78 jobs found in Detroit, MI

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...

Department Summary Must be able to travel in between offices Detroit, Lansing, Grand Rapids & Traverse City and customer locations as needed Available for the full 12 weeks and agreed hybrid schedule, and able to travel to BCBSM and customer locations.  Relevant degree areas include business, marketing, communications, finance, analytics, project management, health administration, or information systems.  Strong communication, organization, curiosity, collaboration, judgment, time management, attention to detail, and the ability to manage changing priorities and summarize information clearly.   Technical skills Working knowledge of Outlook, Teams, Word, Excel, and PowerPoint, including basic formulas, filters, trackers, meeting notes, and presentations.  Preferred skills may include pivot tables, charts, SharePoint/OneDrive, Forms, Planner, Power BI, Access, approved AI tools, and process mapping.   The Internship Program at BCBSM is designed to enhance...

Perform a broad range of administrative duties for Senior Vice President. In addition to supporting the SVP, serves as a backup to the CEO’s Senior Executive Assistant supporting CEO-related administrative activities, including scheduling coordination, meeting logistics, correspondence management, and executive office operations.  Supports the preparation and execution of Senior Leadership Forum meetings and Executive Staff meetings, including but not limited to helping coordinate and schedule agenda topics, communicating with presenters, receiving and distributing meeting materials, maintaining responsibility for meeting logistics, and other supporting duties as needed.  Provides occasional administrative support to Office of the President directors, including calendar management, scheduling, and meeting coordination.  Serves as a primary point of coordination for day-to-day operational and logistical needs across the Office of the President.  Manages office purchasing...

Responsible for leading the development and implementation of programs and strategies by identifying insights that enhance business decision making capability. This includes developing or changing workflows and implementing process improvements to enhance organizational products, programs and service to our customers. Identify and analyze operational data and develop insights in support of business objectives. Develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality. Identify and/or analyze business problems and develop recommendations for solutions to problems. Lead the development and implementation of projects and/or teams in order to produce desired results. Document and communicate project concepts, milestones and results. Recommend and assist with implementing standard policies and procedures. Ensure that corporate compliance is communicated, implemented and...

Department Summary-Provider-Facing Digital Engagement Responsibilities Serve as a provider-facing representative for digital engagement initiatives by collaborating with provider stakeholders, gathering feedback, identifying adoption barriers, and helping align digital solutions to provider business needs and experiences. Maintain and organize the Provider Digital Engagement roadmap and backlog, ensuring initiatives, priorities, dependencies, milestones, risks, and status are documented, visible, and ready for prioritization and execution Review provider engagement requests, provider impact assessments, and stakeholder business needs to support requirements definition, work intake, prioritization readiness, and delivery planning. Support provider digital adoption initiatives by identifying opportunities to improve provider awareness, self-service utilization, digital experience, and engagement outcomes across provider-facing channels. Partner with the Website...

Provide support to all phases of the application development process to include business analysis, application, architecture, design, development, integration and delivery for those business applications that support the administrative or operational functions of the company or the business applications needed to serve customers effectively.  Provide business application maintenance and support.   Work closely with clients, business analysts and team members on moderately complex to complex programming projects. Define business processes and gather project requirements. Write software code, test, debug, and document and maintain computer applications. Identify coding errors through informal and formal testing methods.  Ensure application integrity by applying SDLC concepts. Provide ongoing maintenance of applications. Document functions and changes to new or modified modules and test activities/results. Identify technical requirements, as needed. Create technical design...

Responsible for developing and conducting formal classroom training delivery, providing on-the-job training (OJT) and post-training support, and developing training materials and programs. Plan, coordinate, develop and implement approved projects which are Divisional and/or Corporate in scope in order to enhance the overall efficiency of operational procedures, methods, controls and performance. Responsible for compiling and reporting trainee performance up to various levels of leadership, following each training course.  Provide leadership team with status of projects; issue, communicate and recommend policy decisions to achieve project objectives. Assist personnel (both internal and external) by answering questions, supplying information and training in assigned area(s). Represent department and division as requested on work groups and special assignments, including related testing. Function as subject matter expert on divisional work groups and act as a...

Responsible for conducting comprehensive analysis and presenting to group customers on cost and use trends while providing data driven recommendations to manage health care spend among large employer groups.     Deliver ongoing and need-focused reporting and consultation to inform executives and business partners on the state of the member experience to inform improvement strategies and tactics.  Gather answers and/or send reporting follow up information as requested by group customer after each meeting. Manage group assignments which includes planning (both long term & short term), prep, and delivery of all strategic discussions with account management appropriate SMEs. Work closely with account management teams to understand groups' strategic priorities, triage group customer report requests and actively participate in strategic account planning sessions. Review previous ASDs and customer data to get an understanding of overall group customer...

