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Our internship program is designed to enhance the skills and abilities of ...
Details
Summary
About the job:
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 our company. JOB DESCRIPTION: * Performs duties...
Location:
Lansing, MI
Job Type:
Full-Time
Internship
Occupation:
Security Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
SUMMARY: The Expert Analyst is responsible for identifying, collecting, ...
Details
Summary
About the job:
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...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
SUMMARY: Accountable for and manages the development, implementation and ...
Details
Summary
About the job:
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...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Job Description SUMMARY: This Medical Bill Review & Compliance Advisor (MBR) ...
Details
Summary
About the job:
role is responsible for the management of the vendors related to the medical bill review process as well as PPO network performance results. Performs analysis of trends to identify appropriate solutions and responses to positively impact loss costs and expense savings. Ensures adherence to compliance regulations by monitoring and providing oversight to all rules and regulations. Provide operational consistency and integrity as well as continuous quality improvement and maximum performance. Serve as a technical expert...
Location:
Lansing, MI
Job Type:
Full-Time
Permanent
Occupation:
Compliance Officers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Healthjobsnationwide
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
SUMMARY: The Senior Health Care Analyst is responsible for planning, ...
Details
Summary
About the job:
organizing, directing, implementing, and leading department assignments related to Medicare Risk Adjustment. This role involves analyzing clinical, claims, and enrollment data to ensure compliance with government regulations, identifying trends, and collaborating with cross-functional teams to improve risk adjustment strategies and processes. This position operates within broad objectives to ensure optimum utilization of manpower and budget. RESPONSIBILITIES/TASKS: * Provide analytical support on prospective and...
Location:
Kalamazoo, MI
Job Type:
Full-Time
Permanent
Occupation:
Statisticians
Career Level / Education:
Master's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
SUMMARY: The Senior Health Care Analyst is responsible for planning, ...
Details
Summary
About the job:
organizing, directing, implementing, and leading department assignments related to Medicare Risk Adjustment. This role involves analyzing clinical, claims, and enrollment data to ensure compliance with government regulations, identifying trends, and collaborating with cross-functional teams to improve risk adjustment strategies and processes. This position operates within broad objectives to ensure optimum utilization of manpower and budget. RESPONSIBILITIES/TASKS: * Provide analytical support on prospective and...
Location:
Lansing, MI
Job Type:
Full-Time
Permanent
Occupation:
Business Intelligence Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Department Summary This role drives performance and is responsible for ...
Details
Summary
About the job:
meeting sales targets for individual Medicare Plus Blue PPO, BCN Advantage HMO, BCN Advantage HMO-POS, Blue Cross Medicare Supplement, and Prescription Blue PDP plans. The individual Medicare Sales team leads both growth and retention across all Medicare products. We oversee field sales, telesales, and partner distribution, while driving strategies for member conversion from commercial to Medicare coverage. Our team works closely with full-risk provider groups and cross-functional partners to meet enterprise goals and...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Sales Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
Driver's License
State insurance license
Insurance License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
SUMMARY: Senior Health Services is looking for pharmacy students in their ...
Details
Summary
About the job:
second year to assist with the quality improvement metrics for the Blue Cross Blue Shield of Michigan Medicare population. Fully remote, full time paid summer internship. Equipment will be provided. Interns are required to work 40 hours per week from mid-May to mid-August the summer between P2 and P3 year. Primary responsibilities include telephonic outreach to patients and providers to support CMS Stars measures such as Medication Adherence and Statin Use in Persons with Diabetes (SUPD). Opportunities to learn about...
Location:
Lansing, MI
Job Type:
Full-Time
Internship
Occupation:
Pharmacists
Career Level / Education:
Doctoral or professional degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
SUMMARY: Senior Health Services is looking for pharmacy students in their ...
Details
Summary
About the job:
second year to assist with the quality improvement metrics for the Blue Cross Blue Shield of Michigan Medicare population. Fully remote, full time paid summer internship. Equipment will be provided. Interns are required to work 40 hours per week from mid-May to mid-August the summer between P2 and P3 year. Primary responsibilities include telephonic outreach to patients and providers to support CMS Stars measures such as Medication Adherence and Statin Use in Persons with Diabetes (SUPD). Opportunities to learn about...
Location:
Kalamazoo, MI
Job Type:
Full-Time
Internship
Occupation:
Pharmacists
Career Level / Education:
Doctoral or professional degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
The Senior Risk Adjustment Analyst will coordinate the development and ...
Details
Summary
About the job:
implementation of programs and strategies to improve service to customers. They will leverage skills in SQL, Python, and Tableau to achieve operational goals. Requirements - Develops and improves work flows and business processes - Identifies and analyzes business problems and devises solutions - Effectively leads projects to produce desired results - Assures corporate compliance is communicated and monitored - Participates in systems testing and develops procedures/controls Benefits - 401k Matching - Tuition Reimbursement...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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