61 jobs found in Detroit

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Eligible candidates for this role should reside within the metro Detroit Michigan area. Preferred candidates should reside in Macomb or Oakland county. Job Title- Field Property Claim Specialist Reports to: Claim Manager II What you will do: Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.  Review assigned claims, Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.   Complete complex coverage analysis. Ensure all possible policyholder benefits are identified.  Create additional sub-claims if needed.  Complete an investigation of the facts regarding...

The Salesforce Business Technology department is looking for a Business Analyst II to join our team. Our department is a liaison between IT and Health Plan Business focusing on strategic business initiatives built on Group CRM platform. Project work and platform maintenance are our primary responsibilities. The Business Analyst II will support project work, Salesforce reports, and data analytics with a heavy emphasis on end user support.  This role is ideal for someone with business analyst and project work experience. This role will be interacting with both internal and external customers and would require excellent verbal and written communication skills.  Below are our departmental preferences:   Strong proficiency in Excel or any other reporting tool Experience working with end users Prior experience developing presentations using PowerPoint Excellent verbal and communication skills Will interact frequently with internal development teams to triage...

The Internship Program at BCBSM is designed to enhance the skills and abilities of young professionals as well as to identify and attract future talent for our organization. Interns will gain practical hands-on work experience as well as a solid understanding of the health insurance industry. Our program is an excellent way for interns to get a good start on their careers by working on meaningful projects, learning valuable skills, and networking with employees throughout our organization, which could potentially allow interns to build a future career at BCBSM. Assist in preparing information and research materials to identify business problems, offer recommendations and assist  management with implementation of solutions.  Support leaders on projects designed to enhance the overall efficiency and effectiveness of the organization. Develop and maintain a solid understanding of BCBSM business, products, programs, data, organizational structure, controls, research.  Analyze...

Perform a broad range of administrative duties for Vice President. Performs advanced, diversified and confidential secretarial and administrative duties while working within general established guidelines, using judgment and discretion. Prepares correspondence, memoranda, reports, etc. Initiates routine and some non-routine correspondence and memoranda.  Screens telephone calls and visitors and resolves routine and some complex inquiries.  Schedules appointments, meetings and travel itineraries and coordinates related arrangements. May prepare and distribute minutes of meetings. Utilizes the assistance of one or more lower level secretaries on a reporting or project basis. May facilitate corporate programs within assigned departments.  Other duties may be assigned. " Qualifications " High School Graduate or GED equivalent required. Three (3) years of secretarial or related experience required. Proficient in the use of PC applications, i.e., Excel...

  The Statutory Reporting Financial Coordinator is responsible for monitoring, analyzing and preparing financial information and statements including SAP Filings, and trends. 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 assigned projects.  Works within strict deadlines and under little or no supervision.   ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned.  Oversees decision support oriented financial reporting for a division, customer or segment that may include linking financial information from various sources to provide meaningful financial reports or to assure appropriate data reconciliation.  Financial data may include financial statements detail, corporate, division and cost center BPR information, cost allocation information, general ledger transaction activity,...

Under general supervision, develop and produce benefit information and client communications that are designed to attract, retain, inform and educate group customers and subscribers. Analyze components of product offerings to ensure compliance with coverage documents.  Analyze group coverage documents and develop non-standard benefit specifications that amend certificates and riders.  Design, develop, produce, and maintain materials to support marketing sales strategy.  Create descriptions that clearly define product and delivery systems.  Develop group-specific benefit materials for standard and non-standard plans.  Write and develop marketing materials and ensure that materials comply with government and corporate brand regulations/style. Maintain hard copy and automated text libraries and/or files to facilitate development of internal and external communications.  Maintain daily, monthly, and quarterly activity reporting systems. Develop and maintain project plans....

Department Preferences Skilled in data analysis Preferred major in Economics, Actuary, or Computer Science Experience with prompt engineering The Internship Program at BCBSM is designed to enhance the skills and abilities of young professionals as well as to identify and attract future talent for our organization. Interns will gain practical hands-on work experience as well as a solid understanding of the health insurance industry. Our program is an excellent way for interns to get a good start on their careers by working on meaningful projects, learning valuable skills, and networking with employees throughout our organization, which could potentially allow interns to build a future career at BCBSM. Assist in preparing information and research materials to identify business problems, offer recommendations and assist  management with implementation of solutions.  Support leaders on projects designed to enhance the overall efficiency and effectiveness of the...

