16 senior business analyst jobs found in Detroit, MI

SUMMARY Responsible for the collection, evaluation and preparation of internal data and/or documents in support of investigation related to suspected fraud, waste, abuse, and error (FWA) within claims. Resolve non-prosecutable analyst cases and prepare and maintain department investigative files and case information systems. Assist in planning and special project activities as required by the Director, Manager and Senior Analyst.   DEPARTMENTAL PREFERENCES Seeking candidates with previous experience in clinical settings. This position focuses on clinical review of patient medical records and provider billing. Candidates must be able to interpret patient claims data for inconsistencies, completeness and quality.    ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned.    Identify instances of fraud, waste, abuse, or error in Blue Cross Blue Shield of Michigan (BCBSM) claims using Healthcare Fraud Shield, the...

The Financial Coordinator will play a critical role in supporting the budgeting, forecasting, capital planning, cost monitoring, and variance analysis for Medicare Advantage direct administrative expenses, ensuring alignment with financial goals and any related regulatory requirements. This position will also provide expert financial guidance through reporting, trend analysis, and collaboration with cross-functional teams. Oversees decision support oriented financial reporting for a division, customer or segment that may include linking financial information from various sources to provide meaningful financial reports or to assure appropriate data reconciliation.   Financial data may include claims data, general ledger transaction activity, settlement activity, membership, billing and revenue activity, and audit findings. Prepares and publishes various financial reports and/or statements for management outside the department and/or parties’ external to the Company (e.g....

Description Still in school but ready to launch your career? Be among the first to join our inaugural class of the Early Career Foundations Program! This unique experience is designed to give you hands-on exposure to the financial services industry while allowing you to provide invaluable feedback that will help shape the future of this program. Who should apply?   This program is ideal for ambitious sophomore undergraduates majoring in Human Resources or related fields, students studying Finance with an interest in Compensation, or anyone curious about other HR areas such as Talent Acquisition, Learning & Development, and more. If you are also curious about the financial services industry and eager to gain practical experience that goes beyond building a résumé, this role is for you! You’ll develop skills, expand your professional network, and open doors to future opportunities, both...

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:   Hourly Job Description:   Position Description Paralegal II – The Auto Club Group What you will do: This role is Hybrid, with training occurring in office. Once training is complete, the role will move to 3 days Work From Home, 2 days in office. Schedule and Hybrid status subject to change based on business need. Under direction and guidance of the organization’s attorneys, performs a variety of intermediate to complex law-related tasks in support of legal matters.  Conducts legal research, investigate issues and drafts/prepare legal documents to support attorneys and contract administrators.  Supports all aspects of document discovery, including e-discovery, document management, the litigation hold process, and document production.  Assists counsel with the coordination of responses to...

Description Summary:   The Commercial Portfolio Manager Portfolio Manager II – CIP is considered a market and industry resource, providing expertise and advisory guidance in complex debt and capital solutions. Duties & Responsibilities: Manages a portfolio of commercial customers in partnership with the relationship manager. Will have highly visible role in managing the customer relationship along with the relationship manager assigned to the account. Service, deepen, and retain assigned profitable customer relationships by proactively evaluating and mitigating associated business risks and opportunities. Optimize customer relationships working directly with Relationship Managers to grow fees, deposits, and portfolio revenue. Own primary responsibility for the credit quality and monitoring of Commercial portfolio risks.  Will be responsible for risk rating new credits and ongoing updating of risk...

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.    In this role 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...

Accountable for and manages the development, implementation and ongoing maintenance of long-term project(s) typically spanning two years or more planning to implementation with relatively more complex scope and deliverables that may impact multiple business unit/function or business critical program. Project scope impacts one or more of the following: process, system, function, product and/or service. Project span across enterprise. Aligns with enterprise initiatives, multi-faceted and strategy. Monitor progress, produce project status reports, timelines, budget reports, project metrics. Plan projects, including the concept, design, planning, project scope, cost and benefits, testing, acceptance, implementation and post-implementation review of project deliverables. Leads cross functional teams comprised of various internal customers and vendor resources. Provide assistance and mentor staff on project management related issues. Lead complex development...

