13 Healthcare Job Openings at BCBSM Within 25 mi. of Detroit, MI

Displaying all 13 results
BCBSM

Senior Instructional Developer

BCBSM - Detroit, MI
Responsible for project(s) leadership in order to implement, design or deliver performance support tools and systems. Responsible to lead multiple complex project(s) to achieve established goals and conserve resources. Develop documentation (both on-line and paper) to achieve established goals and conserve resources. Develop performance-based training and development systems to...
Application Deadline: None
BCBSM

Health Care Manager- Enterprise Risk Adjustment Vendor Manager

BCBSM - Detroit, MI
Responsible for researching, planning, organizing, directing, implementing, and management of corporate programs and initiatives dedicated to enhancing health care value. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Specialize in research, planning, development, implementation and leadership. Department Description: The vendor ...
Application Deadline: None
BCBSM

Med Review and Appeals RN

BCBSM - Southfield, MI
Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. May establish care plans and coordinate care through the health care continuum including member outreach a...
Application Deadline: None
BCBSM

Health Care Analyst

BCBSM - Detroit, MI
Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management. Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues. Possess and maintain a comprehensive understanding and knowledge of BCBSM business,...
Application Deadline: None
BCBSM

BCN LPN Medical Management

BCBSM - Southfield, MI
Support revised NCQA requirements for case and disease management; increase and improve efficiencies for utilization review and case management processes. Triage case management referrals received from various sources by calling members and providers to gather information. Provide telephonic education to members and caregivers relative to gaps in care, medicati...
Application Deadline: None
BCBSM

Medical Informatics Analyst Sr.

BCBSM - Detroit, MI
Provides technical, data and software support to customer departments such as Clinical Epidemiology and Biostatistics, Value Partnerships, Hospital Contracting, Wellness Care Management and HCV Center of Excellence. Leads projects with minimum direction where data solutions are necessary. Provides programming and data expertise for complex projects and ad-hoc r...
Application Deadline: None
BCBSM

Senior Health Care Analyst- Strategic Informatics Programmer

BCBSM - Detroit, MI
Department Summary: The Strategic Informatics Program Evaluation (SIPE) department is responsible for researching, planning, organizing, directing, implementing, and managing corporate cost benefit savings programs and initiatives dedicated to enhancing health care value. SIPE is a team of programmers and analysts with extensive healthca...
Application Deadline: None
BCBSM

Senior Health Care Analyst- Strategic Informatics

BCBSM - Detroit, MI
Department Summary: The Strategic Informatics Program Evaluation (SIPE) department is responsible for researching, planning, organizing, directing, implementing, and managing corporate cost benefit savings programs and initiatives dedicated to enhancing health care value. SIPE is a team of programmers and analysts with extensive healthca...
Application Deadline: None
BCBSM

Health Care Analyst- Wellness Care Management Program Development

BCBSM - Detroit, MI
Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management. Department Summary: Develop new wellness and care management programs- this involves conducting research on the health problem, conducting research on best practices and evidence based i...
Application Deadline: None
BCBSM

Medical Policy Coordinator

BCBSM - Southfield, MI
Coordination of all activity associated with the development and maintenance of medical policy and benefit interpretation in accordance with BCN certificates, riders, waivers, statewide policies and with BCBSM policies and procedures. Investigation of new procedures, technology, drugs and devices. Maintenance of clinical documentation related to new technologies and treatment modalities...
Application Deadline: None
BCBSM

Sr Analyst- WCM Support

BCBSM - Detroit, MI
Leadership responsibility to coordinate the development and implementation of programs and strategies to improve service to our customers. Department Summary: Produce wellness care management (WCM) customer reports by analyzing program activity and outcomes data for existing WCM programs. Work with program development, program o...
Application Deadline: None
BCBSM

Strategic Informatics Manager

BCBSM - Detroit, MI
Responsible for researching, planning, organizing, directing, implementing, and management of corporate programs and initiatives dedicated to enhancing health care value. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Specialize in research, planning, development, implementation and leadership. Department Summar...
Application Deadline: None
BCBSM

Health Care Manager- Hospital Contracting

BCBSM - Detroit, MI
Responsible for researching, planning, organizing, directing, implementing, and management of corporate programs and initiatives dedicated to enhancing health care value. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Specialize in research, planning, development, implementation and leadership. Department Summary: Overse...
Application Deadline: None
Displaying all 13 results