42 operations jobs found in Detroit, MI

SUMMARY: This internship provides hands-on experience supporting project delivery, portfolio management, and operations administration in a dynamic business environment. The intern will assist with tracking project activity, maintaining portfolio information, preparing meeting materials, organizing documentation, and supporting administrative processes that help teams execute work efficiently. This role is ideal for a student who is detail-oriented, curious, organized, and interested in learning how cross-functional teams manage priorities, communicate progress, and support business operations.   JOB DESCRIPTION: Supports project managers and business partners with project coordination activities, including organizing project documentation, tracking action items, monitoring due dates, and preparing follow-up materials. Assists with maintaining project and portfolio information in company tools and reporting sources, ensuring data is accurate, current, and...

Provides technical, data and analytical support to customer departments such as Quality, Value Partnerships, Hospital Contracting, Care Management, Risk Adjustment and HCV.   ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned.  Leads or participates, with some direction, in projects where data solutions are necessary. Provides programming and data expertise for simple and moderately complex projects and ad-hoc requests.   Presents data and solutions to internal and/or external customers in a logical way. Provides data support and analysis for programs supporting over 4 million BCBSM beneficiaries using administrative claims and supplemental data.    Provides analysis and data support for various corporate departments including Quality, Risk Adjustment, Value Partnership, Care Management, and Hospital Contracting, in support of major corporate initiatives such as EMR Connectivity, PGIP, Risk Adjustment, STARS and...

This position is located in Detroit, MI or Grand Rapids, MI This position is responsible for designing and developing procedural documentation, formal training modules, customer service alerts and conducting training and/or Train-the-Trainer sessions for Claims Training Division team members. This position demands that the incumbent works closely with managerial and supervisory-levels as well as Subject Matter Experts in order to assess needs and performance and to validate and evaluate training materials, to include representing the Department on various Committees and Workgroups. This position is responsible for developing, coordinating and managing Training Schedules for the Customer Services Division. Works closely with the Training Team, Quality, Divisional Leadership and other Subject Matter Experts in order to analyze performance/new business issues and develop appropriate procedural documentation and training support materials.  Represents the Department on...

Department Summary This role requires a highly accountable, detail-oriented professional who can independently lead complex, time-sensitive work in a fast-paced, highly visible customer environment. The successful candidate will demonstrate strong project management, critical thinking, sound judgment, and exceptional attention to detail, with the ability to anticipate issues, manage competing priorities, and consistently deliver accurate, high-quality work under tight deadlines. The individual must be a confident communicator who takes ownership, drives accountability across teams and partners, asks the right questions, and translates complex issues into clear, complete responses for the customer and executives. Strong preparation, follow-through,  and the ability to constructively challenge and influence others are essential. Experience applying Six Sigma methodologies to solve problems, identify root causes, and improve processes highly preferred. Accountable for and...

The Executive Services Intern will support the department by strengthening reporting operations, improving procedural consistency, and contributing to key departmental initiatives. In this role, the intern will review existing reporting procedures to identify opportunities for greater accuracy, efficiency, and standardization, assist in producing timely and reliable reports for leadership and internal stakeholders, and provide support for ongoing projects within the department. As an intern you will:  Assist with the preparation, production, and distribution of recurring and ad hoc reports for leadership and internal stakeholders. Review existing departmental reporting procedures. Analyze data and trends to support reliable reporting and informed decision-making Support departmental projects by tracking deliverables, monitoring timelines, and coordinating follow-up activities. Have strong project management skills    The Internship Program at BCBSM is designed to enhance...

SUMMARY: Join two teams working together to support quality healthcare operations and a positive member experience. As a shared intern supporting MA Communications Quality and Vendor Oversight , you will gain hands-on experience reviewing member communications, supporting quality assurance, assisting with vendor contracts and performance oversight, and contributing to process-improvement projects. You will collaborate with teams across the organization while building practical skills in communication, project management, data analysis and problem-solving. JOB DESCRIPTION: Support quality assurance and vendor oversight activities by evaluating communications, documentation, processes, and vendor performance against approved requirements, contractual obligations, company policies, and applicable healthcare regulations.  Review Medicare Advantage member communications and vendor-related materials to identify inaccuracies, inconsistencies, compliance concerns, and...