Description The Senior Managing Director – Captive Insurance Banking is responsible for the oversight and growth of the business, emphasizing the sale of letters of credit, trust and investment management products in the captive insurance space.  The candidate will provide strategic leadership, foster client relationships, manage financial performance, mitigate risks, and develop a high-performing team. Duties and Responsibilities: Develop and implement the division's strategic plans and initiatives, aligning them with the overall goals of the organization and emphasizing comprehensive customer solutions through the sale of letters of credit, trust and investment management products in the captive insurance space. Provide strong leadership to the banking teams, setting clear objectives and fostering a high-performance culture. Build and maintain strong relationships with corporate, specialty, 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...

SUMMARY:  The Analyst applies analytical skills and specialized knowledge to identify Medicare Part C/D members  with other primary health information and pursue recovery of associated claim overpayments. The  position is responsible for establishing, updating, and/or correcting Part C/D coordination of benefits  (COB) records by utilizing knowledge of the Centers for Medicare and Medicaid (CMS), Medicare  Secondary Payer (MSP) rules, and Part C/D Medicare plan requirements. The role also supports claim  overpayment recovery and reconciliation efforts. Research and analyze data to support the reconciliation  and restoration of MA plan payment reductions due to MSP status.    ESSENTIAL DUTIES AND RESPONSIBILITIES   Other duties may be assigned. • Verifies and reconciles provider/vendor identified claim overpayments. Updates records and  prepares responses to providers.  • Researches and analyzes MA Plan payment data, CMS COB data, OHI records, and CMS ECRS  system to...

SUMMARY    Responsible to plan, organize, direct, , and lead market research activities within the Medicare Strategy and Performance business unit; Use qualitative and quantitative methods to derive data and insights that support strategy, planning and performance activities.  The ideal candidate for this department will:  Be a strategic thinker with deep business and industry knowledge of government programs.   Use data and visualization tools to drive insights to support strategy.  Possess a willingness to learn in complex industry and adaptive landscape.    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.  1. Support activities that are directly related to the development, design, and administration of methods and procedures, including surveys, to assess consumer preferences, the health care environment and the competitive landscape.  2. Interpret and predict trends derived from the collection, study, and...

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 new 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  About the role: GM Financial is targeting significant growth as it transforms the Protection/Insurance Products into a full captive platform. Our team is responsible for...

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 new 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  About the role: GM Financial is targeting significant growth as it transforms the Protection/Insurance Products into a full captive platform. Our team is responsible for...

  The Statutory Reporting Financial Coordinator is responsible for monitoring, analyzing and preparing financial information and statements including SAP Filings, and trends. Also responsible for preparing financial analysis and modeling that supports prospective business decisions. Leads or works with a team (within the department or across multiple departments) to complete assigned projects.  Works within strict deadlines and under little or no supervision.   ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned.  Oversees decision support oriented financial reporting for a division, customer or segment that may include linking financial information from various sources to provide meaningful financial reports or to assure appropriate data reconciliation.  Financial data may include financial statements detail, corporate, division and cost center BPR information, cost allocation information, general ledger transaction activity,...

Job Summary The Surety Senior Account Underwriter is responsible for marketing, underwriting, processing and servicing surety business as assigned or within a defined territory. They develop and underwrite profitable surety business by visiting assigned agencies or services offices and serve as subject matter expert, working with other bond personnel on selected contract accounts, including various financial and workload analysis. The role serves as underwriting contact for agency personnel by responding to agent inquiries, assisting in the development and delivery of agency training, monitoring compliance objectives, and supporting decision making on acceptance or decline of bonds within established authority.   Job Responsibilities Handles the responsibility for marketing, underwriting, processing, and servicing surety business within a defined territory. Provides guidance on the underwriting process while collecting all necessary information for new and existing bond...

Responsible for providing legal analysis and consultation to business partners on impacts in an environment that is continuously evolving. The Attorney will partner closely with the business to determine its ultimate goals, assess risk, and provide creative solutions. Proactively identifies and analyzes legal issues and risks presents clear opinions, advice and recommendations, and helps ensure legal compliance across the full spectrum of the enterprise. Drafts a variety of legal documents and memos, opinions, and pleadings where appropriate, with guidance from the senior attorney on the most complex matters. Serves as experienced counsel for substantive areas of law as required with ability to quickly learn unfamiliar areas of law. Effectively partner with business leaders in identifying and evaluating business objectives, legal risks, and liabilities to achieve overall business objectives by providing support and counsel beyond strictly legal advice. Engages within...