SUMMARY   The Associate Business Analyst position is responsible for conducting comprehensive analysis to identify accounting-focused solutions that address finance business needs. Serve as a liaison between the business area and the IT organization as needed. Diagnose process gaps, validate requirements, and recommend improvements. Utilize requirements gathering and process analysis methods to document accounting workflows, procedures, and system needs. Perform detailed reviews of accounting requests for system enhancements, reporting functionality, and data solutions. Translate business requirements into clear technical specifications that enable appropriate system and application changes. Support one or more low to moderately complex business processes.   ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned.   Business Analysis Interacts with staff of various business units within the Enterprise to conduct...

Departmental Summary: •    Individual will work alongside architecture to define future state and translate the outcomes to tactical activity with support from analysts, technical leads and delivery.  •    Our department is emphasizing the need for strategic thinkers. The world of PI is changing rapidly and will continue to do so for many years to come. Departmental Preferences: •    Demonstrated experience leading or contributing to the strategic vision and future state definition of a significant claims processing solution •    Ability to define and clearly communicate a path from current state to the future state solution, bridging strategic vision to tactical execution •    Experience and knowledge of IT infrastructure, architecture and application development •    7-8 years claims processing experience on a payer health insurance platform, preferably NASCO or Facets •    2-4 years of experience with vendor integration to payer platforms •    Understanding of the Claim...

The Financial Applications Associate performs core technology functions including business and systems analysis, application development, and process improvement. Serve as a technical liaison between business areas and the IT organization to translate requirements into viable solutions. Identify, document, and communicate system and process changes necessary to enhance system performance and operational efficiency. Contribute to the identification, analysis, and recommendation of technical process improvement initiatives with working knowledge of finance accounting practices. Design, create, and implement technical solutions that address business needs. Support the development and maintenance of one or more low to moderately complex business systems and applications.   ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned.  Business Analysis Conduct data gathering and analysis to understand business strategy requirements....

Responsible for supporting Corporate Procurement with analysis, metrics, and training.  Collect, validate, analyze, and organize data into meaningful reports for management decision making Design, develop, test, and deploy reports for operational and strategic analysis. Compile and analyze operational data to identify and resolve business problems. Create and run reports as requested by leaders including workload reports, expiring contracts reports, cost savings reports, supplier performance reports and spend reports (category, cost center, supplier, Tier 1, Tier 2, etc.). Create and deliver training on running and interpreting the reports. Support a climate of “self-service” for Procurement end users and reporting. Create monthly dashboards for Procurement operations across the department. Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and...

Conduct compliance investigations and lead the execution of moderately complex initiatives for Blue Cross Blue Shield of Michigan (BCBSM) and its subsidiaries. Analyze and develop documentation to support regulatory changes and departmental policies and procedures. Conduct comprehensive and moderately complex regulatory analyses to include the review, summarization and dissemination of compliance reports. Provide support and recommendations for privacy investigations to mitigate business risk. Develop work flows to define the documentation of department processes, report generation, and process improvements. Define assigned project scope and deliverables to support compliance initiatives. Partner with the business to drive compliance as a core competency and integrate compliance into business plans, scorecards, metrics and processes. Promote compliance awareness by supporting training, programs and departmental activities. Provide support or lead government audit...

The Internship Program at BCBSM is designed to enhance the skills and abilities of young professionals as well as to identify and attract future talent for our organization. Interns will gain practical hands-on work experience as well as a solid understanding of the health insurance industry. Our program is an excellent way for interns to get a good start on their careers by working on meaningful projects, learning valuable skills, and networking with employees throughout our organization, which could potentially allow interns to build a future career at BCBSM. Assist in preparing information and research materials to identify business problems, offer recommendations and assist  management with implementation of solutions.  Support leaders on projects designed to enhance the overall efficiency and effectiveness of the organization. Develop and maintain a solid understanding of BCBSM business, products, programs, data, organizational structure, controls, research.  Analyze...

