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Rating amp; Underwriting Analyst II - MID0005S
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lt;pgt;Evaluate and assess risks to safeguard the financial assets of the company.lt;br /gt;lt;br /gt;lt;br /gt;Understand and protect the financial health of the company by making sound business recommendations and decisions.lt;br /gt;Calculate...
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Date
2020-10-23
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Evaluate and assess risks to safeguard the financial assets of the company.lt;br /gt;lt;br /gt;lt;br /gt;Understand and protect the financial health of the company by making sound business recommendations and decisions.lt;br /gt;Calculate renewal rates using appropriate rating formulas and procedures and analyze projected financial impacts.lt;br /gt;Validate that the final renewal rates and associated packaging is correct and ensuring quality in rate releases.lt;br /gt;Calculate quarterly and annual settlements amp;amp; prepare ERISA reports.lt;br /gt;Create quotes for customers using...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Insurance Underwriters
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
Accounting
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

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Rating and Underwriting Consultant - KEY0005W
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lt;pgt;Evaluate and assess risks to safeguard the financial assets of the company. Coordinate and direct highly complex and specialized Underwriting projects, which have significant impact on the companys financial position and other functional...
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Date
2020-10-23
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Evaluate and assess risks to safeguard the financial assets of the company. Coordinate and direct highly complex and specialized Underwriting projects, which have significant impact on the companys financial position and other functional areas. Responsible for financial soundness of rates and prices for a significant line of business.lt;br /gt;lt;br /gt;lt;br /gt;Lead, facilitate, direct and coordinate the production of renewal rates or new business proposals, cost estimates for benefit modifications and various coordinating reports. Manage and communicate results of renewal and quote...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Health Care Analyst - Behavioral Health Strategy amp;
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lt;pgt;Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management.lt;br /gt;Research, analyze, identify, and evaluate data from...
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Date
2020-10-23
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management.lt;br /gt;Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues.lt;br /gt;Possess and maintain a comprehensive understanding and knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Project Consultant - PAY0001I
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lt;pgt;SUMMARYlt;br /gt;lt;br /gt;Accountable for and manages the development, implementation and ongoing maintenance of project(s) with moderate to complex scope and deliverables. Project scope is at least two years planning to implementation and...
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Date
2020-10-23
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;SUMMARYlt;br /gt;lt;br /gt;Accountable for and manages the development, implementation and ongoing maintenance of project(s) with moderate to complex scope and deliverables. Project scope is at least two years planning to implementation and 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.lt;br /gt;lt;br /gt;ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.lt;br /gt;lt;br /gt;1. Develop detailed project plans and schedules, identify goals, objectives, risks and...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Systems Analyst III-Claims Projects amp; System Suppo
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lt;pgt;Plan, develop, test and implement IT system solutions that improve business efficiency and productivity as well as support business strategies and goals. Identify and communicate business needs and translate business requirements into...
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Date
2020-10-23
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Plan, develop, test and implement IT system solutions that improve business efficiency and productivity as well as support business strategies and goals. Identify and communicate business needs and translate business requirements into technical system and functional specifications. Support one or more highly complex or critical business processes/systems and may require design or integration of technical solutions that may cross multiple functions of the business. Project team member for projects large in scope and high complexity; may be enterprise-wide.lt;br /gt;Participate in...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Grievance and Appeals Coordinator - Medicare Advan
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lt;pgt;Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case....
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Date
2020-10-23
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case. Conduct pertinent research in order to evaluate, respond to, and finalize case. Familiar with standard concepts, practices, and procedures for analyzing, interpreting data and applying contract and regulatory provisions.lt;br /gt;Analyze, research, resolve and respond to confidential/sensitive complaints, appeals, grievances and organization...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Salary:
Middle Income Jobs ($30K-$49K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

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Sales Force Administrator - BCB005WO
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lt;pgt;Plan, develop, test and implement IT system solutions that improve business efficiency and productivity as well as support business strategies and goals. Identify and communicate business needs and translate business requirements into...
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Date
2020-10-19
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Plan, develop, test and implement IT system solutions that improve business efficiency and productivity as well as support business strategies and goals. Identify and communicate business needs and translate business requirements into technical system and functional specifications. Support one or more highly complex or critical business processes/systems and may require design or integration of technical solutions that may cross multiple functions of the business. Project team member for projects large in scope and high complexity; may be enterprise-wide.lt;br /gt;Participate in...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Sr. Analyst / Project Coordinator / Utilization Ma
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lt;pgt;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...
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Date
2020-10-19
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;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.lt;br /gt;Identify and analyze operational data and develop insights in support of business objectives.lt;br /gt;Develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

