Blue Cross Blue Shield Of Michigan

Full Time

DescriptionResponsible for serving as an internal control consultant conducting internal corporate and information technology (IT) and system audits and reviews of business processes and supporting vendors. Provides risk education and project risk assessment to mitigate risk and asses

DescriptionResponsible for serving as an internal control consultant conducting internal corporate and information technology (IT) and system audits and reviews of business processes and supporting vendors. Provides risk education and project risk assessment to mitigate risk and asses

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionDepartmental SummaryThis role is responsible for leading day-to-day IT delivery activities for the Epic implementation project including planning execution dependency management risk and issue tracking delivery status reporting and coordination across business IT Epic vendo

DescriptionDepartmental SummaryThis role is responsible for leading day-to-day IT delivery activities for the Epic implementation project including planning execution dependency management risk and issue tracking delivery status reporting and coordination across business IT Epic vendo

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionThe Senior Business Analyst is responsible for ensuring that business requirements are documented and every functional/business consideration is identified before implementing each project. This position must clearly understand and review/confirm with the client and interna

DescriptionThe Senior Business Analyst is responsible for ensuring that business requirements are documented and every functional/business consideration is identified before implementing each project. This position must clearly understand and review/confirm with the client and interna

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionSUMMARY: The Senior Business Analyst is responsible for ensuring that business requirements are documented and that functional business considerations are identified for a given project. This position clearly understands reviews and confirms requirements with the business o

DescriptionSUMMARY: The Senior Business Analyst is responsible for ensuring that business requirements are documented and that functional business considerations are identified for a given project. This position clearly understands reviews and confirms requirements with the business o

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionSUMMARY:Primarily responsible for the following: Authority to evaluate which submitted vendor physical and phone audits and decide which require further analysis; approval completion and processing mail audits; processing adjustments and reviewing phone and physical audits

DescriptionSUMMARY:Primarily responsible for the following: Authority to evaluate which submitted vendor physical and phone audits and decide which require further analysis; approval completion and processing mail audits; processing adjustments and reviewing phone and physical audits

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionCorporate Audit and Advisory Services (CAAS) takes a proactive approach to auditing by providing consulting services to business units through value-added reviews of systems business processes financial and operating controls. Functions as a highly skilled internal control

DescriptionCorporate Audit and Advisory Services (CAAS) takes a proactive approach to auditing by providing consulting services to business units through value-added reviews of systems business processes financial and operating controls. Functions as a highly skilled internal control

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionSUMMARY:Provider Relations Specialist IResponsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality consistent and accurate medical payment information to internal and external customers.Provider Re

DescriptionSUMMARY:Provider Relations Specialist IResponsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality consistent and accurate medical payment information to internal and external customers.Provider Re

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionSUMMARY: Leads the design development and support of modern software solutions in an Agile/Scrum and DevOps environment with specialization in Enterprise Content Management (ECM) and workflow automation. Applies modern engineering practices CI/CD automated testing infrastru

DescriptionSUMMARY: Leads the design development and support of modern software solutions in an Agile/Scrum and DevOps environment with specialization in Enterprise Content Management (ECM) and workflow automation. Applies modern engineering practices CI/CD automated testing infrastru

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionSUMMARY: Claim Representative II:This is the intermediate level of the claim handler career path. Handles moderate to difficult claims. Exercises progressively more discretion in the determination of compensability of many factors in the determination claim reserves. Negot

DescriptionSUMMARY: Claim Representative II:This is the intermediate level of the claim handler career path. Handles moderate to difficult claims. Exercises progressively more discretion in the determination of compensability of many factors in the determination claim reserves. Negot

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DescriptionSUMMARYThe Program Business Development Manager is responsible for identifying evaluating and advancing new delegated underwriting authority program opportunities. This role requires deep understanding of portfolio-level underwriting performance program structure and risk m