Department Preferences 3–5 years of healthcare experience 1–2 years of experience creating and distributing reports Demonstrated ability to interpret data and recommend an appropriate course of action 1–2 years of experience with Risk Adjustment programs   Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that affect profitability, growth, and productivity of corporate initiatives.  Coordinate projects for senior management. Develop, design, and administer methods and procedures to assess operational effectiveness of organization.  Identify, analyze, and monitor issues/trends that affect profitability, growth and productivity to assist in developing long term goals and strategic objectives.  Maintain knowledge of field's concepts, practices, and procedures.  Coordinate, direct and monitor assigned projects and ensure an efficient and qualitative operation through effective planning, controlling and...

Non-Exempt/Bargaining Unit Posting Shift – 9:00am-5:30pm M-F; shift bidding process based on seniority  Site/Location: Detroit, MI Status – Regular Full Time   Picks up and delivers materials from user areas for delivery throughout corporation as well as process requisitions and orders. Prepares/distributes incoming and outgoing mail. Responsible for analyzing and redirecting undesignated forms and correspondence to the proper area. Fulfill and deliver requisitions, work orders or requests for materials, other stock items and distribute items. Pick up and deliver return material and other items. Codes and delivers packages from outside sources.  Completes daily production sheets on duties performed. Sorts and prepares incoming/outgoing mail and delivers incoming mail. Process registered, certified insured, zip code sorted and UPS. Bursts, cuts and opens material when required. Palletize and prep materials for pickup by drivers or vendors. Assists in loading and...

Why GM Financial 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. About The Role: This role is responsible for building the organizational capability to deliver effectively and predictably, with high-quality execution across the portfolio and alignment to the Product Operating Model. Through coaching, delivery insights, and continuous improvement, the role enables teams to increase flow, quality, and...

Provide clinical expertise across the enterprise for various functions.  Responsible for corporate and medical policy interpretation, recommendation, and review within recognized areas of responsibility.  Advise and collaborate in the development of clinical programs. Provide clinical support and participate in utilization management, quality management, and care management programs in respective area and identify opportunities for improvement and efficiency. Assist in the design, development, implementation and assessment of disease state management and health enhancement programs that support the appropriate use of clinical resources in the delivery of consistent high-quality medical care. Provide clinical leadership for health promotion and education programs and the claims editing department. Assist in establishing corporate and regional programs to enhance quality of care, reduce medical costs and achieve positive health outcomes. Serves as clinical...

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....

Provides clinical program leadership and develops, implements and approves policies within recognized area of responsibility. Develop and maintain medical policy.  Establish rationale for approving inquires and appeals.   Assists with clinical research, writing documents, and documenting decisions.   Provide utilization management for prior authorization procedures.  Review cases and make decisions based on medical policy.     Provide clinical support to various areas of the organization.  Process requests for clarification, interpretation, or questions about policy or benefits.  Review potential impacts of clinical matters.   Serves as clinical resource and subject matter expert to both clinical and non-clinical staff.   Perform clinical reviews and conduct peer to peers.   Participate in JUMP committee meetings.   " Qualifications " Doctorate from an accredited school of medicine (M.D.) or osteopathy (D.O) required.   Seven (7)...

This position supports attorneys in the Office of General Counsel (OGC). All tasks are performed under the supervision and direction of attorneys.  The tasks include, but are not limited to preparation of legal documents, legal research, compilation of records, review and summarizing of documents, timely regulatory, court and administrative filings, and communicating with internal and external stakeholders regarding legal matters impacting the organization. Assisting attorneys with the preparation of documents. Acting as liaison among all internal parties for scheduling and sharing information. Organizing and managing documents, including the creation of spreadsheets and presentations. Coordinating the collection, review, and production of documents. Researching factual issues using in-house files and outside reference sources. Compiling information and preparing statistics, charts, graphs, and other summaries to detail the findings. Working...

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 Core Operations Claims 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...

Shift – 7:00am-3:30pm M-F Site/Location: Detroit, MI     This position is responsible for the safe, reliable, and efficient installation, operation and maintenance of data/voice premise distribution systems and electrical distribution systems, and a variety of facility systems and components critical to servicing company internal and external customers. Respond to all site emergencies, implement industry and corporate standards into the workplace, and provide documentation for all data, voice and electrical systems. Perform an assortment of duties related to the design, installation, maintenance, troubleshooting and repair of building electrical systems, communication systems, and equipment. Perform duties in a manner that maximizes efficiency, employee and environmental safety, and continuity of services to facility occupants. Perform preventative maintenance and repairs to a wide variety of systems and components. Complete an assortment of tasks and projects using...

Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. Employment Eligibility (e-Verify):  English & Spanish Right to work:  English  /  Spanish It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Position Overview :  The primary duties of a field adjuster are to inspect the loss and prepare documents detailing the claim. Essential Job Functions Communicate with desk examiners, insureds, attorneys, and other experts to gather information on claims Negotiate settlements with the insured and/or their representatives Prepare reports based on the policy language and submit payment recommendations to the desk examiners Prepare detailed estimates of the damage Manage workload and submit closing documents in a timely fashion Regular and reliable attendance Marginal Job...

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...