21 Administration jobs in Byron Center
Manager, Medicare Administration
Posted today
Job Viewed
Job Description
**Job Summary**
Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and services.
**Knowledge/Skills/Abilities**
- Establishes audit controls and measurements to ensure correct processes are established. Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit findings and recommendations to ensure contractual State and Federal Compliance.
- Coordinates development of written policies and procedures regarding compliance with local, state and federal guidelines.
- Establishes member grievance appeals and policies and updates annually or as directed by the Centers for Medicare and Medicaid Services.
- Establishes non-contracted provider dispute and appeals policies and policies and updates annually or as directed by the Center for Medicare and Medicaid.
- Responsible for development, implementation and maintenance of department strategic initiatives.
**Job Qualifications**
**Required Education**
Bachelors Degree
**Required Experience**
5-7 Years
**Preferred Education**
Graduate Degree or equivalent combination of education and experience
**Preferred Experience**
7-9 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Office Assistant - Administration (Work from Home)
Posted 18 days ago
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Job Description
Work from Home Office, Data Entry Remote Part-Time/Full-time Job
About the Job Position:
This remote entry-level role comes with training for qualified candidates. Depending on your expertise and desired area of interest, the remote duties may include work at home computer data entry, participating in market research activities such as survey design, focus group participation, product testing, social media and more. You may also be asked to assist with data analysis or providing feedback to support our clients in evaluating product potential. The position offers flexible work hours (part-time to full-time) with the opportunity to work from home and influence strategies across various industries, including automotive, healthcare, entertainment and more.
About Us:
Top Level Promotions specializes in market research, partnering with leading global brands to help businesses connect with customers and achieve sustainable growth. We are expanding our remote team and are looking for professionals to contribute valuable insights in a competitive environment.
Some of the Industries in Which We Work.
* Administration * Aerospace – Aviation & Atmosphere Science * Air Travelers & Airlines – International & Domestic Carriers * Amazon * Apparel/Accessories/Textiles – Online/Retail/Remote * Automotive – Design, Development, Manufacturing * Beverage Industry – Trends, Formulations & Technology * Candy/Confectionery – Chocolate, Sugar, Gum Products * Computers – Information and Online Communication Technology * Customer Service * Data Entry & Analytics * Education – Instruction and Training - Work from Home Programs * Film/Movie – Production, Film festivals, Distribution * Health Care – Public & Home Care * Manufacturing – Raw Materials & Machinery * Marketing & Study Design * Outdoor Gear – Outdoor Gear & Equipment * Pet Foods/Supplies/Pet Owners * Restaurants/Food Service * Travel/Tourism – Local/International * Toys – Industry Trends/ChangesQualifications:
* Applicants are required to have access to home high-speed internet with a stable connection. * A functional home desktop or laptop computer with both camera and microphone capabilities. * It is imperative to have a designated quiet workspace available for work purposes.Skills:
* Exceptional communication and interpersonal skills. * Strong organizational abilities while working independently. * Proficiency in fundamental computer applications and typing, encompassing email correspondence and data input. * Capacity to manage confidential information in a home office environment. * Attentive to detail and adept at delivering error-free work.Job Perks:
* Enjoy the convenience of working from your home office, eliminating the need for a daily commute. * No prior experience necessary – all positions include comprehensive training. * Flexible options available for both in-person group meetings and online participation. * Customize your work schedule, whether you prefer part-time or full-time hours. * Contribute to market innovations and assist companies in enhancing their products and services. * Opportunities for career growth within companies based on active participation and seniority.Salary:
This work from home position pays between 18.50 and 36.00 per hour depending your field of interest.
Experience:
This is an introductory position and training is provided to successful candidates.
Application:
We look forward to reviewing your completed application. If you have any questions or need assistance, please feel free to reach out. Important Note: We are currently only accepting applications from candidates located in Canada, USA, United Kingdom and Australia. Please only apply if you reside in one of these countries.Sincerely,
Top Level Promotions HR DepartmentManager, Provider Network Administration (Remote)
Posted 2 days ago
Job Viewed
Job Description
Job Description
Job Summary
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
Knowledge/Skills/Abilities
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Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
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Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
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Produces reports related to provider network information.
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Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
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Identifies issues, resolves problems and implements best practices.
Job Qualifications
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
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5-7 years managed care experience, including min. 2 years of supervisory experience
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Min. 2 years health plan Provider Network experience
Required License, Certification, Association
N/A
Preferred Education
Bachelor's Degree
Preferred Experience
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7+ years managed care experience
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QNXT; SQL experience
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Crystal Reports for data extraction
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Access and Excel - intermediate plus skill level
Preferred License, Certification, Association
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
SENIOR FINANCIAL ANALYST - ADMINISTRATION & CONTROLLING
Posted 11 days ago
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Job Description
Join to apply for the SENIOR FINANCIAL ANALYST - ADMINISTRATION & CONTROLLING role at Thermowatt .
Role Overview:You will report to the Cluster Director AMERICAS Administration & Accounting, with a dotted line to the Country Manager. Your responsibilities include overseeing Administration and Accounting for DDR, managing accounts payable and receivable, reconciliations, general ledger, treasury, tax, and leading controlling activities, reporting to HQ Division Controlling.
