterprise scale. The Data Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the...