58 jobs found in Detroit, MI

Responsible for supporting Corporate Procurement with analysis, metrics, and training.  Collect, validate, analyze, and organize data into meaningful reports for management decision making Design, develop, test, and deploy reports for operational and strategic analysis. Compile and analyze operational data to identify and resolve business problems. Create and run reports as requested by leaders including workload reports, expiring contracts reports, cost savings reports, supplier performance reports and spend reports (category, cost center, supplier, Tier 1, Tier 2, etc.). Create and deliver training on running and interpreting the reports. Support a climate of “self-service” for Procurement end users and reporting. Create monthly dashboards for Procurement operations across the department. Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and...

Conduct compliance investigations and lead the execution of moderately complex initiatives for Blue Cross Blue Shield of Michigan (BCBSM) and its subsidiaries. Analyze and develop documentation to support regulatory changes and departmental policies and procedures. Conduct comprehensive and moderately complex regulatory analyses to include the review, summarization and dissemination of compliance reports. Provide support and recommendations for privacy investigations to mitigate business risk. Develop work flows to define the documentation of department processes, report generation, and process improvements. Define assigned project scope and deliverables to support compliance initiatives. Partner with the business to drive compliance as a core competency and integrate compliance into business plans, scorecards, metrics and processes. Promote compliance awareness by supporting training, programs and departmental activities. Provide support or lead government audit...

Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality. Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance. Compile and analyze operational data to identify and resolve business problems. Utilize and maintain available reporting systems. Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process. Provide leadership team with status updates on projects and issues. Communicate and recommend policy changes to achieve project objectives. Assist in documenting departmental procedures. Create and present reports and presentations to display...

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...

This is a training level position aimed at acquiring the necessary skills and knowledge required to review enrollment and supporting documentation and decide to approve or deny the application based on applicable policy. Establishes, updates and maintains both subscriber and group records via direct input and/or manual transactions.  Sends standard correspondences. Successful completion of the first 90 days (quality/attendance/production etc.) will result in advancement to the Account Clerk II position. Review documentation to determine eligibility and review and approve, reject, or pend enrollment applications. Performs routine contract maintenance and/or billing updates in applicable system. Processes and clears transactions/write‑offs and output reports. Maintains files. Meets established quality and productivity standards. Responds appropriately and timely to telephone and written inquiries. Accurate self-reporting of daily activities. Perform other related duties as...

SUMMARY:  The Manager, HEDIS Data & Analytics will oversee activities in support of HEDIS data management including HEDIS rate generation, oversight of the HEDIS vendor, collaboration with IT teams, and HEDIS audit support. This position is responsible to plan, organize, direct, control, and lead the assigned business unit.  ESSENTIAL DUTIES AND RESPONSIBILITIES:  • Manages activities of a department including, but not limited to, planning, problem solving, staff development, and communication.  • Executes function/area objectives that support continuous improvement.  • Manages professional, exempt, and non-exempt non-bargaining and bargaining unit employees.  • Responsible for special projects and/or problem resolutions.  • Provides effective and efficient solutions to complex business problems.  • Provides high level oversight and leadership.  • Participates in development of annual departmental budget, monitors budget, and identifies budget discrepancies. Researches...

Status – Regular FT Hours of Operation:  9am to 5:30pm   This position is responsible for a variety of clerical duties in support of claims processing which requires a familiarization with standard work routines.  Receives sorts, ages and logs incoming mail/claims. Scans claim for completeness and aged multiple corporate receipt dates requiring priority. Checks basic subscriber, provider and eligibility information. Make corrections to claims. Handles general correspondence. Prepares internal claim forms and GI letters. Adhere to established standard as cited in Service Level Agreement. Process surveys and other seasonal corporate documents.  Prep internal documents from various departments for storage. Index claims for retrieval via Content Manager. Perform other related duties as assigned.  QUALIFICATIONS High school graduate or GED equivalent is required. Six (6) months experience in a high-volume processing area. Ability to use/operate office...

Department Summary and Preferences Responsibilities do not include building journeys within Salesforce Marketing Cloud, it does however require an understanding of consumer journeys and the requirements needed for other team members to build the journeys. Document and communicate project concepts, milestones and results leveraging the campaign business rules and project planning documents established to turn marketing strategies into actionable campaign journeys for the CRM team to begin development of Marketing Cloud journeys. Identify, evaluate, recommend and implement changes to marketing campaign execution problems and improve effectiveness of transitioning go-to-market plans into actionable experiences for development into Salesforce. Salesforce Marketing Cloud experience or similar martech operational knowledge.  Identify and analyze operational data and develop insights in support of marketing objectives. Develop and improve work flows and business processes...

At TruStage, we’re on a mission to make a brighter financial future accessible to everyone.  We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what’s possible. We need you to help us shape what’s next. You’ll be encouraged to share your experiences, ideas and skills to help others take control of their financial future. Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition Job Purpose:   This position is the subject matter expert for their designated business line of products and solutions. Through proactive support and engagement, they provide consultation to Sales Partners and Credit Unions to address specific client needs to attract, retain, and grow business within assigned customer accounts in the Region Segment. ***Territory of coverage...