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IT Architect Principal - BCB005TI
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IT Architect Principal - BCB005TI DESCRIPTION/RESPONSIBILITIES: Provide support for architecture discipline as defined by departmental requirements. Provide overall direction, guidance, definition and facilitation for the development of...
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From State of Michigan
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Date
2020-10-19
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
IT Architect Principal - BCB005TI DESCRIPTION/RESPONSIBILITIES: Provide support for architecture discipline as defined by departmental requirements. Provide overall direction, guidance, definition and facilitation for the development of architecture required to meet business strategies and goals. Identify, support, and analyze the enterprise’s business drivers, IT strategies, and current IT environment and recommend solutions to improve, develop, and align IT to the business. Lead, consult or oversee multiple highly complex projects/programs/domains that have significant impacts and require...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Computer and Information Systems Managers
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
5
Workplace Documents
5

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COB Analyst - BCN00146
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COB Analyst - BCN00146 DESCRIPTION/RESPONSIBILITIES: Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for...
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From State of Michigan
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Date
2020-10-19
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Grand Rapids, MI
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About the job:
COB Analyst - BCN00146 DESCRIPTION/RESPONSIBILITIES: 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. *...
Location:
Grand Rapids, MI
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
Upper Middle Income Jobs ($50K-$79K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Health Care Manager - Behavioral Health Strategy amp;
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lt;pgt;Responsible for researching, planning, organizing, directing, implementing, and management of corporate programs and initiatives dedicated to enhancing health care value. Position operates within broad objectives to ensure optimum...
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Date
2020-10-18
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Responsible for researching, planning, organizing, directing, implementing, and management of corporate programs and initiatives dedicated to enhancing health care value. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Specialize in research, planning, development, implementation and leadership.lt;br /gt;lt;br /gt;Utilize data analytics and extensive business knowledge to manage the research, analysis, identification and evaluation of data from identified problems to evaluate existing and potential trends, competition, and issues.lt;br...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

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Senior Health Care Analyst - Behavioral Health Str
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lt;pgt;Responsible for planning, organizing, directing, implementation, and leading department assignments. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Research, compile and analyze appropriate...
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Date
2020-10-18
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Responsible for planning, organizing, directing, implementation, and leading department assignments. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Research, compile and analyze appropriate and relevant data and make recommendations for operational improvements.lt;br /gt;Leads in the research, analysis, identification and evaluation of data from assigned problems to evaluate existing and potential trends and issues.lt;br /gt;Possess and maintain an extensive comprehensive knowledge of BCBSM business, products, programs (including...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Systems Analyst I - BCB005V8
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lt;pgt;Plan, develop, test and implement IT system solutions that improve business efficiency and productivity as well as support business strategies and goals. Identify and communicate business needs and translate business requirements into...
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Date
2020-10-18
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Plan, develop, test and implement IT system solutions that improve business efficiency and productivity as well as support business strategies and goals. Identify and communicate business needs and translate business requirements into technical system and functional specifications. Support one or more low to moderately complex business processes/systems for one business unit. Serve as a project team member for projects of small to medium scope and moderately complex or sub-projects within a large or highly complex projects.lt;br /gt;Participate in business short-term planning sessions...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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RFP Senior Sales Analyst - BCB005I6
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lt;pgt;Obtain and analyze program specifications to develop contract language, proposal summaries and benefit comparisons relating to major accounts. Coordinate implementation of new group and/or group wide changes with appropriate programs.lt;br...
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Date
2020-10-17
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Obtain and analyze program specifications to develop contract language, proposal summaries and benefit comparisons relating to major accounts. Coordinate implementation of new group and/or group wide changes with appropriate programs.lt;br /gt;Analyze, investigate, formulate, develop and initiate system changes to improve quality, processing time,and efficiency and benefit accuracy.lt;br /gt;Coordinate and draft all customized and standard proposal components.lt;br /gt;Coordinate account specific maintenance requests and maintains appropriate tracking logs.lt;br /gt;Provide technical...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
Driver's License
Preferred WorkKeys®
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

