Jobs at BCBSM

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Manager, Finance Business Partner-Individual Business Unit

BCBSM - Detroit, MI

Provide integrated enterprise-wide reporting of financial plans. Analyze, evaluate, and maintain an understanding of client's business model/processes to ensure efficiency across functions and profitability across segments. Influence positive change by providing consultation to clients regarding products, pricing, and financial arrangements. Partner with business units to provide cost p...

Application Deadline: None

Financial Coordinator for Finance Integration

BCBSM - Detroit, MI

Responsible for monitoring, analyzing and reporting financial information including revenues, expenses, trends and/or program profitability by division, customer or product segments. Also responsible for preparing financial analysis and modeling that supports prospective business decisions. Leads or works with a team (within the department or across multiple departments) to complete ass...

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

Provider Consultant

BCBSM - Southfield, MI

Educates providers, office staff and billing entities about current BCN/BCBSM programs, policies and procedures. Analyze financial and utilization data to develop plans to assist providers in better managing patient care. Resolves problems with providers and staff including claims, eligibility, financial, utilization, performance improvement, disease management programs and other operat...

Application Deadline: None

Sr Account Representative - SE 50-299 Retention

BCBSM - Detroit, MI

Responsible for retention activities for BCBSM and/or BCN customers generally with 50 to 99 contracts in a group within an assigned geographic area. Retention activities include planning, strategizing, benefit consulting and administration to increase membership as well as required resell activities. Responsibility may include enrolled and prospective customers.

Application Deadline: None

Pricer VII - Lansing

BCBSM - Lansing, MI

BLUE CROSS BLUESHIELD OF MICHIGAN Statewide Call-inPricing Pricer VII Lansing, MI Blue Cross Blue Shield of Michigan is seeking Claims Pricers who are respoonsible for reviewing and processing non-standard or complex claims and inquiries from various corporate business units and benefit categories for approval or denial....

Application Deadline: None

Health Care Manager- Medical Informatics

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. Utilize data analytics and extensiv...

Application Deadline: None

Manager, Pharmacy Services Clinical Formulary

BCBSM - Detroit, MI

Responsible for the planning, development, and implementation ofMedicare Part D formularies and related programs administered through the company's prescription drug program. Other duties as assigned. Manage all aspects of Part D formularies for individual and group business. Manage oversight of Utilization Management programs. Supervise, set performance goals/objectives, monito...

Application Deadline: None

Analyst - Group Administration

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 implementing of approved pr...

Application Deadline: None

Consultant, Hyperion Strategic Finance

BCBSM - Detroit, MI

Responsible for leading the configuration of technology solutions to deliver financial reporting to internal customers; ensure that the designated financial systems (e.g. Hyperion, etc.) are operating effectively to support the annual budgeting, forecasting and long-term financial modeling system. Provide regular status updates to leadership and manage vendors.

Application Deadline: None

Temporary Document Support Clerk

BCBSM - Southfield, MI

Provide clerical support to department by completing assignments, including but not limited to typing, filing, preparing mailings, maintaining inventory levels, faxing and copying. Sort and prep documentation for scanning and/or microfilm. Scan documents, data entry and create Customer Service Forms (CSF's) from Doc-Flo inventory. Open mail, sort and prep Customer Services/Cust...

Application Deadline: None

Manager, Governance and Accounting Policy

BCBSM - Detroit, MI

Responsible for research, interpretation, analysis, communication and operational assistance of all manner of accounting and financial reporting pronouncements, regulations, accounting standards, etc. and their impact on BCBSM. Responsible for developing and implementing a Governance model that incorporates industry best practices and maintains strong internal controls to be rolled out to th...

Application Deadline: None

Associate Medical Director- Behavioral Health

BCBSM - Detroit, MI

Provides clinical program leadership and implements, develops and approves policies within recognized area of responsibility. Department Summary: Unrestricted Michigan License Board Certified in Psychiatry Minimum of five years of practice experience Experience in use management and quality improvement activities strongly preferred S...

Application Deadline: None

Compliance/Product Analyst

BCBSM - Detroit, MI

Responsible for ensuring that assigned sales, marketing, and operational materials and products are in compliance with the Centers for Medicare and Medicaid Services (CMS) and applicable federal agencies within designated timeframes. Assist in the development, coordination, and implementation of methods and procedures to ensure that all sales, marketing, promotion and operation...

Application Deadline: None

Sr Analyst- COE Communications

BCBSM - Detroit, MI

Leadership responsibility to coordinate the development and implementation of programs and strategies to improve service to our customers. Department Description: Responsible for development of short and long term communication plans for internal and external Centers of Excellence stakeholders.Identify and analyze business needs to develop strategic communicati...

Application Deadline: None