Most Recent BCBSM Job Listings

Support BCBSM providers (pharmacists and physicians) with 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 pharmacy claim...

  Blue Cross Blue Shield of Michigan has an opening for a team leader I in our Blue Card Claims operations area located at the Renaissance Center in downtown Detroit. This position in the BlueCard Claims department is responsible for inventory and performance related to Home and Host inventory.  The team leader must develop and manage daily performance plans to ensure the efficient use o...

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 as...

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 as...

Blue Cross Blue Shield of Michigan has a position available for a team leader II in our Blue Card Claims department located at the Renaissance Center in downtown Detroit, MI.   Responsible for planning, coordinating and supervising assigned department staff to ensure cost efficiencies are accomplished through process improvements and staff development, in accordance with established cor...

  Working under the direction and guidance of senior staff, analyzes health care policy issues and assesses their impact on Blue Cross Blue Shield of MI in general and its social mission in particular.   Develop and manage the body of information related to emerging health care policy at the national and state level. Evaluate and analyze health care policy issues and a...

BLUE CROSS BLUE SHIELD OF MICHIGAN KEY AND LARGE GROUP SALES ACCOUNT MANAGER LANSING, MI     CANDIDATES MUST HAVE HEALTH CARE INSURANCE ACCOUNT MANAGEMENT RETENTION EXPERIENCE.   Blue Cross Blue Shield of Michigan is seeking an A...

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...

  Responsible to plan, organize, direct, control, and lead assigned business unit; specialize in development, planning, and leadership; operate within broad objectives to ensure optimum utilization of capital, manpower, and equipment for the assigned business unit.    Manage activities of a department including but not limited to planning, problem solving, staff devel...

Designs learning solutions using a variety of delivery methods (instructor led, virtual instructor led, e-learning). Develops and updates course content and coordinates learning curriculum. Conducts assessment and analysis to identify new development needs and recommends training methods accordingly.   Identifies opportunities for learning programs based on feedback, emergi...

General Purpose Develop, establish and maintain marketing strategies to meet organizational objectives.  Effective management of the marketing, Vendor Management and promotional activities of the organization. Responsibilities manage and coordinate all marketing, Vendor Management and promotional staff and external vendor partner activities

  Responsible to plan, organize, direct, control, and lead assigned business unit; specialize in strategy development, planning, and leadership; operate within broad objectives to ensure optimum utilization of capital and manpower for the assigned business unit.   Manage activities of a department that are directly related to the corporate strategies, goals, and object...

General corporate functions applied to IT: process management, budgeting, financial and contracts management, audit, compliance, human resources, training and development.   Working independently within guidelines, leads efforts to create and maintain processes relevant to all or part of the IT community.  Leads process improvement discussions with internal clients to ana...

Under general supervision in accordance with company policy, EEO guidelines and sound human resources practices, sources, screens and secures candidates for mid-management, technical, senior technical and professional level positions.  In conjunction with other talent acquisition team members, develops and executes tactical sourcing strategies aimed at securing candidates that meet dive...

Manages and monitors the operations of BCN’s provider incentive program (Performance Recognition Program and Blue Reward$®) including program design, annual goals and measures, payment levels, payout process and program documentation.  Manager must obtain BCN leadership involvement in the program design as well as that of our IPA Medical Directors.  Manager attends BCN staff and Medical D...