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Senior Administrator of Claims

Detroit Wayne Integrated Health Network • Detroit, MI, US • published 2026-10-23 14:05:16.877158

Description

**Detroit Wayne Integrated Health Network** **Job Description** **Job Title** **Senior Administrator of Claims** **Department** **Administration** **Reporting Structure** **Deputy Chief Executive Officer** **Pay Grade/Salary** 11 **Exempt/Non\-Exempt** Exempt **Bargaining Unit:** At\-Will **Work Location** Varies **Employment Status (FTE)** Full\-Time 1\.0 **Job Summary** Under the general supervision of the Deputy CEO, the Senior Administrator of Claims provides strategic leadership, administrative oversight, and operational direction for the Detroit Wayne Integrated Health Network (DWIHN) claims administration function. This position is responsible for ensuring the accurate, timely, consistent, and compliant adjudication and payment of provider claims in accordance with applicable federal and state laws, Michigan Department of Health and Human Services (MDHHS) requirements, Medicaid and Medicare guidelines, DWIHN policies, provider contracts, and established reimbursement methodologies. The Senior Administrator of Claims oversees the development, implementation, and continuous improvement of claims policies, procedures, systems, internal controls, quality assurance practices, and...

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