10 senior business systems analyst jobs found in Detroit, MI

SUMMARY: The Expert Analyst is responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. This role also coordinates projects for senior management.  ESSENTIAL DUTIES AND RESPONSIBILITIES:  • Develops documentation, reports and presentations for all levels within the organization including executive leadership.  • Responsible for trend analysis, report development, ad-hoc analysis and support  • Develop and present complex analytics concisely for consumption by upper management and Executive leadership  • Design and implement epidemiologic studies to evaluate the effectiveness of clinical programs  • Ability to manage multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters  • Compile data from a variety of sources and conduct analytics using software including Excel, Oracle (SQL) and SAS to support business decisions  •...

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...

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...

The Internship Program at BCBSM is designed to enhance the skills and abilities of young professionals as well as to identify and attract future talent for our organization. Interns will gain practical hands-on work experience as well as a solid understanding of the health insurance industry. Our program is an excellent way for interns to get a good start on their careers by working on meaningful projects, learning valuable skills, and networking with employees throughout our organization, which could potentially allow interns to build a future career at BCBSM. Assist in preparing information and research materials to identify business problems, offer recommendations and assist  management with implementation of solutions.  Support leaders on projects designed to enhance the overall efficiency and effectiveness of the organization. Develop and maintain a solid understanding of BCBSM business, products, programs, data, organizational structure, controls, research.  Analyze...

  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,...

Departmental Summary: •    Individual will work alongside architecture to define future state and translate the outcomes to tactical activity with support from analysts, technical leads and delivery.  •    Our department is emphasizing the need for strategic thinkers. The world of PI is changing rapidly and will continue to do so for many years to come. Departmental Preferences: •    Demonstrated experience leading or contributing to the strategic vision and future state definition of a significant claims processing solution •    Ability to define and clearly communicate a path from current state to the future state solution, bridging strategic vision to tactical execution •    Experience and knowledge of IT infrastructure, architecture and application development •    7-8 years claims processing experience on a payer health insurance platform, preferably NASCO or Facets •    2-4 years of experience with vendor integration to payer platforms •    Understanding of the Claim...

SUMMARY:       Accountable for and manages the development, implementation and ongoing maintenance of project(s) with moderate to complex scope and deliverables. Project scope may impact one or more business unit/function. Project scope typically impacts one or more of the following: process, system, function, product and/or service. The Project Consultant may also be responsible for supporting the Program Manager and Senior Project manager with project documentation, scheduling, and tracking.   RESPONSIBILITIES/TASKS:    Schedules and holds project meeting and provides notes.   Updates and tracks issues and risks.   Develop detailed project plans and schedules, identify goals, objectives, risks and resource allocation.    Monitor project status for significant deviations in quality, cost or schedule.  Interface with various departments, senior management and external individuals providing value and support for...

As an intern, you will help support the team by pulling reports from scoreboard to support the Team Leader IIs, huddle creation and run through, Bluestar rewards support, and helping support other individuals on the team. This position will be located in Detroit but will require travel to Southfield for in-person staff meetings   Interns complete required reporting to help support servicing area, create huddle roll outs, support BlueStar Rewards, send out PEGA and Kudos email in a timely manner. In addition, the interns help support analysts, senior analysts and project consultants on tasks that are repetitive or time consuming to ensure the team continues to move forward.    The Internship Program at BCBSM is designed to enhance the skills and abilities of young professionals as well as to identify and attract future talent for our organization. Interns will gain practical hands-on work experience as well as a solid understanding of the health insurance industry. Our program is...

Departmental Summary: Our department values hands-on experience with PowerShell scripts for Microsoft 365(M365) services, as well as proficiency in developing solutions using Power Apps, Power Automate, and Power BI platform and SharePoint Framework (SPFx).  Departmental Preferences: Expertise in Microsoft 365 tenant administration, including Teams, SharePoint, and OneDrive, and implement governance standards for these services Deep understanding of M 365 fundamentals, such as sites (both classic and modern), apps, audiences, libraries, lists, views, forms, workflows, metadata, and web parts Experience with Azure services, including guest access, analytics, dynamic groups, and Azure automation Work closely with clients, business analysts and team members on major projects to understand the business requirements that drive the analysis and design of quality technical solutions that align with business and IT strategies and are in compliance with the organization’s...

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...