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...

Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Location: Dearborn, Michigan   Position Schedule / Shift: Rotating hybrid schedule Monday – Friday: 8:30 AM EST – 5:00 PM EST. In office reporting will rotate based on role responsibilities. All employees will be notified of in office reporting days as applicable. Training for this position will be in office for the first initial 90 days of employment. Rotating schedule will begin after training is completed. Position Summary: Join our Claims team in a role where your analytical skills, attention to detail, and problem-solving abilities make a direct impact on the customer experience and the financial integrity of our claims operations. As a claims operations professional, you'll take ownership of complex payment and reconciliation processes, resolve challenging issues, and serve as a trusted resource for teammates while helping ensure accurate, timely claim outcomes. If you...

                                                                   Moderate travel, including nationwide travel, is required (up to 50%) Department Summary Serve as a subject matter expert for UAW Trust benefits, claims, and member advocacy. Possess NASCO claims processing knowledge and experience. Demonstrate strong understanding of MAPPO, Medicare Advantage, Commercial, HMO, and PPO benefit structures and claim processing differences. Investigate and resolve complex claims issues, benefit processing concerns, and member escalations. Support member meetings and travel team activities, including direct member interactions and issue resolution. Attend and actively participate in internal and external workgroup meetings representing the Trust account. Coordinate, submit, and oversee benefit implementation requests and ensure implementations are accurately configured and tested. Partner with operational, benefit, provider, and claims teams to identify and...

Departmental Preferred Qualifications: Leads complex, cross-functional projects and coordinates internal and vendor resources. Manages project scope, timelines, budgets, risks, metrics, testing, implementation, and deliverables. Resolves barriers, improves processes, and ensures quality execution. Demonstrates NASCO system and operational knowledge, including GDO and SBP projects. Provides expertise in MAPPO, Commercial, HMO, and PPO products. Manages benefit administration, implementation, configuration, validation, and testing. Demonstrates strong organizational skills and sound judgment in ambiguous situations. Possesses customer service knowledge and may guide or supervise staff while performing other assigned duties. Communicates effectively and confidently with external customers and organizational leadership.   Accountable for and manages the development, implementation and ongoing maintenance of long-term project(s) typically spanning two years or more...

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 Allstate’s sales organization is growing its virtual workforce, and we are looking for highly motivated individuals that thrive in a fast-paced sales environment and enjoy being rewarded for their efforts. At Allstate, we are committed to offering a reputable product suite that protects people from life’s uncertainties so they can realize their hopes and dreams. As a full-time Insurance Sales Representative, you will: Engage with active insurance shoppers via inbound/outbound calls, live chat, SMS, and more in a work from home call...

This position is responsible for planning, organizing, and monitoring the audit coordination processes for the OGACC - Office of the General Auditor & Corporate Compliance – Emerging Markets (OGACC – EM). This position interacts routinely with the Company executives, directors, and managers, as well as BCBSM. This role requires exercising discretion and judgment in assisting the general auditor and internal audit staff. Discretion and judgment are also required when communicating with executives and staff throughout the enterprise and BCBSM. This position performs executive support tasks which may be highly confidential and sensitive in nature utilizing considerable independent judgment. Performing high-level administrative work, including organizing, scheduling, coordinating, researching, compiling, exchanging, and sometimes analyzing information for executive(s) and the department is also required. Leads on-site audit activities between OGACC - EM and the enterprise....

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 This is a field-based role in the Detroit, MI area. Candidates who are willing and able to work in Detroit are encouraged to apply.   Within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to...

Service Intelligence & Analytics (SIA) is a team within Service Operations who are responsible for advanced analytics in support of Customer Service, with a specific focus on customer and CSR experience as well as strategic business modeling. SIA works closely with the Service Avengers group, who are a group of leaders from various functional areas within Service Ops, whose charter is to discover opportunities for improvement in the member/provider experience, operational performance, and day-to-day CSR practices. This position will primarily be focused on working with SIA in the development (and potential implementation) of a project that will impact a process, system, function, product, and/or service after working closely with team members from throughout Service Operations to uncover opportunities.   As an intern, you will be:  Accountable for using analytics to develop a project(s) with moderate to complex scope and deliverables. Project scope may impact one or more...

