Most Recent BCBSM Job Listings

Displaying results 1 - 15 of 60
BCBSM

Technical Analyst - Service Workforce Management

BCBSM - Detroit, MI
Blue Cross and Blue Shield of Michigan has an opening in downtown Detroit, Michigan for a Technical Analyst in Workforce Management. Will be responsible for the analysis and enforcement of WFM best practices with a particular focus on technical and analytic responsibilities. Reporting to the Senior Technical Analyst, the role will utilize forecaster/scheduler software to provide information ...
Posted Oct 09, 2013   —   Application Deadline: None
BCBSM

Temporary Medical Information Specialist

BCBSM - Southfield, MI
Provide through analysis and investigation of authorization requests for specialized medical/surgical/outpatient procedures in an expeditious and accurate manner, ensuring providers', hospitals', Primary Care Groups' (PCG), and members' quality customer service.  Provide information and assistance as it pertains to the Medical Management program to providers', hospitals', PCG and member...
Posted Aug 27, 2013   —   Application Deadline: None
BCBSM

Temporary-Individual Account Analyst

BCBSM - Southfield, MI
Responsible for the integrity and accuracy of individual billed accounts including amounts recorded to the general ledger for billed and disputed premiums; communicates with internal and external entities to resolve discrepancies.   Maintain accounts receivable database for Blue Care Network individual coverage accounts for...
Posted Aug 27, 2013   —   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.   Dep...
Posted Aug 19, 2013   —   Application Deadline: None
BCBSM

Health Care Analyst- Health Promotion

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 comprehens...
Posted Aug 15, 2013   —   Application Deadline: None
BCBSM

Senior Analyst, Operational Performance

BCBSM - Detroit, MI
Summary Leadership responsibility to coordinate the development and implementation of programs, strategies and stabilization of business readiness needs to improve service to our customers. Candidates must have sizeable and suitable experience supporting large scale operations, as well as highly developed analytical experience and technical skills to deliver on the...
Posted Jul 30, 2013   —   Application Deadline: None
BCBSM

Security Officer

BCBSM - Detroit, MI
Assist in enforcement of all corporate rules, regulations, laws and ordinances applicable to the conduct of employees and others while on the premises.  Secure property against damage, fire, theft, trespassing and illegal entry.    Monitors and issues employee and visitor ID cards, boxes and packages; assists visitors and provides security at entrances and exits of compan...
Posted Jul 26, 2013   —   Application Deadline: None
BCBSM

Manager- Strategic 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 analyti...
Posted Jul 19, 2013   —   Application Deadline: None
BCBSM

Clinical Pharmacist - Value Partnerships support

BCBSM - Detroit, MI
Clinical Pharmacist to support Value Partnerships clinical and quality-based initiatives.    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 impr...
Posted Jul 17, 2013   —   Application Deadline: None
BCBSM

Finance Manager - Medicare Segment

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 cos...
Posted May 20, 2013   —   Application Deadline: None
BCBSM

Sr Analyst - Workforce Optimization (5 Openings)

BCBSM - Detroit, MI
 As a trusted advisor to contact center leadership, the Senior Business Analyst is responsible for all aspects of Workforce Management/contact center leader relationship managment.  The Senior Business Analyst will coordinate the development and implementation of programs and strategies to improve service to our customers.  The Senior Business Analyst will be involved in analysis and enforcemen...
Posted Apr 25, 2013   —   Application Deadline: None
BCBSM

Project Manager - Supporting Actuarial and Underwriting

BCBSM - Detroit, MI
DEPARTMENTAL SUMMARY   This position works collaboratively across the company to direct and oversee the successful implementation of actuarial and underwriting initiatives through identifying synergies and interdependencies across corporate programs, projects and initiatives.  Responsible for designing, developing, leading and delivering cross fun...
Posted Apr 17, 2013   —   Application Deadline: None
BCBSM

Investment Lead Accounting Analyst - Financial Reporting

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 and analyzes investment results and other related investment information.  This position ensures the integrity of the investment portf...
Posted Mar 25, 2013   —   Application Deadline: None
BCBSM

Actuarial Manager of Senior Markets Pricing

BCBSM - Detroit, MI
In this position, you will serve as the Manager, Senior Markets Pricing Actuary, with responsibility for design, pricing and implementation of Medicare Advantage and Medigap products ensuring compliance with state and federal regulations.  Specifically, you will:   Work on developing program rates; preparing cost estimates; conducting and evaluati...
Posted Mar 13, 2013   —   Application Deadline: None
BCBSM

Medicare Advantage Claims and Enrollment Analyst

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, developi...
Posted Mar 06, 2013   —   Application Deadline: None
Displaying results 1 - 15 of 60