Jobs at BCBSM - Page 2

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Displaying results 16 - 30 of 160

Coordinator - Financial

BCBSM - Detroit, MI

Summary Primary responsibilities include tasks associated with CMS bid development, budgeting, capital plan, forecasting, benchmarking, administrative expense analysis and variance reporting, set-up of financial infrastructure for new group implementations, analysis of cost drivers/operational metrics and reporting, product cost reporting, risk opportunities reporting, cost al...

Application Deadline: None

IT Delivery Manager I

BCBSM - Detroit, MI

SUMMARY Blue Cross Blue Shield of Michigan is currently seeking an IT Delivery Manager I for our Detroit / Jefferson facility. This IT Delivery Manager I will be responsible to lead large and/or multiple mid size projects for the HCV-IT area. Strong understanding of SDLC processes, and Project Management required.

Application Deadline: None

Clinical Pharmacist

BCBSM - Detroit, MI

Summary This position is 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 member drug benefit quality. This position serves as the liaison to the ...

Application Deadline: None

Manager Product Development - Specialty Products

BCBSM - Detroit, MI

Leads new ancillary product development and implementation within BCBSM. Responsible for working with BCBSM employees at all levels and supporting the Director of Specialty Products and Vendor Management and various product implementation teams throughout BCBSM. Product coordination tasks include leading and/or participating on product ideation and implementation work groups, monitor...

Application Deadline: None

Data Verification Operator

BCBSM - Detroit, MI

The primary function of this position is to correct and input claim data from Optical Character Recognition information received through the image processing of paper claims using high-speed data entry systems. Operate data processing peripheral equipment (e.g. keyboard, video terminals, and printers). Receive claim images from the high speed scanning process and compare/verify...

Application Deadline: None

CSR Temp - BCN Ann Arbor

BCBSM - Ann Arbor, MI

Investigate, process, resolve, and respond to member, provider or beneficiary inquiries received via telephone, written correspondence or in person. Investigate, process, resolve, and respond to member, provider or beneficiary inquiries received via telephone, written correspondence or in person regarding benefits, eligibility, materials forms, ID cards, PCP cha...

Application Deadline: None

Account Manager

BCBSM - Holland, MI

BLUE CROSS BLUE SHIELD OF MICHIGAN WEST SHORE SALES - WEST MICHIGAN ACCOUNT MANAGER Blue Cross Blue Shield of Michigan is seeking an Account Manager who will be responsible to retain and increase membership and retention within the West Shore territory, generally with 100 or greater employees in a gro...

Application Deadline: None

BCN Reporting and Analysis Project Manager

BCBSM - Southfield, MI

Responsible for monitoring, tracking and reporting corporate performance, including analyzing trends to support the corporate planning process and strategic decision making. Responsible for creating presentations for the BCN Corporate Performance and Administration division. Develop, manage and maintain the corporate business planning process, including manageme...

Application Deadline: None

HEDIS Project Consultant

BCBSM - Detroit, MI

Responsible for leading projects and teams to produce desired results. Interface with external and internal customers and vendors to identify and/or analyze business problems and develop solutions. Develop and improve workflows and business processes to improve customer service, decrease costs, and improve quality and efficiency. Department Description: Leading the coo...

Application Deadline: None

Health Care Manager

BCBSM - Detroit, MI

Summary Lead and co-manage medical-drug and pharmacy drug related initiatives alongside designated pharmacy clinical manager(s). Lead and assist with operational related efforts to manage medical drug claim pricing, payment activities, vendor contracts and relationships, business readiness, and operational dashboards and analyses. Responsible for researching, planning, organizi...

Application Deadline: None

Epidemiologist

BCBSM - Detroit, MI

Involved in advanced analytics in support of conceptualization, design and evaluation of BCBSM clinical programs, such as the largest Patient-Centered-Medical Home initiative in the nation and numerous pay-for-performance initiatives. Design and implement epidemiologic studies to understand disease burden in BCBSM insured population and health care ser...

Application Deadline: None

Temporary General Clerk - Utica Customer Office

BCBSM - Shelby Twp, MI

Performs a variety of duties, of a beginning clerical capacity, in accordance with simple rules and detailed instructions. Records data of a standardized nature of which proper entry has already been indicated or is readily identifiable. Lists or records data from documents of which knowledge of the subject matter is not required. Files r...

Application Deadline: None

IT Team Lead II

BCBSM - Detroit, MI

Summary: Blue Cross Blue Shield of Michigan is currently seeking an IT Team Lead II for their downtown Detroit / Lafayette facility. Excellent oral, written and presentation skills are a must and this individual also must be comfortable interacting with all levels of leadership. This IT Team Lead II will be responsible for t...

Application Deadline: None

Project Consultant - Business Solutions Architect

BCBSM - Detroit, MI

Responsible for leading projects and teams to produce desired results. Interface with external and internal customers and vendors to identify and/or analyze business problems and develop solutions. Develop and improve workflows and business processes to improve customer service, decrease costs, and improve quality and efficiency. Develop detailed plans and schedules, identifying goals, o...

Application Deadline: None

Director, Medical Informatics

BCBSM - Southfield, MI

Summary Provide leadership to assure BCN internal and external customers and stakeholder's access to complete, accurate, and timely reports which can be translated into useful information to meet regulatory and accreditation requirements and to improve member access, maximize member health status, enhance member and provider satisfaction and lower medical costs.

Application Deadline: None