7 financial systems administrator jobs found in Detroit, MI

Blue Cross Blue Shield of Michigan is seeking a Rating & Underwriting Analyst to help safeguard the financial health of the company through risk evaluation and sound business recommendations. In this role, you will calculate renewal rates and settlements, analyze projected financial impacts, and ensure the accuracy and quality of rate releases. You’ll prepare ERISA reports, create customer quotes using demographic and claims data, and review participation levels, contribution methodologies, and industry classifications. Supporting more senior analysts, you’ll help explain rate changes to stakeholders—such as customers, sales teams, agents, consultants, and employer groups. You’ll apply underwriting and rating policies when reviewing exception requests and prepare recommendations for leaders, considering both financial and operational impacts. Additional tasks may be assigned to support team goals. Qualified candidates will have a Bachelor’s degree in Finance, Accounting,...

SUMMARY:    The Senior Health Care Analyst is responsible for planning, organizing, directing, implementing, and leading department assignments.  This position operates within broad objectives to ensure optimum utilization of manpower and budget.  This role researches, compiles, and analyzes appropriate and relevant data and makes recommendations for operational improvements.  RESPONSIBILITIES/TASKS:  Support PBM transition tasks and participate in workstream meetings Supports PBM audit and analytics to support Medicare pharmacy services business team.  Builds and supports business reports to be included in executive dashboard. Leads in the research, analysis, identification, and evaluation of data from assigned problems to evaluate existing and potential trends and issues. Possesses and maintains an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional...

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...

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...

This position is responsible to assist in conducting operational, financial, and compliance audits/reviews of BCBSM, its subsidiaries as well as vendors, suppliers, and contractors of the company. Assist in conducting audits/reviews of BCBSM, its subsidiaries, vendors, suppliers, and contractors of the company which include identifying risks, controls to mitigate risks, testing of controls, writing audit reports and conducting exit conference meetings.  Assist in conducting various projects on behalf of the corporation to assess the control environment of each audit unit under close supervision within assigned time and budget deadlines. Participate in 1-2 divisional or departmental infrastructure projects per year. Assist in communicating the results of audits and/or projects to management (includes senior management). Maintain knowledge and a basic understanding of auditing principles, processes, methodologies, applications derived from standards for the professional...

Department Preferences Technical Experience Minimum 3 years SQL experience required Minimum 1 year python experience preferred 1 year Databricks preferred Data analysis experience 3 years healthcare experience required Risk Adjustment experience preferred   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.), corporate organizational structure (including functional responsibilities), and basic research...

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...