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Healthcare Compliance Healthcare Administration

Clinical Review Analyst – FWA & Claims Investigations

Job in Detroit, Wayne County, Michigan, 48228, USA
Listing for: Blue Cross Blue Shield of Michigan
Full Time position
Listed on 2026-02-21
Job specializations:
  • Healthcare
    Healthcare Compliance, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A major healthcare insurance provider in Detroit is seeking an individual for a role focused on fraud investigations within healthcare claims. Responsibilities include evaluating data, reviewing medical records, identifying inconsistencies, and training staff on compliance tools. Candidates should possess strong verbal and analytical skills along with a preferred bachelor's degree and relevant experience. This is an opportunity to contribute to the improvement of departmental effectiveness in a dynamic environment.
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