Advise the customers of our updates to the Medicare policy and how the updates will benefit the members and impact the group’s experience and utilization. Assist specific area(s) in: deployment and operational activities and/or development, implementation, and maintenance of clinical operational processes.  Identify and/or analyze business problems and devise procedures for solutions to problems; prepare reports and/or analyze, documenting results.  Design, develop, modify, test, implement and maintain assigned systems, either independently or as part of a team. Troubleshoot problems and submit recommendations.   May be required to interface with other areas, both internal and external, to resolve problems.  Assist personnel (both external and internal) by answering questions, supplying information and training. " Qualifications " Associate's Degree in Nursing or RN Diploma required. Bachelor's Degree preferred. Two (2) to four (4) years of clinical experience....

The Enterprise Security Officer II position is an essential member of the enterprise security team and is focused on providing a safe, secure, and friendly environment for all individuals on our property.  The primary duties of a security officer II consist of Security Officer I responsibilities in addition to enterprise command center responsibilities.  Individuals in this position must be professional in their appearance and conduct and assist in the enforcement of corporate policies, guidelines, procedures, rules, regulations, laws, and ordinances. The security officer II will protect BCBSM property against damage, fire, theft, trespassing, and illegal or unauthorized entry. They will also provide an emergency response for major events and provide high quality customer service and educate stakeholders to take an active role in maintaining a secure workplace.  The Security Officer II must remain calm under pressure and can make decisions quickly to protect people or property...

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...

Description Summary: The HLC Credit Analyst I is responsible for monitoring aspects of the Regional Bank Business Loan Portfolio. Duties and Responsibilities: Develop business credit acumen through various monitoring tasks and training. Work with direct manager, training team and ambassador to further develop credit skills for business underwriting career path. This will include comprehensive training on business and personal financial analysis, process and procedures, credit policy, financial ratios and business writing skills. Review and analyze Financial Statements/Spreads Borrowing Bases, Covenant compliance, and Waiver requests for the monitored loan portfolio.  Manage covenant/borrowing base violations as assigned. Work directly with Regional Bankers, Underwriting, Regional Credit Officers and Financial Recovery Group for Customer credit worthiness review and loan compliance. Perform other tasks...

Description Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform the following: Participate in the coordination and preparation of quarterly reports (10-Q), annual reports (10- K) and current reports (8-K). Work with various personnel and departments to collect information and input into the above referenced reports; coordinate, review and collect comments on the various drafts; prepare support files; challenge the appropriateness of disclosures; complete all relevant disclosure checklists and reporting questionnaires. Maintain quarterly reporting time table and monitor progress against reporting cycle milestones Assist with technical accounting research and documentation of new policies and procedures. Monitor the development and applicability of emerging accounting and reporting rules being deliberated by the SEC, US GAAP, PCAOB, or other...

Description The Senior Commercial Portfolio Manager – Technology Finance underwrites credit exposure for large, complex customer relationships and circumstances.  Includes day-to-day interaction with assigned Sales Reps, management of portfolio risk, and adherence to all regulatory and compliance guidelines. A critical component of this role is early identification of emerging credit problems and industry trends.    Duties and Responsibilities: Services, deepens, and retains assigned profitable customer relationships by pro-actively evaluating and mitigating associated business risks and opportunities, per established Huntington policies, procedures, and Guiding Principles. Owns primary responsibility for the credit and monitoring of Commercial portfolio risks.  Responsible for underwriting quality, portfolio administration, and credit quality of assigned portfolio working directly with the Team...

Description Job Description: As a Treasury Management Specialist Sr. at Huntington Bank, you’ll play a vital role in fostering client relationships, delivering innovative treasury solutions, and supporting portfolio growth. You’ll provide comprehensive sales support and sales analysis for the Treasury Management Advisors. Key Responsibilities: Research client financial structures and cash flow needs to recommend tailored treasury solutions Work with Treasury Management Advisors to develop pricing strategies, perform financial modeling, and evaluate profitability Stay ahead of industry trends and competitor offerings to position our solutions effectively Prepare compelling pitch materials, account strategies, and client review documents to support business development efforts Partner with cross-functional teams to ensure seamless implementation and accurate billing for treasury services...

Description The Senior Underwriter for Middle Market Multi-Industry underwrites policies within underwriting authority, with limited guidance from leadership as needed. Makes decisions on whether to underwrite business by making analytical, data-driven decisions based on data and information provided, including pricing the risk. Responsibilities Manages portfolio of brokers/agents and clients. Leverages market presence and knowledge to develop and underwrite profitable business, acting as a representative for Liberty. Maintains a strong market presence, including established relationships with agents and brokers. Looks to strengthen these relationships and develop new ones. Contributes ideas for product development and participates in development and execution. Contributes to team projects (e.g., process / tool improvement). Understands the work implications of relevant legislation and regulation. Collaborates effectively across teams, stakeholders,...

The Executive Assistant will provide high-level administrative and operational support to the Senior Vice President, General Auditor, and Chief Compliance Officer. This position plays a key role in ensuring the efficient management of day-to-day activities within the Audit and Compliance functions. The individual will handle a variety of administrative tasks, manage complex calendars, prepare professional communications and documentation, and coordinate department operations.   This role will also assist with supporting meeting logistics, materials preparation, and follow-up actions associated with Audit Committee of the Board of Directors. The ideal candidate is highly organized, detail-oriented, and capable of handling confidential information with discretion and professionalism.   ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Provide executive-level administrative support including calendar management, travel...

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  •...