91 jobs found in Detroit

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: Detroit, Michigan – Wayne, Oakland, and Macomb County Position Schedule / Shift: Hybrid – Field schedule Monday – Friday: 8:30 AM EST – 5:30 PM EST. Position Summary: Join our team as a Field Property Claim Specialist serving the Metro Detroit area, where you’ll be the face of our claims experience and make a meaningful difference for customers during challenging times. In this role, you’ll inspect property damage, investigate claims, and work directly with homeowners to provide exceptional service and fair claim resolutions. If you enjoy working independently, building relationships, and combining problem-solving skills with field-based work, this is an opportunity to grow your career while helping customers recover and move forward. Now offering a $2,500 Sign-On Bonus for qualified candidates Key Responsibilities: Reviewing assigned claims...

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...

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.   Within Clinical Data Strategy & Operations team, the position also provides strategic leadership for clinical data acquisition, exchange, interoperability, adoption, governance, and value realization. ESSENTIAL   DUTIES   AND   RESPONSIBILITIES   include   the   following.   Other   duties   may   be assigned. Leads   in   the   research,   analysis,   identification   and   evaluation   of   data   from   assigned   problems   to evaluate existing and potential trends and issues. Possess and maintain an extensive comprehensive knowledge of BCBSM business, products, programs   (including   provider...

Help shape the future of Finance through AI. As an AI Transformation Engineer for Finance, you’ll partner with Enterprise Accounting, Finance Technology, Analytics, and business stakeholders to design, pilot, and scale AI-enabled solutions that modernize controllership workflows. You’ll identify high-value opportunities to combine artificial intelligence, automation, analytics, and workflow redesign to reduce manual effort, accelerate cycle times, strengthen controls, and improve the finance user experience. Working across accounting, reporting, tax, audit, and internal controls, you’ll translate business needs into clear requirements, solution designs, use cases, testing criteria, and adoption plans. You’ll also help put responsible AI into practice, ensuring solutions are practical, well-controlled, auditable, and aligned with enterprise policies, data standards, risk expectations, and human-review requirements. Ready to turn complex finance challenges into meaningful...

Turn numbers into insights that drive business decisions at Blue Cross Blue Shield of Michigan. In this role, you’ll work with teams across the organization to explore financial results, monitor revenue and expenses, and bring together data to tell a clear financial story. Your work will include reconciling accounts, preparing reports and supporting budgets, audits and regulatory reporting. If you enjoy making sense of numbers and collaborating with others, we’d love to hear from you. Explore this opportunity and apply today. Prepares financial information and reviews for accuracy and completeness.  Performs detailed analysis when necessary. Other deliverables may include account reconciliations, impact studies, audit findings, budgets and business cases.  Assists with the preparation of various financial or regulatory reports and/or statements for management and/or parties external to BCBSM (e.g., auditors, customers, providers, BCBSA, FEP, OFIS, etc). Prepares...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Field Case Manager This Field Case Manager will cover our Detroit, MI region and must live in this area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; through advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required,...

This role is responsible defining and governing the measurement strategy, outcome framework, success metrics, instrumentation, experimentation, and reporting practices used across the product lifecycle. Working as a strategic partner within the product team model, the role translates product vision and business goals into measurable hypotheses and provides the insights needed to evaluate performance, adoption, and value delivered. Define and govern the product measurement strategy and outcome framework, aligning key performance indicators, success measures, and value-realization indicators with product vision, customer needs, and business goals. Partner with Product Managers, Product Owners, business leaders, and product teams to translate desired outcomes into measurable hypotheses, success criteria, metric definitions, and learning plans across the product lifecycle. Establish measurement standards and define data and event instrumentation requirements in collaboration with...

This role is responsible for designing, optimizing, and governing the conversational content and prompt architecture that powers AI-enabled member self-service. The role translates complex healthcare, insurance, benefits, and operational terminology into clear member language and influences model behavior through grounded prompt design, conversational examples, testing, feedback, monitoring, and continuous refinement. This role will also partner with Product Management, Product Owners, design, engineering, data and AI teams, member experience, operations, legal, compliance, privacy, clinical, and business subject-matter experts to ensure conversations are understandable, accurate, trusted, accessible, and aligned to product outcomes and organizational standards. Lead conversational content and prompt strategy for AI-enabled member self-service. Define member-friendly wording, conversational tone, response length, response structure, progressive disclosure, follow-up patterns,...

The DX Product Owner is responsible for defining, prioritizing, and delivering digital healthcare products that improve customer experience, clinical workflows, and business outcomes. This role owns the product roadmap and backlog, serves as the primary bridge between business, clinical, and technology stakeholders, and ensures product solutions deliver measurable value while aligning with organizational strategy and healthcare regulatory requirements. Define/maintain product roadmap aligned to strategy and customer needs; translates priorities into product initiatives and delivery plans.  Own/prioritize backlog to maximize value; writes requirements/user stories and acceptance criteria.  Partner with engineering/delivery teams through agile ceremonies to guide development and support successful releases; ensures quality/usability (and current compliance expectations).  Facilitate cross-functional alignment and dependency management; supports change...

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...

