Most Recent BCBSM Job Listings (Page 2)

Displaying results 16 - 30 of 124
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
Responsible for providing clinical and technical support for the assigned area(s). Assist project team with the resolution of problems, conduct special assignments as requested and prepare reports and/or analysis documenting the results with recommendations to management. Assist with the design, development, modification, testing, implementation and maintenance of assigned syst...
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
BCBSM

Analyst Part C/D

BCBSM - Detroit, MI
DEPARTMENTAL SUMMARY - 2 OPENINGS Applies analytical skills and specialized knowledge to identify Medicare Part C/D members with other primary health information and pursue recovery of associated claim overpayments. Utilizing knowledge of the Centers for Medicare and Medicaid (CMS) Medicare Secondary Payer (MSP) rules and Part C/D Med...
Application Deadline: None
BCBSM

Team Leader I Service Operations Contact Centers - Auto Service Center

BCBSM - Detroit, MI
The Service Operations Team Leader I will be responsible for the supervision of team members in the Contact Center Operation. Supervision may occur onsite or remotely, therefore it is important for the Team Leader I to have the ability to perform the essential duties and responsibilities both onsite and remotely. The Auto Service Center is a fast pace...
Application Deadline: None
BCBSM

Analyst-Pharmacy Services Medicare Part D

BCBSM - Detroit, MI
DEPARTMENTALSUMMARY Responsible for reviewing claims data, analyzing information and evaluate if an issue is present. Coordinate projects for management. Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for ...
Application Deadline: None
BCBSM

Business Analyst Advanced - Contact Center Technology

BCBSM - Detroit, MI
The selected candidate will be afforded the opportunity to choose whether they are based out of our Detroit office or our Lansing office. Internal or External Customer service and relationship management, first line of support, desktop technology support and help desk, site support. With general guidance and coaching, provides analytical supp...
Application Deadline: None
BCBSM

Senior Financial Analyst-Blue Care Network Financial Analysis and Budgeting

BCBSM - Southfield, MI
DEPARTMENT SUMMARY Prepare annual corporate budget and forecast including all related financial schedules using complex analysis of (membership, premium revenue, benefit expenses, administrative expenses and capital expenses) for Blue Care Network and other entities as assigned. Monthly accounting, financial and system analysis and complex financial modeling ...
Application Deadline: None
Displaying results 16 - 30 of 124