53 jobs found in Detroit

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity We are seeking a Manager, Claims Operations to lead a team of Auto Physical Damage (APD) Field Appraisers and Virtual Total Loss Evaluators in the Detroit, MI Metro Area.    This role manages and is accountable for auto operations member service employees who are responsible for serving our members, and providing...

Integration Technical Lead Candidate Profile · Act as the liaison between the project and infrastructure delivery teams. · Ensure infrastructure delivery estimates accurately reflect scope of work. · Effectively partner with affected teams to translate infrastructure scope of work into manageable tasks to support project milestones. · Actively manage infrastructure scope of work within project timeline and budget throughout the project lifecycle. · Utilize re-estimation and change control processes as required to manage infrastructure delivery scope. · Manage and mitigate infrastructure delivery related issues and risks. · Ensure PlanBlue accurately reflects infrastructure service delivery effort and cost. · Communicate infrastructure scope, status and related activities in a clear, succinct manner relevant to audience. · Provide approval of project deliverables as required by the BCBSM End-to-End Delivery Process Framework.   Plan, develop and implement project efforts that...

Responsible for sales and retention activities in an assigned territory/geographical areas of less than 1,000 accounts, which may include national accounts or associations.  Accountable for implementing a prospecting process identifying sales potential, linking products to the account’s business goals, qualifying and enrolling group clients and coordinating the servicing of these clients.  Manage quality and consistency of product and service delivery. Identify potential group account customers through prospecting and qualifying program methodology, agent contacts and maintain comprehensive database of all prospects. Determine the account decision making process and key union/management stakeholder roles to support the development of sales strategies and the acquisition of group account business. Prepare a variety of sales reports, action plans, presentations, proposals, sales contracts and schedules. Identify and follow up new leads and referrals obtained from field...

Plans and delivers safety/risk management services to insured customers and internal associates. We are currently seeking a risk control professional that is technically proficient, self-motivated and results driven to fill an open position within our East Shared Services division. You must be able to conduct comprehensive safety and risk management assessments, provide our Underwriting teams with a strong analytical opinion of risk to support our goal of profitable growth within variety of middle to large premium market segment for Dealerships, Construction, Manufacturing, Wholesale Trade, Retail, Commercial Real Estate and Service industries.  In addition, the successful candidate will develop close relationships with our agents and policyholders, conducting selected safety seminars and training, to build the value-added service that Sentry is known for. The ideal candidate will be based in the suburbs west of Detroit (Wayne, Livonia, Farmington Hills, etc.) with good...

                                    We are seeking two Client Engagement Managers to support the Key Account Managers.  One role will report to Toni White, and the other will report to Kevin Kroll.   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...

Responsible for retention activities for BCBSM and/or BCN customers generally under 50 contracts in a group within an assigned geographic area, overseeing the agent relationship(s) associated with those accounts.  Retention activities include planning, strategizing, benefit consulting and administration to increase membership as well as required resell activities.  Responsibility may include enrolled and prospective customers. Working in concert with the Sales Manager to propose specific retention strategy that is aligned with the overarching strategy for that agency relationship, by understanding the decision-making process and gaining trust and respect from key agent decision makers. Provide the agent/customer with information related to alternate methods of health care delivery (e.g., HMO, POS, PPO).  May include financial alternatives such as funding options. Use established resell process to coordinate customer acceptance of renewals, open enrollment activities and the...

Responsible for assisting in the continuous improvement and maturity of the data analytics program within BCBSM Internal Audit and assisting with other day-to-day operational responsibilities of the Audit data analytics team. Performs analytics to identify issues, risks, and trends to assist from audit planning through execution, including data mining, profiling, script creation, and dashboard creation. Provide support to Internal Audit teams by creating automated testing and conducting continuous monitoring through the use of CAATs and other analytic tools. Perform data querying, manipulation, data set testing, and create scripts or data visualizations on large data sets using the various tools. Lead analytics projects and teams to identify key risk and performance metrics utilizing testing scripts and data visualizations. Assist in the enhancement of the Internal Audit’s data analytics program’s maturity and strategic direction to support audit operations....