Your Responsibilities:- Ensure accurate financial reporting and closing under Local GAAP and IFRS.
- Prepare statutory reporting packages and liaise with relevant stakeholders.
- Support local Administration & Accounting in monthly, quarterly, and annual closings.
- Manage core accounting processes: AP, AR, and GL postings.
- Lead controlling activities: budgeting, forecasting, management reporting, KPI tracking, variance analysis.
- Provide analytical support for product strategies.
- Maintain oversight of Balance Sheet and Cash Flow.
- Coordinate reconciliations, identify risks and opportunities.
- Ensure compliance with local requirements and act as contact for auditors.
- Support cash collection and oversee tax compliance with external support.
- Ensure legal compliance with external legal advisors.
- Adhere to Group policies and procedures.
Qualifications include 2-4 years of relevant experience, expertise in financial management, knowledge of Local GAAP and IFRS, understanding of tax and regulations, proficiency in SAP and BI, with Oracle FCCS experience a plus. Strong analytical skills, proactive attitude, and excellent communication are essential.
Location: Allegan
Additional Details:- Seniority level: Mid-Senior level
- Employment type: Full-time
- Job function: Accounting/Auditing and Finance
- Industry: Manufacturing
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Manager, Provider Network Administration (Remote)
Posted 2 days ago
Job Viewed
Job Description
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**Knowledge/Skills/Abilities**
- Manages all aspects of the Provider Administration area and serves as contact point for all configuration issues to ensure processes are carried out timely and accurately.
- Establishes, maintains and analyzes internal standard operating policies and procedures pertaining to department functions.
- Produces reports related to provider network information.
- Collaborates with local and corporate departments on issues related to provider loads including, but not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims, Provider Services and Contracting.
- Identifies issues, resolves problems and implements best practices.
**Job Qualifications**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
- 5-7 years managed care experience, including min. 2 years of supervisory experience
- Min. 2 years health plan Provider Network experience
**Required License, Certification, Association**
N/A
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
- 7+ years managed care experience
- QNXT; SQL experience
- Crystal Reports for data extraction
- Access and Excel - intermediate plus skill level
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,415 - $115,000 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Senior Specialist, Provider Network Administration
Posted 21 days ago
Job Viewed
Job Description
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Generates and prepares provider-related data and reports in support of Network Management and Operations areas of responsibility (e.g., Provider Services/Provider Inquiry Research & Resolution, Provider Contracting/Provider Relationship Management).
+ Provides timely, accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with regulatory/accreditation requirements, and Network Management business operations. Report examples may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports.
+ Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation.
+ Develops and maintains documentation and guidelines for all assigned areas of responsibility.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree or equivalent combination of education and experience
**Required Experience**
+ 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration.
+ 3+ years' experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 5+ years managed care experience
+ QNXT; SQL experience
+ Crystal Reports for data extraction
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $45,390 - $88,511.46 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Specialist, Provider Network Administration (EST business hours)
Posted 9 days ago
Job Viewed
Job Description
**This role will have standard EST business hours.**
**Job Summary**
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.
+ Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.
+ Audits loaded provider records for quality and financial accuracy and provides documented feedback.
+ Assists in configuration issues with Corporate team members.
+ Assists in training current staff and new hires as necessary.
+ Conducts or participates in special projects as requested.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree in Business or equivalent combination of education and experience
**Required Experience**
+ Min. 3 years managed care experience
+ Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
+ Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.
**Preferred Education**
Bachelor's Degree
**Preferred Experience**
+ 3+ years Provider Claims and/or Provider Network Administration experience
+ Experience in Medical Terminology, CPT, ICD-9 codes, etc.
+ Access and Excel - intermediate skill level (or higher)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Returning Business Administration Intern- Summer 2026- Great Lakes Division- For Current/Former H...
Posted 24 days ago
Job Viewed
Job Description
This position is for current/former HNTB Interns only.
At HNTB, you can create a career that is meaningful to you while building communities that matter to all of us. For more than a century, we have been delivering solutions for some of the largest, most complex infrastructure projects across the country. With our historic growth, it is an exciting time to join our team of employee-owners.
This opportunity entails, while under close supervision, assist assigned department(s) and/or project(s) by performing basic and routine administrative support work and other related tasks which may reflect elements of standard post-secondary business curriculum, usually on a part-time, temporary, or co-op basis.
Relocation and housing are not provided for this position.
**What You'll Do:**
+ Performs a variety of tasks which may be specific to a particular functional area of activity such as preparing reports, tracking and evaluating results, coordinating program developments, answering the phone, receiving messages, transmitting information, making copies, editing documents, handling routine inquires and making appointments.
+ Participates in meetings and interfaces with various teams.
+ Assists management in analyzing various data.
+ Works on special projects and provides research as needed.
+ Performs other duties as assigned.
