10 pas systems jobs found in Detroit

The Client Relations Compliance Consultant leverages CMS compliance and business needs.  This role assists with Compliance operations and performance and interfaces directly with clients, serving as the primary contact for issues and requests generated by the client.  The Client Relations Compliance Consultant is accountable for key measures and performance indicators, as well as communications with appropriate business owners to resolve issues. Creates and manages user accounts in a variety of systems, including Medicare Advantage Systems, in compliance with internal policies and system access protocols. Maintains Role-Based Access Matrices. Reviews and submits collateral and communications to CMS for approval. Facilitates communication between customers and internal constituents regarding regulatory activities and changes. Collaborates with peers to understand impact of compliance/non-compliance for products and customers. Assists peers with the identification and...

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.  Job Description A day in the life of a Large Loss Field Property Adjuster, and what it takes to do the job! As a Large Loss Field Property Adjuster, you will be dedicated to providing exceptional service to our policyholders. Your primary responsibility will involve traveling to our customers' homes to conduct on-site inspections, investigate coverage, prepare estimates, and settle claims promptly and efficiently. Additionally, you will handle virtual claims countrywide, leveraging various platforms and software such as Xactimate and ClaimsX...

SUMMARY:  This position is responsible for the Medication Adherence program for BCBSM senior members. The Director will design and execute a multi-year strategy that improves adherence rates and achieves Star measure performance goals. The Director will report to the Managing Director of Pharmacy Quality and oversee a large, multidisciplinary team of pharmacists, pharmacy technicians, data analysts, and external vendors. This role requires strong cross‑functional collaboration with clinical, operations, IT, finance, and external partners to integrate adherence initiatives, drive performance, and apply emerging digital tools and analytics to scale impact. The ideal candidate combines deep pharmacy expertise with proven leadership, strategic thinking, change-management skills and the ability to influence stakeholders at all levels. RESPONSIBILITIES/TASKS: • Serves as the department lead and subject-matter expert for CMS Star Medication Adherence measure performance; interpret...

Functions as a highly skilled internal control consultant responsible for conducting audits/reviews of business processes, business units, vendors, suppliers or Par Plans, and/or providing risk education and consulting services on behalf of the corporation to mitigate risk and assess the control environment of each audit unit. Provides guidance and training for audit team. Conduct internal audits and reviews to identify risks, document established controls to mitigate risk and assess the control environment of each auditable unit. Communicate issues, audit results, and recommendations in a clear and concise manner to appropriate levels of operating and executive management, including activity updates to the Audit Committee of the Board of Directors.  Assist in the development of the annual audit plan through risk universe identification. Facilitate project risk assessments and lessons learned sessions. Conduct management...

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:   This is a hybrid position reporting to our Detroit office 2 days a week. Associate Attorney – AAA/The Auto Club Group Reports to: Supervising Practice Leader Under moderate supervision, handle litigation and cases of intermediate-level exposure and complexity in which the insured or the Company is a defendant.  Able to transition from courts of limited exposure to courts of unlimited exposure.  Develops and applies skills to control all aspects of litigation, including trial preparation, discovery, negotiation, presentation and appeals from District to Circuit Court.  Primary Duties and Responsibilities (details of the basic job functions): Reviews and analyzes files, insurance policies, all allegations and pertinent medical and technical...

About Integrated Specialty Coverages Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler leading innovation in the market.   Backed by one of the leading private equity firms, Onex Partners, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerhouse. As a leading online distributor of insurance products for a range of industries and “Main Street USA”, we are looking for the right people to help us in our mission of achieving exponential growth. We strive to be the number one place to go for brokers and agents to source insurance. To accomplish this, we’re building a digitally focused team that deeply understands the intersection between user experience, data, and AI/ML to optimize the way we engage with our customers and partners. Job Summary The Workers Comp Broker is responsible for supporting ISC’s newly...

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:   Hourly Job Description:   Position Description Paralegal II – The Auto Club Group What you will do: This role is Hybrid, with training occurring in office. Once training is complete, the role will move to 3 days Work From Home, 2 days in office. Schedule and Hybrid status subject to change based on business need. Under direction and guidance of the organization’s attorneys, performs a variety of intermediate to complex law-related tasks in support of legal matters.  Conducts legal research, investigate issues and drafts/prepare legal documents to support attorneys and contract administrators.  Supports all aspects of document discovery, including e-discovery, document management, the litigation hold process, and document production.  Assists counsel with the coordination of responses to...

The Director Government Programs- Planning & Consulting position is responsible for driving the execution of strategic analytic priorities for Government Programs and CFO areas through business planning, consultation, and delivery oversight of data, analytics, and modeling capabilities. This role promotes the use of AI, automation, and best-in-class technology across teams; drives organizational priorities and business outcomes as the consultative partner across analytics, operations, and modeling teams by managing and coordinating execution of insights, tools, and governance.  The Director leads, organizes and executes governance of Medicare Advantage analytics ecosystem working closely with MA segment leadership; establishes internal consultative intake and delivery of best-in-class data and advanced analytics / AI driven insights to support key segment initiatives and goals; partners with other government programs analytics functions and other key stakeholders...

Non-Exempt/Bargaining Unit Posting Local/Seniority Unit – 2500/4201 Date Posted Internal – 9/18/25, Deadline Date – 9/25/25 Department – 104700 Property Management Salary Grade – K Job Code - X285A Number of openings – 1  Shift – 7:00am-3:30pm M-F, please note shifts may change based on vacation relief. Site/Location: Detroit, MI Status – Regular Full Time       This position is responsible for the safe, reliable and efficient operation of all Detroit Service Center equipment and systems, as required to provide an optimum work environment for all facility personnel, data processing, and print center devices, critical to servicing BCBSM customers. Also, responsible for provision of emergency service response to all site emergencies, maintenance of all assigned spaces and equipment, and oversight of all contractor activity for protection of the BCBSM work environments for all buildings as assigned within region. Operate and maintain the Detroit Service Center...

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 risks, testing of controls, writing audit reports and conducting exit conference meetings.  Conduct various audit and administrative projects on behalf of the corporation to assess the control environment of each audit unit under minimal supervision within assigned time and budget deadlines.  Leads and/or participates in divisional or departmental infrastructure projects per year. Communicate the results of audits and/or projects to management (includes senior management) or Par Plans and subsidiaries.  Assist in the development of the annual audit plan.  Maintain knowledge and comprehensive...