Departmental Summary: This position supports Medicare Part D pharmacy quality and medication adherence initiatives through data analysis, reporting, dashboard development, and operational support. Responsibilities include analyzing healthcare data, monitoring quality measures, providing actionable insights to business and clinical partners, and supporting initiatives that improve CMS Star Ratings. Required Skills and Qualifications: • Strong experience developing complex SQL queries and analyzing large healthcare datasets, including pharmacy claims, medical claims, membership, and provider data. • Proficiency in Python for healthcare analytics, reporting, process automation, and data quality validation. • Experience in writing and maintaining Spark SQL and Python code in Databricks to support process automation and data analytics • Familiarity with SAS programming for data manipulation, reporting, and analytics. • Strong Tableau experience in...

Responsible for leading the development and implementation of programs and strategies by identifying insights that enhance business decision making capability. This includes developing or changing workflows and implementing process improvements to enhance organizational products, programs and service to our customers. Identify and analyze operational data and develop insights in support of business objectives. Develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality. Identify and/or analyze business problems and develop recommendations for solutions to problems. Lead the development and implementation of projects and/or teams in order to produce desired results. Document and communicate project concepts, milestones and results. Recommend and assist with implementing standard policies and procedures. Ensure that corporate compliance is communicated, implemented and...

Shift – Departmental Hours: 6:00am-6:30pm. Day Shift: 6:00am-2:30pm. Afternoon Shift: 10:00am-6:30pm.  Site/Location: Detroit, MI Status – Regular Full Time     Under general supervision, set-up, monitor, operate, and maintain digital printing systems. Responsible for the safe, efficient, and economical operations to meet daily production goals within job and quality specifications. Operate digital printers at a level that meets production and quality requirements. Read and execute job tickets within customer quality requirements. Maintain quality while attaining a high speed of output. Use the print management system effectively. Understand and use proofs in checking printing attributes. Produce jobs utilizing the most cost-efficient method of production and/or programming. Contribute to ongoing quality improvement programs. Perform basic scheduled maintenance procedures. Operation of bindery/finishing equipment.  QUALIFICATIONS  High School Graduate or GED...

Departmental Summary This role is responsible for duties within the Epic platform, including design, configuration, customization, testing, deployment, support, and optimization of assigned Epic application areas or modules. The position partners with clients, stakeholders, Epic representatives, analysts, and IT teams to translate operational workflow needs into Epic-based solutions that align with BCBSM business and project objectives. Departmental Requirements Candidates must have relevant experience in application analysis, application support, systems implementation, configuration, testing, or related IT/business systems work. Experience supporting healthcare payer operations, including clinical data, care management, utilization management, claims, or other health plan functions, is preferred. Prior Epic implementation experience is desirable. Epic certification is required; candidates without certification may be considered if they are willing to complete the...

Responsible for planning, coordinating, and supervising all administrative, operative and employee functions within assigned area(s) to ensure an efficient and cost effective area in accordance with departmental and corporate standards and objectives. Supervise, coordinate, direct and monitor staff activities to ensure prompt, courteous and accurate response to customers; ensure an efficient and qualitative operation through effective planning, leading, controlling and organizing. Prioritize and assign work to employees and initiate corrective measures to resolve problems including scheduling or adjusting overtime requirements as necessary. Select, train, develop, appraise and counsel support staff personnel. Interface with diverse levels of internal and external personnel to develop and maintain effective rapport and to resolve issues and inquiries. Monitor and analyze proficiency and quality efforts subordinate personnel. Administer and adhere to...

Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Location Details: Hybrid Position Schedule / Shift: Position is primarily remote and reports to an onsite office location approximately once every 4–6 weeks. Monday – Friday, 8am – 5pm Position Summary: Are you a detail-oriented Legal Assistant who enjoys solving problems, managing complex information, and supporting meaningful business outcomes? Join our team as a Legal Assistant, where you'll play a vital role in supporting attorneys, managing personal injury litigation matters, and serving as a trusted resource across the organization. This position offers the opportunity to work independently, collaborate with diverse stakeholders, and contribute to the successful resolution of legal and regulatory matters. Employ knowledge of company and legal procedures as well as principles of insurance, banking or corporate law.  Work independently while assisting attorneys in...