**What You'll Need:**
+ High School Diploma/GED or equivalent plus enrolled in a related undergraduate or graduate program
**What We Prefer:**
+ Working knowledge of MS Word, Excel, and PowerPoint
+ Ability to work independently
+ Ability to prioritize work and multi-task
**Additional Information**
Click here for benefits information: HNTB Total Rewards
Click here to learn more about Equal Opportunity Employer/Disability/Veteran
Visa sponsorship is not available for this position.
#MZ
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Locations:
Allen Park, MI, Ashwaubenon, WI (Green Bay), Blue Ash, OH (Cincinnati), Chicago, IL, Cleveland, OH, Columbus, OH, Detroit, MI, Downers Grove, IL, East Lansing, MI (Lansing), Grand Rapids, MI, Indianapolis, IN, Jackson, MI, Madison, WI, Milwaukee, WI (East Wisconsin Avenue), Minneapolis, MN, Sterling Heights, MI, Westfield, IN (Carmel)
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The approximate pay range for Ohio is $18.65 - $7.98. Please note that the pay range provided is a good faith estimate for the position at the time of posting. Actual compensation will be dependent on factors, including but not limited to, the individual's qualifications, experience, knowledge, skills, and abilities as well as physical work location within the state.
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The approximate pay range for Minnesota is 19.58 - 29.38. Please note that the pay range provided is a good faith estimate for the position at the time of posting. Actual compensation will be dependent on factors, including but not limited to, the individual's qualifications, experience, knowledge, skills, and abilities as well as physical work location within the state.
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The approximate pay range for Illinois is 20.52 - 30.77. Please note that the pay range provided is a good faith estimate for the position at the time of posting. Actual compensation will be dependent on factors, including but not limited to, the individual's qualifications, experience, knowledge, skills, and abilities as well as physical work location within the state.
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_NOTICE TO THIRD-PARTY AGENCIES:_
_HNTB does not accept unsolicited resumes from recruiters or agencies. Any staffing/employment agency, person or entity that submits an unsolicited resume to this site does so with the understanding that the applicant's resume will become the property of HNTB. HNTB will have the right to hire that applicant at its discretion and without any fee owed to the submitting staffing/employment agency, person or entity. Staffing/employment agencies who have fee agreements with HNTB must submit applicants to the designated HNTB recruiter to be eligible for placement fees._
**Job Type:** Intern
**Full/Part Time:** Full time
**Job Category:** Administration Group
**ReqID:** R-26780 #college
Data Entry Clerk
Posted 12 days ago
Job Viewed
Job Description
Department: Dezign Comm
Employment Type: Full Time
Location: Grand Rapids, MI
Compensation: $17.25 - $24.00 / hour
Description
Job Title: Data Entry Clerk
Location: Grand Rapids, MI
Job Type: Full-time
Department: Customer Service
We are seeking a meticulous and dedicated Data Entry Clerk to join our dynamic team. In this role, you will play a crucial part in ensuring the accuracy and efficiency of our data management processes. As a Data Entry Clerk, you will be responsible for entering, updating, and maintaining data in our databases and systems. Attention to detail is key, as you will be handling large volumes of information, and it is essential to ensure that data is entered correctly and in a timely manner.
Key Responsibilities
- Enter and update data into databases and systems accurately and efficiently.
- Verify and correct data discrepancies to maintain data integrity.
- Prepare and present reports as needed to support business operations.
- Assist with the organization and maintenance of physical and electronic files.
- Support the team with administrative tasks as required.
- Respond to data inquiries and provide timely support to internal stakeholders.
- High school diploma or equivalent; additional education in data management is a plus.
- Proven experience as a data entry clerk or similar role.
- Strong proficiency in Microsoft Office Suite, particularly Excel.
- Excellent attention to detail and accuracy in data entry tasks.
- Ability to work independently and manage multiple tasks effectively.
- Strong organizational and time management skills.
- Opportunities for growth and career advancement.
- Paid time off and holidays.
- Health, dental, and vision insurance options.
- A supportive and collaborative work environment.
- Training and development opportunities.
Administrator Data Entry
Posted 12 days ago
Job Viewed
Job Description
About the job Administrator Data Entry
You could be the right candidate for this data entry position if you are highly qualified and motivated. The best candidates for this position will be looking to thrive in a dynamic and growing environment, and will have fast, accurate typing skills and impeccable organization. You could be a good candidate for this position if you have intermediate spreadsheet experience and proficiency in database management. A data expert with great attention to detail can begin their career with us in this data entry position. This job is ideal for candidates looking for a long-term contract / temporary Data Entry position.
Key Responsibilities
Review reports and data sheets
Verify, correct and delete unnecessary data, or combine data from various sources
Enter information into spreadsheets, databases and customer relationship management systems
Search for information on web sites
Retain a detailed record of tasks, records and progress made
Request further information for documents that are considered incomplete
Analyze completed work for duplication or errors in content before submitting final product
Strong written, verbal and interpersonal skills
Strong knowledge of Microsoft Excel
Proficient in Microsoft Office
Proficient with pivot tables
Ability to handle multiple tasks to prioritize needs and expedite tasks upon request
Accurate typing skills
Computer literacy is a must. This includes word processing, spreadsheet and presentation software, as well as databases and client database systems.