This intern will support the MA core team with the day-to-day functions of managing the Business Partner servicing team and internal call center operations through reporting, data analysis, and project coordination. This role provides exposure to vendor management, performance metrics, and operations strategy. The intern will contribute to cross-functional initiatives, assist with educational materials, and support planning efforts for Business Partner site visits and internal events. Our intern will gain hands-on experience in business operations, learn how to develop and build professional relationships, develop analytical and communication skills, and build a strong foundation in vendor and call center operations.  As an intern, you will:  Pull and analyze daily reports and performance metrics.  Develop presentations and educational materials based on call center needs.  Support planning and execution of Business Partner meetings and site visits, as well as internal...

Position Summary Responsible for planning, organizing, directing, and executing complex analytical initiatives that support Health Care Value programs and performance management activities. This position operates with a high degree of independence and is responsible for researching, analyzing, and interpreting healthcare data to identify trends, evaluate program performance, quantify savings, and provide actionable business recommendations. The Senior Healthcare Analyst partners with internal stakeholders, vendors, providers, and leadership teams to develop analytical solutions, monitor contractual performance, and deliver strategic insights that improve healthcare affordability, quality, and operational effectiveness. Key Responsibilities Healthcare Analytics & Performance Measurement Lead the research, analysis, and evaluation of healthcare claims, authorization, utilization, provider, and membership data to identify trends, risks, and opportunities....

The next part of your journey is right around the corner — with The Standard. A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we’ve been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference? Job Summary   The Standard is hiring!  The Voluntary Employee Benefits Consultant partners with Sales, Underwriting, and Product teams as the internal subject matter expert to support RFP submissions, questionnaires, pricing discussions, and implementation planning for prospective and existing clients. This position will oversee a territory that includes Michigan, Northern...

Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Location Details: Detroit, Michigan – Wayne, Oakland, and Macomb County Position Schedule / Shift: Hybrid – Field Schedule Monday – Friday: 8:30 AM EST – 5:30 PM EST. Position Summary: Join our team as a Field Property Claim Specialist serving the Metro Detroit area, where you’ll be the face of our claims experience and make a meaningful difference for customers during challenging times. In this role, you’ll inspect property damage, investigate claims, and work directly with homeowners to provide exceptional service and fair claim resolutions. If you enjoy working independently, building relationships, and combining problem-solving skills with field-based work, this is an opportunity to grow your career while helping customers recover and move forward. Now offering a $2500 sign on bonus to qualified candidates! Key Responsibilities: Reviewing assigned claims...

Why GM Financial?   GM Financial is the wholly owned captive finance subsidiary of General Motors and is headquartered in Fort Worth, U.S. We are a global provider of auto finance solutions, with operations in North America, South America, and the Asia Pacific region. Through our long-standing relationships with auto dealers, we offer attractive retail financing and lease programs to meet the needs of each customer. We also offer commercial lending products to dealers to help them finance and grow their businesses.   At GM Financial, our team members define and shape our culture — an environment that welcomes innovative ideas, fosters integrity, and creates a sense of community and belonging. Here we do more than work — we thrive.   Our Purpose: We pioneer the innovations that move and connect people to what matters. This position will be posted until filled. About the role The Risk Consumer Intern supports consumer risk and portfolio management activities by assisting...

Responsible for making recommendations on highly consequential matters, with long-term implications for the organization including setting enterprise priorities, development of strategies and assessment of strategic investments and partnerships. Consider market trends and changes, identify, prioritize and develop strategies to enable the future state of Blue Cross Blue Shield of Michigan (BCBSM), Blue Care Network and its subsidiaries. Frame and drive thorough analysis to develop recommendations of strategy development opportunities. Support teammates in leading the business through strategy development and on to execution. Develop statistical and financial models in Excel and other tools to project the impact of market events, competitor actions, strategic initiatives, and new business opportunities on metrics such as membership, cost to serve, and margin; evaluating potential actions and developing recommendations. Create executive level presentations and correspondence to...