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...

Responsible to plan, develop, implement and manage the business continuity department. Manage all aspects of business continuity planning that have divisional and/or corporate impact and support; schedule and publish the review schedule for all business continuity plans; assist in plan development across all business areas; provide effective and efficient solutions to business problems.   Develop and implement corporate business continuity processes and procedures. Coordination of enterprise business continuity plan creation, maintenance and testing. Provide training and education on business continuity planning software to maintain plans for all areas within Blue Cross Blue Shield of Michigan. Act as liaison between corporate business areas and participates in group or committee discussions.  Prepare executive level presentations and conduct executive steering committee meetings. Identify and resolve challenges to fulfill key business continuity...

    This position provides strategic leadership over analytics, reporting, and operational improvement initiatives. It leverages data, automation, and business intelligence tools to deliver actionable insights, improve efficiency, and support enterprise affordability and provider performance programs. It also develops high-performing teams that transform data into results.   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. 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 data, networks, etc.),...

Departmental Summary This position supports analytics, reporting, and data delivery exclusively within the Epic platform. Responsibilities include designing, configuring, customizing, testing, deploying, and supporting Epic-provided dashboards, extracts, analytics content, and related data structures available within the out-of-the-box Epic product. This role is not intended for general reporting or ETL work across other internal BCBSM applications. Departmental Requirements Candidates must have relevant experience in application programming, systems analysis, reporting, analytics, or data development. Preferred experience includes working with Epic analytics tools and data structures such as Cogito, Chronicles, Clarity, Caboodle, Reporting Workbench, Radar, SlicerDicer, and Cogito SQL. Candidates must be able to develop, test, validate, document, troubleshoot, and support Epic analytics solutions while demonstrating strong analytical, communication, collaboration,...

Description Join us as a Field Property Claims Adjuster where you’ll be responsible for helping our customers navigate the claims process and get back on their feet following damage to the homeowner’s property.  This is a role where people who love every day to be new, different and exciting, can thrive – you’ll be traveling on the road to meet customers in person, providing hands-on assessment of damage and empathetic support .   The Field Property Claims Adjuster will be traveling locally to insured homes within Detroit, MI (48219) and surrounding areas. To be successful within the role, candidates should live within or near this area.   Sign-On Bonus Available!  We’re offering a sign-on bonus for experienced and actively licensed new hires.   What you’ll do Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages. This may include...

The Expert Analyst is responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions.  This role also coordinates projects for senior management. Develops documentation, reports and presentations for all levels within the organization including executive leadership. Demonstrates ownership of assigned analyses from data pull through validation, summary of findings, and final deliverable. Summarizes analytical findings clearly, including approach, key observations, conclusions, and business implications. Performs data validation and quality checks to ensure accuracy, completeness, and consistency of reporting outputs. Responsible for trend analysis, report development, ad-hoc analysis and support Develop and present complex analytics concisely for consumption by upper management and Executive leadership Conduct healthcare analytics to evaluate quality performance, member outcomes,...

SUMMARY The Actuarial Analyst is responsible for performing specific actuarial related tasks under general supervision. Actuarial areas include but are not limited to valuations, financial reporting and forecasting, trend analytics, and pricing. ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned. Perform routine tasks, basic analyses and reasonableness testing.  Prepare actuarial exhibits and regular reports as directed utilizing corporate financial data. Learn, use and implement basic programming and maintain analytical programs with limited direction. Utilize data management and structure techniques with limited direction and oversight. With guidance, present completed work and related implication to team members and internal clients. Participate in miscellaneous special projects to obtain exposure to various actuarial disciplines and techniques. Remain current on actuarial techniques, seek development and improvement...