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

Displaying results 1 - 15 of 93
BCBSM

Enterprise Risk Adjustment Project Consultant

BCBSM - Detroit, MI
Responsible for leading projects and teams to produce desired results. Interface with external and internal customers and vendors to identify and/or analyze business problems and develop solutions. Develop and improve workflows and business processes to improve customer service, decrease costs, and improve quality and efficiency. Develop detailed plans and schedules, identifyin...
Application Deadline: None
BCBSM

Clinical Pharmacist-Pharmacy Network

BCBSM - Detroit, MI
Responsible for promoting appropriate and/or efficient prescribing of prescription drugs among BCBSM participating physicians. This position is also responsible for the education of physicians and influencing of prescribing patterns to reduce BCBSM's drug benefit payout and improve the quality of the benefits as it relates to our members. The incumbent serves as the liaison to the Medic...
Application Deadline: None
BCBSM

Analyst-Pharmacy Network

BCBSM - Detroit, MI
Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality. Assist and support in the planning, coordinating, developing and implem...
Application Deadline: None
BCBSM

Community Outreach Liaison - BCN

BCBSM - Southfield, MI
Under supervision, responsible for the implementation of programs and initiatives that support communities across the state. Successful implementation will be accomplished by focusing on partnerships developed by the Community Outreach Department. Interface with community, education, civic and charitable organizations that address and affect the health status of Michigan reside...
Application Deadline: None
BCBSM

Cust Svc Rep I

BCBSM - Detroit, MI
Analyzes, evaluates, resolves and primarily responds to low complexity level membership issues under various product lines. Primarily conducts low complexity internal and external research to determine and request the data needed to handle inquiries regarding membership. Analyze and service various product lines in the area (i.e., Facility, Profe...
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, Medicare Part D Pharmacy Services

BCBSM - Detroit, MI
Summary Leadership responsibility to coordinate the development and implementation of programs and strategies targeted to Medicare Part D members along with providers. In addition, this role will be responsible for the collection and storage of data for analytical purpose. Assist in analysis of pharmacy claim patterns, summarizing findings, communicating strategic insights to b...
Application Deadline: None
BCBSM

Executive Assistant to an Executive Vice President

BCBSM - Detroit, MI
Blue Cross Blue Shield of Michigan is currently seeking an Executive Assistant to the Executive Vice President, Strategy, Government and Public Affairs, in their Detroit facility. This individual will provide administrative assistant support services to the Executive Vice President, exercising discretion and maintaining confidentiality in handling work objectives. This position will ...
Application Deadline: None
BCBSM

Business Performance Manager

BCBSM - Detroit, MI
Direct a cross functional team to develop IBU's multi-year pricing strategy for each annual product development cycle to ensure IBU is on a path to achieving IBU's long-term membership and margin targets. Balance tradeoffs between membership and margin in setting pricing for IBU's entire product portfolio. Responsible for forecasting IBU membership utilized for setting c...
Application Deadline: None
BCBSM

Key Account Manager - Hospital Mkts & Lrge Accts

BCBSM - Detroit, MI
Responsible to increase BCBSM and/or BCN market share in key accounts generally of 1,000 or more contracts in support of business unit sales and marketing goals and objectives. Maximize new business servicing and retention strategies that relate to increased market share of key accounts. Formulate and implement short and long range strategies and account plans ...
Application Deadline: None
BCBSM

Senior Health Care Analyst, Office of Health Reform

BCBSM - Detroit, MI
Summary Responsible for planning, organizing, directing, and leading cross functional implementation projects, and departmental assignments. Position operates within broad objectives to ensure optimum utilization of manpower and budget.. Interface with external and internal customers and vendors to identify and/or analyze business problems and develop solutions to improve workf...
Application Deadline: None
BCBSM

Senior Health Care Analyst, Office of Health Reform

BCBSM - Detroit, MI
Summary Responsible for planning, organizing, directing, and leading cross functional implementation projects and departmental assignments. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Interface with external and internal customers and vendors to identify and/or analyze business problems and develop solutions to improve workflo...
Application Deadline: None
BCBSM

Sales Analyst - Specialty Sales

BCBSM - Detroit, MI
Responsible for supporting and assisting the Specialty Sales Consultants. Support sales staff by taking over administrative tasks in order to allow sales people to spend more time on selling. Activities will include, but not be limited to, resolving claim or benefit issues from beginning to end, completing claim audits, filling out and performing quality checks on Benefits at a Glance s...
Application Deadline: None
BCBSM

Clinical Pharmacist-Pharmacy Services

BCBSM - Detroit, MI
DEPARTMENAL SUMMARY BCBSMspecialty pharmacy program is looking for a strong clinical pharmacist to assist with the utilization management program for specialty medications. The candidate will be part of a team of clinical pharmacists dedicated to the utilization management program for specialty medications. The candidate will participate in various clinical work groups, and will assist in the d...
Application Deadline: None
BCBSM

Application Developer - Specialist

BCBSM - Detroit, MI
Under general direction and coaching, modify applications of moderate complexity levels from detailed specifications which involves changing software or streamlining processes, providing decision support data to leadership, running software processing jobs, preparing ad hoc reports, and maintains data quality. Contribute to all phases of the application development life-cycle ...
Application Deadline: None
Displaying results 1 - 15 of 93