11 associate manager jobs found in Detroit

Summary  As a Healthcare Financial/Actuarial Associate Manager you will contribute to a wide variety of complex analyses and projects involving the design, financing, and measurement and financial analysis of the full spectrum of employer health and group benefit programs including medical, dental, life, disability, voluntary benefits, etc. You will interface with vendors and client teams, help prepare client deliverables, and ensure quality standards are met. You will have the opportunity to significantly grow your health and benefits business acumen as well as your financial, project management and communication skills by working on cutting edge projects alongside leaders in the industry. The Role Is an active member on multiple employer client teams providing financial analyses, outputs and client deliverables across a region Provides direction on benefit plan analysis, design, cost avoidance, risk and funding strategies Contributes to vendor financial reviews...

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 must reside within a commutable distance of the Oakland County Detroit, Michigan area for consideration and have a valid state driver's license. Metro Detroit Field Property Claim Specialist -AAA The Auto Club Group Reports to: Claim Manager as appropriate 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...

Develop complex logical database designs, logical data models and relational data definitions in support of corporate and customer information systems requirements. Work closely with customers, vendors, business analysts and application development project teams to resolve information flow and content issues. Work on one or more small to medium, moderately complex projects/issues/enhancements as a team member. Provide input in support of the strategic planning process and short- and long-term planning. Assist in the development of data standards, policies and procedures. Work with IT teams to ensure compliance. Act as a gatekeeper for new data that do not meet the set business requirements. Work with the IT teams to understand data requirements. Stay informed of the ways the organization uses its data. Gather and document the data needs of a project. Populate and reference data dictionary during any development activity. Collect, analyze and summarize data to support...

Develop complex logical database designs, logical data models and relational data definitions in support of corporate and customer information systems requirements. Work closely with customers, vendors, business analysts and application development project teams to resolve information flow and content issues. Work on one or more small to medium, moderately complex projects/issues/enhancements as a team member. Provide input in support of the strategic planning process and short- and long-term planning. Assist in the development of data standards, policies and procedures. Work with IT teams to ensure compliance. Act as a gatekeeper for new data that do not meet the set business requirements. Work with the IT teams to understand data requirements. Stay informed of the ways the organization uses its data. Gather and document the data needs of a project. Populate and reference data dictionary during any development activity. Collect, analyze and summarize data to support...

This position is responsible for supporting clinical and operational processes for clinical pharmacy Star measures within Medicare. The Senior Pharmacy Technician will execute member interventions to resolve any barriers preventing a member from becoming adherent to their medication regimen. This position will also be responsible for making and/or triaging calls to appropriate staff based on the complexity of the call. The Pharmacy Technician will interact with pharmacists, interns, pharmacy students and analysts to support current programs and assist in quality reviews to ensure continued process improvement. Monitors and liaises toll free call center, handle in-coming and make outgoing member, provider and pharmacy calls Assist leadership by investigating challenges and issues to determine root cause and recommend innovative solutions to bring resolution Independently address and resolve adherence barriers at the member, provider or pharmacy, including...

Responsible for retention activities for BCBSM and/or BCN customers generally with 50 to 99 contracts in a group within an assigned geographic area working in close coordination with Client Engagement Manager and Client Operations Managers 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...

Description Summary: Our Commercial Real Estate (CRE) Relationship Manager III will focus on developing, maintaining and expanding new and existing CRE customer relationships. Duties & Responsibilities: Serves as the point person in determining the customer's needs and meeting them through the seamless delivery of the Bank's products, services and associated resources. Develops and maintains profitable customer relationships within a specific targeted market segment by coordinating all sales and service efforts. Maintains knowledge of all Bank products and continually develops product expertise. Responsible for ensuring the optimizing of all customer relationships which entails developing revenue growth through generation and cross selling of all applicable Bank products including deposits, loans, and services within Huntington's other lines of business. With proficiency in credit fundamentals,...

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...

Shift – 8:30am-5:00pm M-F; shift bidding process based on seniority. Site/Location: Detroit, MI Status – Regular Full Time       Provide thorough analysis and investigation of authorization requests for specialized medical/surgical/outpatient procedures in an expeditious and accurate manner ensuring provider, hospital/facility, Primary Care Group (PCG), and member quality customer service. Provide information and assistance pertaining to the Medical Management program to providers, hospitals, PCGs and members. Assess and investigate requests for medical service authorization and authorize select services that do not require clinical judgment. Collect and record appropriate data to issue authorization and route request for services that require medical review to appropriate team member(s).  Facilitate communication with providers regarding status on authorizations and referrals. Identify relevant issues and route to appropriate department for action and resolution....

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...

Responsible for financial performance functions, including budgeting and forecasting, performance metrics, and assisting with the planning, organizing, and directing of the company’s financial plans and policies. This position is responsible for the customer experience related to financial analyses and reporting and ensures financial viability through proactive analysis and sound administration of policies and procedures. This role is responsible for communication and coordination of financial matters with Senior Health Services executive leadership. This position also supports the establishment of the financial vision and strategic direction of the business unit in support of corporate goals and objectives, and implements and monitors leading and lagging KPIs to assist leadership in directing outcomes RESPONSIBILITIES/TASKS:  Build influential partnerships across the enterprise and provide a profit and loss perspective.  Oversee how the parent company of Blue Cross Blue...