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Customer Provider Support Clerk - FEP0001M
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lt;pgt;Performs a variety of clerical duties related to inventory, and department systems/applications that require familiarization of standardized work routines, involving incoming, outgoing, inter-office and misdirected departmental mail....
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Date
2020-10-17
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Performs a variety of clerical duties related to inventory, and department systems/applications that require familiarization of standardized work routines, involving incoming, outgoing, inter-office and misdirected departmental mail. Responsible for tracking and routing incoming work according to departmental procedures (i.e., electronic, paper, etc.).lt;br /gt;lt;br /gt;Must be able to pass the Clerical selection process, in order to interview.lt;br /gt;Enters and monitors data for accuracy and completeness into the department systems and applications.lt;br /gt;Handles routine...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Office Clerks, General
Salary:
Entry Level Jobs (less than $30K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Team Leader II - CLA000M2
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lt;pgt;Responsible for planning, coordinating and supervising assigned departments(s)/area(s) to ensure an efficient and cost effective area of responsibility in accordance with established corporate and departmental policies and procedures.lt;br...
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Date
2020-10-17
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Responsible for planning, coordinating and supervising assigned departments(s)/area(s) to ensure an efficient and cost effective area of responsibility in accordance with established corporate and departmental policies and procedures.lt;br /gt;Supervise and promote the professional development of assigned staff through selection, development, and exploration of more effective methods of managing projects and time.lt;br /gt;Research, (internally and externally), initiate, and plan strategic changes in assigned department(s)/area(s) to optimize technologies and personnel.lt;br...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Information Technology Project Managers
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
5
Workplace Documents
5

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Application Developer III-Provider Systems
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" Provide support in the full systems life cycle that may span a broad range of applications to ensure application software is delivered on time and within budget. TEAMWORK Work closely with clients, business analysts, and team members on major...
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From Ladders
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Date
2020-10-14
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
" Provide support in the full systems life cycle that may span a broad range of applications to ensure application software is delivered on time and within budget. TEAMWORK 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 architectural standards. Identify technical requirements. Evaluate new application packages and tools and performs research on best practices....
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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IT Architect Principal - TEC0000B
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lt;pgt;BLUE CROSS BLUE SHIELD OF MICHIGANlt;br /gt;TECHNOLOGY, STRATEGY AND PLANNINGlt;br /gt;IT ARCHITECT PRINCIPALlt;br /gt;DETROIT, MIlt;br /gt;lt;br /gt;lt;br /gt;lt;br /gt;Provide support for architecture discipline as defined by departmental...
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From US.jobs
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Date
2020-10-13
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;BLUE CROSS BLUE SHIELD OF MICHIGANlt;br /gt;TECHNOLOGY, STRATEGY AND PLANNINGlt;br /gt;IT ARCHITECT PRINCIPALlt;br /gt;DETROIT, MIlt;br /gt;lt;br /gt;lt;br /gt;lt;br /gt;Provide support for architecture discipline as defined by departmental requirements. Provide overall direction, guidance, definition and facilitation for the development of architecture required to meet business strategies and goals. Identify, support, and analyze the enterprises business drivers, IT strategies, and current IT environment and recommend solutions to improve, develop, and align IT to the business. Lead,...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Associate's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
5

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Manager - Administrative - DIR00043
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lt;pgt;Responsible for planning, developing, implementing and managing current and new activities related to programs or projects within the division.lt;br /gt;Provide direct support to a member of the management staff.lt;br /gt;Manage programs,...
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Date
2020-10-13
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Responsible for planning, developing, implementing and managing current and new activities related to programs or projects within the division.lt;br /gt;Provide direct support to a member of the management staff.lt;br /gt;Manage programs, projects or assignments that have divisional and/or corporate impact.lt;br /gt;Research, analyze and evaluate major strategic opportunities, issues and technical improvements.lt;br /gt;Provide effective and efficient solutions to complex business problems.lt;br /gt;Lead, direct, evaluate and develop the work of assigned employees.lt;br /gt;Provide...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Administrative Services Managers
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
5
Graphic Literacy
4
Workplace Documents
5