This is a training level position aimed at acquiring the necessary skills and knowledge required to review enrollment and supporting documentation and decide to approve or deny the application based on applicable policy. Establishes, updates and maintains both subscriber and group records via direct input and/or manual transactions.  Sends standard correspondences. Successful completion of the first 90 days (quality/attendance/production etc.) will result in advancement to the Account Clerk II position. Review documentation to determine eligibility and review and approve, reject, or pend enrollment applications. Performs routine contract maintenance and/or billing updates in applicable system. Processes and clears transactions/write‑offs and output reports. Maintains files. Meets established quality and productivity standards. Responds appropriately and timely to telephone and written inquiries. Accurate self-reporting of daily activities. Perform other related duties as...

SUMMARY:  The Manager, HEDIS Data & Analytics will oversee activities in support of HEDIS data management including HEDIS rate generation, oversight of the HEDIS vendor, collaboration with IT teams, and HEDIS audit support. This position is responsible to plan, organize, direct, control, and lead the assigned business unit.  ESSENTIAL DUTIES AND RESPONSIBILITIES:  • Manages activities of a department including, but not limited to, planning, problem solving, staff development, and communication.  • Executes function/area objectives that support continuous improvement.  • Manages professional, exempt, and non-exempt non-bargaining and bargaining unit employees.  • Responsible for special projects and/or problem resolutions.  • Provides effective and efficient solutions to complex business problems.  • Provides high level oversight and leadership.  • Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches...

Department Summary and Preferences Responsibilities do not include building journeys within Salesforce Marketing Cloud, it does however require an understanding of consumer journeys and the requirements needed for other team members to build the journeys. Document and communicate project concepts, milestones and results leveraging the campaign business rules and project planning documents established to turn marketing strategies into actionable campaign journeys for the CRM team to begin development of Marketing Cloud journeys. Identify, evaluate, recommend and implement changes to marketing campaign execution problems and improve effectiveness of transitioning go-to-market plans into actionable experiences for development into Salesforce. Salesforce Marketing Cloud experience or similar martech operational knowledge.  Identify and analyze operational data and develop insights in support of marketing objectives. Develop and improve work flows and business processes...

At TruStage, we’re on a mission to make a brighter financial future accessible to everyone.  We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what’s possible. We need you to help us shape what’s next. You’ll be encouraged to share your experiences, ideas and skills to help others take control of their financial future. Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition Job Purpose:   This position is the subject matter expert for their designated business line of products and solutions. Through proactive support and engagement, they provide consultation to Sales Partners and Credit Unions to address specific client needs to attract, retain, and grow business within assigned customer accounts in the Region Segment. ***Territory of coverage...

Advise the customers of our updates to the Medicare policy and how the updates will benefit the members and impact the group’s experience and utilization. Assist specific area(s) in: deployment and operational activities and/or development, implementation, and maintenance of clinical operational processes.  Identify and/or analyze business problems and devise procedures for solutions to problems; prepare reports and/or analyze, documenting results.  Design, develop, modify, test, implement and maintain assigned systems, either independently or as part of a team. Troubleshoot problems and submit recommendations.   May be required to interface with other areas, both internal and external, to resolve problems.  Assist personnel (both external and internal) by answering questions, supplying information and training. " Qualifications " Associate's Degree in Nursing or RN Diploma required. Bachelor's Degree preferred. Two (2) to four (4) years of clinical experience....

The Enterprise Security Officer II position is an essential member of the enterprise security team and is focused on providing a safe, secure, and friendly environment for all individuals on our property.  The primary duties of a security officer II consist of Security Officer I responsibilities in addition to enterprise command center responsibilities.  Individuals in this position must be professional in their appearance and conduct and assist in the enforcement of corporate policies, guidelines, procedures, rules, regulations, laws, and ordinances. The security officer II will protect BCBSM property against damage, fire, theft, trespassing, and illegal or unauthorized entry. They will also provide an emergency response for major events and provide high quality customer service and educate stakeholders to take an active role in maintaining a secure workplace.  The Security Officer II must remain calm under pressure and can make decisions quickly to protect people or property...