20 it jobs found in Detroit, MI

Departmental Responsibilities: Develop, maintain, publish, distribute, and manage EIS policies, standards, guidelines, and procedures. Provide guidance on policy requirements, interpretation, and compliance. Provide strategic input to the development and enhancement of EIS policies, standards, and procedures to ensure accuracy, consistency, and simplification. Proactively identify continuous-improvement opportunities related to policy compliance, reviews, and supporting documentation. Engage key stakeholders and entities to track and influence implementation of policy requirements. Lead and participate in governance engagements related to EIS policies and supporting documents. Coordinate with key stakeholders and entities to deliver timely communications (e.g., newsletters and announcements). Coordinate across entities on policy and standard language to ensure consistency and alignment. Manage the policy and process management lifecycle for BCBSM and...

Responsible for serving as a technology risk advisor conducting internal information technology (IT) audits and reviews, providing risk education and project risk assessment on behalf of the corporation to mitigate risk and assess the control environment of each auditable unit.  Develops and communicates risks and recommended controls for multiple layers of leadership.  Provides guidance for lower level Corporate and IT audit staff. Assess risks across cybersecurity, cloud technologies, enterprise platforms, data governance, and digital transformation initiatives. Provide advisory support to technology and business teams on emerging risks, control design, and risk mitigation strategies during new initiatives and projects. 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...

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...

Perform technology functions to include but not limited to business and systems analysis, application development and process improvement. Serve as a liaison between the business area and the IT organization when needed. Identify, document and communicate system and process changes necessary to improve system and operational performance measures.  Possess an in-depth knowledge of line of business while contributing to the identification, analysis and recommendation of technical process improvement initiatives. Design, create and implement technical solutions. Support complex business processes. Conduct data gathering and analysis to understand business strategy requirements. Provide direction for short and long-term planning sessions and provide direction to ensure understanding of business goals and direction. Evaluate ongoing department activity and propose new tools or technologies Assist in the business process redesign and documentation as needed for new technology....

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...

Departmental Summary: The Application Developer II will support ancillary lines of business Dental, Vision, EOB IT, CDH and Pharmacy, ensuring reliable execution of production processes and day-to-day operational stability. Responsibilities include monitoring and supporting batch and real-time workflows, triaging and resolving defects, and implementing enhancements to core business logic in alignment with evolving business needs and compliance   requirements . The role will participate in initiatives such as claims processing, membership reporting and reconciliation, and benefit updates, emphasizing accuracy, timeliness, data quality, and SLA adherence. This position will also contribute to strategic initiatives across Dental, Vision, and CDH products. As part of ongoing modernization, the analyst will help transition business functionality to distributed platforms and services (e.g., APIs, microservices, data pipelines), including analyzing existing logic and...

Departmental Preferences:  Basic ability to use generative AI tools (e.g., AI coding assistants, chat-based models) to enhance software development workflows, automate routine tasks, and improve overall analytic and documentation productivity while adhering to established engineering best practices. Ability to follow corporate generative AI policies and team guidelines, including thoroughly reviewing, validating, and understanding AI‑generated content for accuracy, bias, compliance, and appropriate use before incorporating it into code, analyses, or business deliverables   With significant supervision, responsible for conducting data discovery and data analysis. Develop moderately complex algorithms, solve complex business issues using statistical, algorithmic, mining and visualization techniques, most notably machine and algorithms. Work under the supervision of the project technical lead to develop components within the advanced analytics solution for complex...

SUMMARY:     Workers Compensation Defense Attorney needed for in-house litigation position, working under the direction of the General Counsel.  This position will work defending litigated Workers’ Compensation claims before hearing locations, primarily in and surrounding Detroit, MI. This attorney will conduct research where necessary, examine records, conducts investigations, attends depositions, consult with witnesses, insured(s), legal assistants, and/or personnel.  Participate in negotiations on behalf of the Company including settlements.  In addition, this position will provide leadership and expertise on major company projects as necessary. Claims Focus:  This position will provide  state specific legal representation before courts, arbitration panels and/or administrative bodies.  Serve in an advisory capacity to company and employees.  Prepare legal pleadings, motions, memorandums, trial briefs, etc. Conduct research where necessary, examine records, attend...

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...

WHAT WE'RE LOOKING FOR Berkshire Hathaway Homestate Companies, Workers Compensation Division, is looking for a Business Development Manager in Michigan!  This individual will be responsible for business development efforts and brand strategy within a specified territory.  This involves evaluation of production patterns in new and renewal business to uncover opportunities for refinements to support profitable growth.  You will work collaboratively with other Business Development Managers, Underwriting management, and additional corporate resources to develop opportunities by industry, class code or segment, and to more effectively monitor/evaluate agency performance. You'll stay ahead of competitive intelligence and help prevent production barriers, as well as develop opportunities to improve ease of doing business with BHHC and provide input to improve overall customer experience.  Frequent travel within a specified territory required.   Must be legally authorized to...