DescriptionSUMMARYThe Program Business Development Manager is responsible for identifying evaluating and advancing new delegated underwriting authority program opportunities. This role requires deep understanding of portfolio-level underwriting performance program structure and risk m

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionThis internship will be a collaboration between the Blue Cross Blue Shield of Michigan Talent Strategy and Process Talent Acquisition and HR Business Partner teams. This will allow for a rotational period within each team to help support corporate functions. You will have t

DescriptionThis internship will be a collaboration between the Blue Cross Blue Shield of Michigan Talent Strategy and Process Talent Acquisition and HR Business Partner teams. This will allow for a rotational period within each team to help support corporate functions. You will have t

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionBlue Cross Blue Shield of MI (BCBSM) has excitingSummer 2027 internshipopportunitieswithinInformation Technologyin areas such as cyber security data analytics application development programming coding network engineering/infrastructure and more.Information technology is th

DescriptionBlue Cross Blue Shield of MI (BCBSM) has excitingSummer 2027 internshipopportunitieswithinInformation Technologyin areas such as cyber security data analytics application development programming coding network engineering/infrastructure and more.Information technology is th

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionSUMMARY: The Nurse Case Manager (NCM) is responsible for applying medical knowledge in reviewing workers compensation claims to assess evaluate plan implement and oversee the treatment appropriateness for occupational injuries based upon evidence based guidelines. The NCM u

DescriptionSUMMARY: The Nurse Case Manager (NCM) is responsible for applying medical knowledge in reviewing workers compensation claims to assess evaluate plan implement and oversee the treatment appropriateness for occupational injuries based upon evidence based guidelines. The NCM u

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DescriptionSUMMARY:Responsible for performing virtual and field audits in a multi-functional business unit. Reviews accounting and financial information as well as the business operations to determine appropriate exposures and classifications for policyholders employees and subcontrac

DescriptionSUMMARY:Responsible for performing virtual and field audits in a multi-functional business unit. Reviews accounting and financial information as well as the business operations to determine appropriate exposures and classifications for policyholders employees and subcontrac

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionProcess practitioner and organizational provider applications for credentialing based on State and Federal regulations and NCQA accreditation standards.Responsible for the processing of practitioner and organization/facility provider applications for credentialing and recre

DescriptionProcess practitioner and organizational provider applications for credentialing based on State and Federal regulations and NCQA accreditation standards.Responsible for the processing of practitioner and organization/facility provider applications for credentialing and recre

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionDepartment RequirementsCustomer-focused self-starter with ability to interact with the State of Michigan members and providers.Analytical thinker with ability to request and interpret data applicable to any project or assignment.Extensive experience managing and keeping mul

DescriptionDepartment RequirementsCustomer-focused self-starter with ability to interact with the State of Michigan members and providers.Analytical thinker with ability to request and interpret data applicable to any project or assignment.Extensive experience managing and keeping mul

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionSUMMARYPrimarily responsible for preparing and routing new and renewal quote requests as well as organizing and routing supporting quote and policy documents for Century Underwriting department. Provides support to external customers (agents) and the Underwriting department

DescriptionSUMMARYPrimarily responsible for preparing and routing new and renewal quote requests as well as organizing and routing supporting quote and policy documents for Century Underwriting department. Provides support to external customers (agents) and the Underwriting department

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionThe 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

DescriptionThe 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

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionSUMMARYThis is the intermediate level of the claims handling career path responsible for managing a caseload of Michigan No-Fault Personal Injury Protection (PIP) claims of moderate to high complexity. The Claim Representative II investigates and administers both litigated

DescriptionSUMMARYThis is the intermediate level of the claims handling career path responsible for managing a caseload of Michigan No-Fault Personal Injury Protection (PIP) claims of moderate to high complexity. The Claim Representative II investigates and administers both litigated

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Blue Cross Blue Shield Of Michigan

Full Time

DescriptionSUMMARY: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 m

DescriptionSUMMARY: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 m

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