Most Recent BCBSM Job Listings

Displaying results 1 - 15 of 118
BCBSM

Director BCN Operations Performance

BCBSM - Southfield, MI
Coordinate work across multiple operational areas and support a holistic view and management of BCN operational performance to address membership growth and business complexity. Direct and develop holistic view of operational performance with supporting standards, metrics and analytics that align performance measures with process goals. Perform on-going...
Application Deadline: None
BCBSM

Associate, Corporate & Business Development (M&A/Strategic Investments)

BCBSM - Detroit, MI
Responsible for the evaluation, management, and execution of potential mergers, acquisitions, divestitures, and strategic investments in support of the strategic objectives for the enterprise. Manage deal processes, from intake / evaluation through execution,and interact with senior executives to execute transactions. Create analyses to identify and prioritize strategic initiat...
Application Deadline: None
BCBSM

Senior Analyst- Capitation Configuration

BCBSM - Southfield, MI
Responsibility to coordinate the development and implementation of programs and strategies to improve organizational processes and service. Provide technical and analytical support to specific departmental initiatives such as process improvement, ad-hoc reporting, database maintenance, regulatory compliance, data modeling, documentation, proposal development, etc. Depar...
Application Deadline: None
BCBSM

Auto Account Rep. Sr.

BCBSM - Detroit, MI
Responsible for providing Best in Class services to assigned customer(s). Responsible for implementing decisions and processes impacting quality, service and efficiencies. Establish and maintain strong business relationships with groups in assigned territories. Resolve escalated customer service, membership, eligibility, claims problems and inqu...
Application Deadline: None
BCBSM

Senior Benefit Communications Analyst

BCBSM - Detroit, MI
Under general supervision, develop and produce benefit information and client communications that are designed to attract, retain, inform and educate group customers and subscribers. Analyze components of product offerings to ensure compliance with coverage documents.Analyze group coverage documents and develop non-standard benefit specifications that amend ce...
Application Deadline: None
BCBSM

Business Consultant, Office of National Health Reform

BCBSM - Detroit, MI
Summary Plan, organize, direct, control, and lead enterprise-wide projects to achieve the strategic and financial objectives of the organization. Develop strategies aimed at improving organizational performance and program success. Develop and maintain monitoring activities related to program initiatives. Consult with business unit leaders and employees regarding implementation...
Application Deadline: None
BCBSM

Secretary to Medical Director

BCBSM - Detroit, 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, le...
Application Deadline: None
BCBSM

Sr Analyst - Benefit Administration, Operational Excellence

BCBSM - Detroit, MI
SrAnalystsupporting Benefit Administration Operational Excellence Team. Leadership responsibility to coordinate the development and implementation of programs and strategies to improve service to our customers. Develop and improve work flows and business processes within area(s) to improve customer service, decrease operational costs and improve overall quality. Identify and/or...
Application Deadline: None
BCBSM

Senior Project Manager, Strategic Transformation

BCBSM - Detroit, MI
Summary Team with business operations SMEs to implement solutions to complex business problems by facilitating root cause analysis and process improvement design, leading solution delivery, and analyzing and controlling solution costs to ROI. Essential Duties and Responsibilities Responsible for initiating, planning, execu...
Application Deadline: None
BCBSM

Manager of Govt. Programs Compliance Dept.

BCBSM - Detroit, MI
DEPARTMENTAL SUMMARY This manager will be responsible for leading 5 to 8 compliance monitoring staff members which conduct audit coordination responses with the Center for Medicare and Medicaid Service's audits over the company's Medicare Advantage and Part D Medicare drug programs. This department is also conducting monitoring reviews and advisory services for Medicaid and the Federal ...
Application Deadline: None
BCBSM

RN Analyst I

BCBSM - Detroit, MI
N/A Qualifications N/A All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, protected veteran status or status as an individual with a disability.
Application Deadline: None
BCBSM

Team Leader I - Group Administration

BCBSM - Detroit, MI
Responsible for planning, coordinating, and supervising all administrative, operative and employee functions within assigned area(s) to ensure an efficient and cost effective area in accordance with departmental and corporate standards and objectives. Supervise, coordinate, direct and monitor staff activities to ensure prompt, courteous and accurate response t...
Application Deadline: None
BCBSM

Supervisor Finance and Accounting-Blue Care Network-Southfield

BCBSM - Southfield, MI
DEPARTMENTAL SUMMARY Responsible for monitoring, analyzing and reporting financial information including revenues, expenses, trends and/or program profitability by division, customer or product segments. Coordinate and prepare various finance related presentations; research various requests; and handle multiple day-to-day detailed operat...
Application Deadline: None
BCBSM

Health Care Analyst- Enterprise Risk Adjustment Support

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...
Application Deadline: None
BCBSM

Senior Health Care Analyst

BCBSM - Detroit, MI
Summary Responsible for planning, organizing, directing, implementation, and leading department assignments. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Research, compile and analyze appropriate and relevant data and make recommendations for operational improvements. Essential Duties and Responsibiliti...
Application Deadline: None
Displaying results 1 - 15 of 118