Most Recent BCBSM Job Listings

Displaying results 1 - 15 of 149
BCBSM

Clinical Pharmacist

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

Senior Actuarial Analyst I-Senior Markets Pricing

BCBSM - Detroit, MI
Responsible for performing moderately complex calculations, analysis and actuarial research used for pricing and financial forecasting with limited direct supervisory review. Perform moderately complex actuarial analyses and calculations using knowledge and demonstrated application of actuarial methods and practices, determining priorities and procedures. Ensure co...
Application Deadline: None
BCBSM

Clinical Pharmacist

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

IT Auditor II-IT Audit and Advisory Srvs

BCBSM - Detroit, MI
Functions as a highly skilled internal control consultant responsible for conducting internal information technology (IT) audits/reviews, providing risk education and project consulting services on behalf of the corporation to mitigate risk and assess the control environment of each auditable unit. Provides supervision and training for lower level IT audit staff. Conduct intern...
Application Deadline: None
BCBSM

Analyst - Automated Group Reporting

BCBSM - Detroit, MI
*Three openings* 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. A...
Application Deadline: None
BCBSM

IT Manager I

BCBSM - Detroit, MI
Plan, organize, direct and control, and lead assigned functional area and ensure its alignment with business objectives. Operate within broad objectives to ensure optimum utilization of capital, staffing and equipment. Oversee the development of corporate standards, technology architecture, technology evaluation and transfer. Manage the delivery of one or more ...
Application Deadline: None
BCBSM

Sr Analyst - Product Development

BCBSM - Detroit, MI
Perform as business analyst for business product projects. Manage development and implementation of required operational processes, training and communications, working with servicing departments and business project team. Responsible for managing project life cycle using formal project management methodology. Develop and manage project schedules, issues/risks, and scope. Manages multip...
Application Deadline: None
BCBSM

Individual Rating Analyst-Individual Business Underwriting

BCBSM - Detroit, MI
Under general supervision and guidance, assist in the implementation of the individual market segment rates across all quoting, enrollment and billing systems. Assist in the creation, maintenance and reporting from departmental databases. Assist with the design, development, modification, testing, implementation and maintenance of assigned systems, including departmental database...
Application Deadline: None
BCBSM

Specialty Sales Consultant - Diversified Consumer Business

BCBSM - Detroit, MI
The Specialty Sales Specialist is responsible for selling BCBSM's ancillary lines of business to BCBSM accounts, premier/preferred insurance agencies, consulting houses, sales offices managing agents related to Large, Key, Middle, Small, Trustfunds, Unions and Special Markets. Position reports in Southeast Michigan but has responsibility nationwide. Respond to...
Application Deadline: None
BCBSM

RN Team Leader

BCBSM - Detroit, MI
Responsible for planning, coordinating and supervising assigned department(s)/area(s) to ensure an efficient and cost-effective area of responsibility in accordance with established corporate and departmental policies and procedures. Supervise and promote the professional development of assigned staff through selection, development, and exploration of more effective methods of ...
Application Deadline: None
BCBSM

Med Review and Appeals RN

BCBSM - Ann Arbor, MI
Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. May establish care plans and coordinate care through the health care continuum including member outreach a...
Application Deadline: None
BCBSM

Analyst - Product & Process Improvement

BCBSM - Southfield, MI
Provide functional technical and analytical support to the Product and Process Improvement 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 su...
Application Deadline: None
BCBSM

Project Coordinator - Product and Process Improvement

BCBSM - Southfield, MI
This position has the responsibility of coordinating and assisting in the attainment of division/department operational objectives. Coordinates the development of department plans, activities and resources specific to the department/divisional needs, i.e., training, inquiry cause, etc. Develops and maintains accurate department reporting. Demonstrates ability to build, motiv...
Application Deadline: None
BCBSM

Senior Health Care Analyst- Strategic Informatics Programmer

BCBSM - Detroit, MI
Department Summary: The Strategic Informatics Program Evaluation (SIPE) department is responsible for researching, planning, organizing, directing, implementing, and managing corporate cost benefit savings programs and initiatives dedicated to enhancing health care value. SIPE is a team of programmers and analysts with extensive healthca...
Application Deadline: None
BCBSM

Senior Analyst- Capitation, Products and Pricing

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. Dep...
Application Deadline: None
Displaying results 1 - 15 of 149