Jobs at BCBSM

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Director HCV Ancillary Program & Network Management

BCBSM - Detroit, MI

Directs projects and initiatives across the four areas of HCV Center of Excellence including Ancillary Program Management, Ancillary Program Performance, PPO Administration and Network Management including mandates and customer demands for program modifications. Oversee the management of vendors' performance, contract issues, payments, new program implementation...

Application Deadline: None

Lead Accounting Analyst - Investment Accounting

BCBSM - Detroit, MI

Responsible for leading the process of providing all investment assets balances and related investment activity for the Company's financial statements. Prepares journal entries, performs account reconciliations, prepares monthly and quarterly reports andanalyzes investment results and other related investment information. This position ensures the integrity of the investment portfoli...

Application Deadline: None

Supervisor - BCN Customer Service

BCBSM - Southfield, MI

Plan, coordinate, and supervise all administrative, operational and employee functions within assigned corporate functional area (e.g. Customer Service, Member Service, Claims, Membership and Billing, Enrollment, Training) to achieve unit/department goals, increase operational efficiencies and reduce cost. Supervise, coordinate, direct and monitor staff activities to ensure pro...

Application Deadline: None

Analyst - Rating I - Mid-UP Underwriting

BCBSM - Detroit, MI

Under close supervision responsible for providing support and assistance to management in determining renewal rates and group settlement accountings, responding to customer inquiries, preparing ERISA reports and developing proposals for existing business or financial arrangements for less complex group accounts. Calculates renewal rates in accordance with standard underwriting ...

Application Deadline: None

Pharmacy Technician

BCBSM - Southfield, MI

Support BCBSM providers (pharmacists and physicians) with Medicare Part D and Commercial pharmacy drug benefits analysis, drug coverage inquiries and prior authorizations. Answer telephones in an efficient and timely manner to lend appropriate assistance to providers Assists in maintaining pharmacy prior authorization criteria used in the adjudication of pharm...

Application Deadline: None

Analyst - BCN Membership & Billing

BCBSM - Southfield, MI

Provide functional technical and analytical support to BCN Membership and Billing department. This may include problem identification and resolution, documentation, analysis, recommendation, and implementation of new or enhanced work processes, systems, and reports. Provide support to assigned departmental leadership through technical, analytical and subject ma...

Application Deadline: None

Analyst - Individual Membership and Billing

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...

Application Deadline: None

Temporary Group Maintenance Technician

BCBSM - Southfield, MI

This position establishes and maintains employer group data and premium rates for small and large groups on all underwriting systems. ESSENTIAL DUTIES AND RESPONSIBILITIES Enter new business, group wide changes and maintenance items into Facets, Prism, Group Crosswalk, Smart and the Tracking Log. Prescreen work receive...

Application Deadline: None

Health Care Manager- Stars Reporting and Analytics

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 Respo...

Application Deadline: None

Temporary Office Support Clerk

BCBSM - Southfield, MI

Provides clerical support to department by completing assignments including but not limited to: processing mail, typing, faxing, filing, preparing mailings, maintaining inventory levels, and Xeroxing. ESSENTIAL DUTIES AND RESPONSIBILITIES: Receipt and processing of all departmental incoming mail and fax...

Application Deadline: None

Team Leader I Service Operations Contact Centers - Medicare Advantage Servicing

BCBSM - Detroit, MI

The Service Operations Team Leader I will be responsible for the supervision of team members in the Contact Center Operation. Supervision may occur onsite or remotely, therefore it is important for the Team Leader I to have the ability to perform the essential duties and responsibilities both onsite and remotely. Provide real time coaching, motivation, ment...

Application Deadline: None

CSR II - Steketees Bldg

BCBSM - Grand Rapids, MI

BLUE CROSS BLUE SHIELD OF MICHIGAN West MI Provider Servicing Customer Service Representative II Grand Rapids, MI Blue Cross Blue Shield of Michiganis seeking a CSR II to analyze, evaluate, resolve and responds tocustomer/provider inquiries received via telephone, correspondence or in personinvolving a variety of claim/benefit issues under various...

Application Deadline: None

Administrative Assistant to Director - Commons Customer Service

BCBSM - Southfield, MI

Provide administrative assistant support services to the director, exercising discretion and maintaining confidentiality in handling work objectives. Schedule appointments and meetings, maintains the director's calendar and assure all required information is prepared for scheduled appointments and meetings. Types, edits, and proofreads general correspondence including memos, letters, Exc...

Application Deadline: None

Systems Administrator III

BCBSM - Detroit, MI

SUMMARY: Blue Cross Blue Shield of Michigan is currently seeking a Systems Administrator II for our downtown Detroit / Lafayette facility. This systems administrator II will be responsible for the following: DEPARTMENTAL REQUIREMENTS: Expert in AFP Coding and development skills

Application Deadline: None

Temporary Customer Service Representative II

BCBSM - Southfield, MI

Investigate, process, resolve, and respond to member, provider or beneficiary inquiries received via telephone, written correspondence or in person. Investigate, process, resolve, and respond to member, provider or beneficiary inquiries received via telephone, written correspondence or in person regarding benefits, eligibility, materials forms, ID cards, PCP changes, c...

Application Deadline: None