Provides technical, data and analytical support to customer departments such as  Quality, Value Partnerships, Hospital Contracting, Care Management, Risk Adjustment and HCV.   ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned.  Leads or participates, with some direction, in projects where data solutions are necessary. Provides programming and data expertise for simple and moderately complex projects and ad-hoc requests.   Presents data and solutions to internal and/or external customers in a logical way. Provides data support and analysis for programs supporting over 4 million BCBSM beneficiaries using administrative claims and supplemental data. .   Provides analysis and data support for various corporate departments including Quality, Risk Adjustment, Value Partnership, Care Management, and Hospital Contracting, in support of major corporate initiatives such as EMR Connectivity, PGIP,  Risk Adjustment,...

                     Responsible for the retention and growth of existing and assigned accounts in support of organizational strategic, financial and performance goals by executing on core sales and business development activities such as strategic account/agency planning, sales consultations, identification of sales opportunities, and renewal support. Responsible for managing local accounts through agency or consultant interfacing Develop, refresh, and execute multi-year strategic account/agency plans to grow and retain the account and relationships, including identifying key opportunities, risks, and mitigation strategies. Present internal strategic account/agency plans to leadership team as well as external plans to accounts or agencies/consultants for review and alignment. Leverage strategic account/agency plans to drive annual strategic discussions and other strategic planning efforts with accounts. Deliver account specific advice on plan benefit design,...

Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality. Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance. Compile and analyze operational data to identify and resolve business problems. Utilize and maintain available reporting systems. Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process. Provide leadership team with status updates on projects and issues. Communicate and recommend policy changes to achieve project objectives. Assist in documenting departmental procedures. Create and present reports and presentations to display operational...

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...

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...

Department Summary Must be able to travel in between offices Detroit, Lansing, Grand Rapids & Traverse City and customer locations as needed Available for the full 12 weeks and agreed hybrid schedule, and able to travel to BCBSM and customer locations.  Relevant degree areas include business, marketing, communications, finance, analytics, project management, health administration, or information systems.  Strong communication, organization, curiosity, collaboration, judgment, time management, attention to detail, and the ability to manage changing priorities and summarize information clearly.   Technical skills Working knowledge of Outlook, Teams, Word, Excel, and PowerPoint, including basic formulas, filters, trackers, meeting notes, and presentations.  Preferred skills may include pivot tables, charts, SharePoint/OneDrive, Forms, Planner, Power BI, Access, approved AI tools, and process mapping.   The Internship Program at BCBSM is designed to enhance...

Perform a broad range of administrative duties for Senior Vice President. In addition to supporting the SVP, serves as a backup to the CEO’s Senior Executive Assistant supporting CEO-related administrative activities, including scheduling coordination, meeting logistics, correspondence management, and executive office operations.  Supports the preparation and execution of Senior Leadership Forum meetings and Executive Staff meetings, including but not limited to helping coordinate and schedule agenda topics, communicating with presenters, receiving and distributing meeting materials, maintaining responsibility for meeting logistics, and other supporting duties as needed.  Provides occasional administrative support to Office of the President directors, including calendar management, scheduling, and meeting coordination.  Serves as a primary point of coordination for day-to-day operational and logistical needs across the Office of the President.  Manages office purchasing...

Department Summary-Provider-Facing Digital Engagement Responsibilities Serve as a provider-facing representative for digital engagement initiatives by collaborating with provider stakeholders, gathering feedback, identifying adoption barriers, and helping align digital solutions to provider business needs and experiences. Maintain and organize the Provider Digital Engagement roadmap and backlog, ensuring initiatives, priorities, dependencies, milestones, risks, and status are documented, visible, and ready for prioritization and execution Review provider engagement requests, provider impact assessments, and stakeholder business needs to support requirements definition, work intake, prioritization readiness, and delivery planning. Support provider digital adoption initiatives by identifying opportunities to improve provider awareness, self-service utilization, digital experience, and engagement outcomes across provider-facing channels. Partner with the Website...

Provide support to all phases of the application development process to include business analysis, application, architecture, design, development, integration and delivery for those business applications that support the administrative or operational functions of the company or the business applications needed to serve customers effectively.  Provide business application maintenance and support.   Work closely with clients, business analysts and team members on moderately complex to complex programming projects. Define business processes and gather project requirements. Write software code, test, debug, and document and maintain computer applications. Identify coding errors through informal and formal testing methods.  Ensure application integrity by applying SDLC concepts. Provide ongoing maintenance of applications. Document functions and changes to new or modified modules and test activities/results. Identify technical requirements, as needed. Create technical design...

Responsible for conducting comprehensive analysis and presenting to group customers on cost and use trends while providing data driven recommendations to manage health care spend among large employer groups.     Deliver ongoing and need-focused reporting and consultation to inform executives and business partners on the state of the member experience to inform improvement strategies and tactics.  Gather answers and/or send reporting follow up information as requested by group customer after each meeting. Manage group assignments which includes planning (both long term & short term), prep, and delivery of all strategic discussions with account management appropriate SMEs. Work closely with account management teams to understand groups' strategic priorities, triage group customer report requests and actively participate in strategic account planning sessions. Review previous ASDs and customer data to get an understanding of overall group customer...