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Machine Operator - New Hudson MI/Temp Position - T
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lt;pgt;Operates a computerized I.D. card encoding/embossing and inserting equipment. Produces plastic identification cards in accordance with established corporate standards and requests.lt;br /gt;Operates all embossing/encoding and inserting...
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From US.jobs
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Date
2020-10-12
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Hudson, MI
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About the job:
lt;pgt;Operates a computerized I.D. card encoding/embossing and inserting equipment. Produces plastic identification cards in accordance with established corporate standards and requests.lt;br /gt;Operates all embossing/encoding and inserting equipment in the course of performinglt;br /gt;daily plastic I.D. card production duties.lt;br /gt;Maintains daily production logs.lt;br /gt;Runs production test tapes.lt;br /gt;Pulls special group requests from production tapes, as required.lt;br /gt;Ensures proper maintenance of equipment by completing request for service.lt;br /gt;Processes manual...
Location:
Hudson, MI
Job Type:
Full-Time
Permanent
Occupation:
Production Workers, All Other
Salary:
Entry Level Jobs (less than $30K)
Career Level/Education:
High school diploma or equivalent
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
3
Graphic Literacy
4
Workplace Documents
4

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Business System Analyst - AUT0004Y
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lt;pgt;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 as needed. Identify, document and...
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Date
2020-10-09
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;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 as 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 the technical solutions. Support one or more low...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Salary:
High Income Jobs ($80K-$99K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Systems Analyst II-Policy Change Request Unit (PCR
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lt;pgt;Summary:lt;br /gt;Blue Cross Blue Shield of Michigan is currently seeking a Systems Analyst II for our downtown / Jefferson location to join the NASCO Environment/Policy Change Request (PCR Team). Join the NASCO Environment/Policy Change...
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Date
2020-10-09
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Summary:lt;br /gt;Blue Cross Blue Shield of Michigan is currently seeking a Systems Analyst II for our downtown / Jefferson location to join the NASCO Environment/Policy Change Request (PCR Team). Join the NASCO Environment/Policy Change Request (PCR Team).lt;br /gt;Departmental Requirements:lt;br /gt;Knowledge of Medical, Benefit and Payment Policylt;br /gt;lt;br /gt;NASCO 3270 mainframe experience amp;amp; system knowledgelt;br /gt;lt;br /gt;Minimum 3 years experience in BFM/BFAST environmentlt;br /gt;lt;br /gt;Experience in CSR creation, updates amp;amp; developmentlt;br /gt;lt;br...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
ICD-10 / ICD-9
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Behavioral Health - Health Care Analyst - BCB005WF
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lt;pgt;Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management.lt;br /gt;Research, analyze, identify, and evaluate data from...
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Date
2020-10-09
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management.lt;br /gt;Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues.lt;br /gt;Possess and maintain a comprehensive understanding and knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research...
Location:
Detroit, MI
Job Type:
Part-Time
Permanent
Occupation:
Clinical Data Managers
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Master's degree
Certifications/Licenses:
National Committee for Quality Assurance
Preferred WorkKeys®
Applied Math
7
Graphic Literacy
6
Workplace Documents
7

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Health Care Analyst - Behavioral Health Stratedy amp;
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lt;pgt;Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management.lt;br /gt;Research, analyze, identify, and evaluate data from...
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Date
2020-10-09
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management.lt;br /gt;Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues.lt;br /gt;Possess and maintain a comprehensive understanding and knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Bachelor's degree
Certifications/Licenses:
N/A
Preferred WorkKeys®
Applied Math
4
Graphic Literacy
4
Workplace Documents
4

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Clinical Pharmacist Prior Authorization Medical Be
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lt;pgt;Responsible for promoting appropriate and/or efficient utilization review of prescription drug claims among BCBSM participating physicians. This position is also responsible for the education of physicians and influencing of prescribing...
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Date
2020-10-09
Company
Blue Cross Blue Shield Bcbs Of Michigan
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Location
Detroit, MI
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About the job:
lt;pgt;Responsible for promoting appropriate and/or efficient utilization review of prescription drug claims among BCBSM participating physicians. This position is also responsible for the education of physicians and influencing of prescribing patterns to reduce BCBSMs drug benefit payout and improve the quality of the benefits as it relates to our members. The incumbent serves as the liaison to the Medical Policy department assisting with the development of medical policy as it applies to drugs.lt;br /gt;Participate in clinical coverage review of medication requests, including detection of...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Pharmacists
Salary:
Six Figure Jobs (more than $100K)
Career Level/Education:
Doctoral or professional degree
Certifications/Licenses:
National Committee for Quality Assurance
Pharmacotherapy
Preferred WorkKeys®
Applied Math
6
Graphic Literacy
6
Workplace Documents
7

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