Responsible to identify, prioritize and develop strategies to support Blue Cross Blue Shield of Michigan’s (BCBSM) competitive position, achieve positive business results, and improve the health and wellbeing of our members.  Responsible to make recommendations on consequential matters with long-term implications for the organization, including: setting enterprise aspirations and targets, developing enterprise-level strategies, assessing strategic investments and partnerships, and evaluating the enterprise’s overall portfolio of assets. Oversee or perform analyses including, but not limited to, financial modeling, claims analyses and complex statistical analyses.   Manage activities that are directly related to the corporate strategies, goals and objectives.     Utilize primary and secondary research to assist in identifying best practices and opportunities for the corporation.   Create executive level PowerPoint presentations and correspondence to...

Why GMF Technology? Innovation isn’t just a talking point at GM Financial, it’s how we operate. From generative AI and cloud-native technologies to peer-led learning and hackathons, our tech teams are building real solutions that make a difference. We’re committed to AI-powered transformation, using advanced machine learning and automation to help us reimagine customer interactions and modernize operations, positioning GM Financial as a leader in digital innovation within a dynamic industry. Join us and discover a workplace where your ideas matter, your development is prioritized, and you can truly make a global impact. Flexible hybrid work environment (onsite 2 days a week/3 days remote) at our Detroit, MI or Arlington (AOC1), TX office. Please note: We are unable to provide any type of sponsorship for this position currently.  About The Role: The Senior Microsoft 365 Business System Analyst is a senior technical specialist responsible for architecting,...

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...

About Auris   Auris is the payroll and HR partner built for small and medium-sized business who can’t afford to get it wrong. Trusted by over 50,000 business nationwide, Auris pairs easy-to-use technology with real human services to give leaders the confidence that every detail is done right - so they can focus on growing their team and their business. Acquired by Acrisure in 2025, Auris formerly Heartland Payroll is accelerating its vision to deliver seamless human-centered technology to help small businesses thrive.     Job Summary   Responsible for prospecting and running Auris Payroll presentations both in person and over the phone to small and mid-sized merchants and businesses to ultimately close deals within a fast sales cycle. As a Payroll Territory Manager (PTM) , you will report to the Payroll Division Manager (PDM) .  Activities include explaining our value proposition to clients via Atlas CRM,...

Departmental Summary: The AI Engineer must have prior hands-on experience designing, building, and deploying Generative AI, Retrieval-Augmented Generation (RAG), and Agentic AI solutions within large-scale, big data environments. Proven experience delivering projects using Agile methodologies is a mandatory requirement. Key Responsibilities Design, develop, and implement end-to-end agentic AI systems that integrate:  Large Language Models (LLMs) Multi-agent orchestration frameworks Enterprise-grade data pipelines Business and operational applications Deliver production-grade solutions that meet enterprise standards for reliability, scalability, performance, and maintainability. Departmental Preferences: Hands-on development experience with:  Python, Python FastAPI Framework, Python Django AWS Bedrock AWS Bedrock Agent Core AWS SageMaker Catalog AWS SageMaker AI AWS SageMaker Model Monitor AWS SageMaker Studio Vector Databases (AWS...

Why GMF? GM Financial International Operations conducts business in Latin America and China. International Operations offers a wide range of wholesale and retail automotive financing products to dealers and their customers. The strength of the international business lies in its ability to tailor its products to meet unique dealer needs, consumer preferences and national requirements in local markets. Latin American country operations include Brazil, Chile, Colombia, Mexico, and Peru. The Operational Excellence Lead will drive transformation by leveraging advanced technologies and methodologies. This includes applying AI and process mining tools to automate and optimize servicing operations, using data-driven insights to improve performance, and ensuring process standardization across countries. The role requires strong expertise in Design for Six Sigma (DFSS) to design robust, scalable processes and foster a culture of continuous improvement and innovation. The Lead will...

Shift – Sunday - Thursday: 3:00pm-11:30pm Site/Location: Detroit, MI       Under general supervision, operates and controls all computing equipment relative to infrastructure and application processing. Operates computers and peripheral equipment as required. Controls application processing across all platforms adhering to production schedules. Completes batch job and infrastructure setup requirements. Updates processing logs and audit trails and keeps records of utilization. Develops and reviews Knowledge Management documentation for accuracy, may participate in training peers on all operational functions with the direction of supervision. Must be available to work any shift and schedule. Analysis of production control procedures to ensure compliance of timely batch processing.  Reruns and restarts production to ensure timely service levels and operating levels of agreement are met. Communicates the status of software, hardware and application processing and...

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...

The Director, Government Programs- Data & Engineering drives the execution of data use and adoption for Government Programs and CFO areas. This role promotes the use of AI, automation, and best-in-class technology across teams; will partner with business, technology, product, and operations leadership to lead the delivery of business imperatives. The Director will ensure access to accurate and high-quality data and provide support for reporting, analytics, and modeling across finance, controller, actuarial, UW, and Government Programs. The role leads the design of member level constructs across CFO, Commercial, MA, JVs. The Director also supports working with IT and ensuring migration of off legacy analytics systems (CADE/IDAP) as well as support for reporting and visualization creation working with business partners. Drive coordination with enterprise stakeholders (e.g., IT, ACoE) alongside the Actuarial, Finance, Underwriting, and Government Programs Planning...

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...