Most Recent BCBSM Job Listings

The Contract Analyst is the primary contact within the Office of the General Counsel (OGC) for reviewing, drafting, researching and developing contracts originating from the BCBSM procurement department as well as from other areas of BCBSM. The position places a great deal of emphasis on the ability to lead and contribute to overall legal strategies and solutions.   Review, draft, edit and nego...

 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...

Under general supervision, this position assists in the development of marketing and strategic planning initiatives, and leads direct marketing projects which enable Blue Cross Blue Shield of MI to increase its presence within specifically identified segments.   Develop strategic marketing plans, to include communications and presentations. Gather and int...

    Business analysis, application architecture, design, development, integration and delivery.  Application maintenance and support.   Under general direction and coaching, modifies moderately complex applications from detailed specifications. Codes, tests, debugs, documents, and maintains those programs. Participates in technical ...

Responsible to retain and increase membership and retention within an assigned territory, generally with 100 or greater employees in a group, which includes national accounts or associations, in support of marketing sales goals and objectives.   Lead, formulate and implement long and short range strategies and account plans and resource deployments in support of territor...

SUMMARY This position is responsible for the sales of the BCBSM portfolio of Individual Business products including Medicare products to members within the state of Michigan. Ancillary products from BCBSM Subsidiaries are also included in this portfolio when applicable. Provides clear and concise information to potential Individual members and Medicare mem...

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...

BLUE CROSS BLUE SHIELD OF MICHIGAN WEST MI CUSTOMER SERVICE CUSTOMER SERVICE REPRESENTATIVE II Grand Rapids, MI     Blue Cross and Blue Shield of Michigan is seeking multiple Customer Service Representatives (CSR) who will be responsible analyzing , evaluating, resolving and re...

The Pharmaceutical Contracting Manager (PCM), working closely with PBM and other rebate vendors, is responsible for leading and managing pharmaceutical rebate end-to-end process for all BCBSM and BCN lines of business and products: commercial, HMO, PPO, Medicare, drugs that are paid for on the medical side and specialty pharmacy drugs.  Pharmaceutical Contracting Manager will collaborate wit...

Support BCBSM providers (pharmacists and physicians) with Medicare Part D and 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 adjudicatio...

The Instructional Designer will support the sales force area by designing and developing training materials (classroom, self-study, and eLearning) as well as user documentation (user guides, reference materials, job aids, etc.).  Training topics will include soft skill as well as technical. Create high-end training solutions for implementation of sales development interventions in or...

  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 support to a specific group of customers on business applications, infrastruc...

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...

 Responsible for leading / participating in the investigation, formulation and configuration of technology solutions in a healthcare environment.  This includes active participation with business leaders, coordinating with other team members in Accounting and Finance, creating business requirement documents / coordinating on functional specifications, creating project plans and work lists as ne...

  This position is responsible for conducting operational, financial, and compliance audits/reviews of BCBSM, its subsidiaries as well as vendors, suppliers, Par Plans and contractors of the company.   Conduct audits/reviews of BCBSM, its subsidiaries, vendors, suppliers, Par Plans and contractors of the company which include identifying risks and controls to mitigate...