with cross-functional workstreams, managing competing priorities, escalating roadblocks, facilitating delivery discussions... with healthcare payer operations, provider integration, clinical data exchange, utilization management, claims, care management...
and collaborate with cross-functional teams to achieve department and corporate goals. Demonstrated skill with Microsoft Office... Suite and web-based programs. Understanding of health plan functions related to utilization, care, and quality management...
of moderately complex initiatives for BlueCrossBlueShield of Michigan (BCBSM) and its subsidiaries. Analyze and develop... with regulatory health care requirements is preferred. Compliance Certification Board (CCB) certification(s) is preferred...
Job Category: Health Care Management Job Description: Responsible for planning, organizing, directing..." Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field...
Job Category: Audit/Corporate Compliance Job Description: Responsible for serving as an internal control consultant conducting internal corporate and information technology (IT) and system audits and reviews of business processes and su...
delivery (e.g., HPN, HMO, etc.), funding options and financial tradeoffs (e.g., balancing premiums vs access to care), as well... and clinical, utilization and financial data. Ability to surface potential cross-sell/up-sell opportunities from internal...
Job Category: Multi-divisional Job Description: Responsible for leading the development and implementation of programs and strategies by identifying insights that enhance business decision making capability. This includes developing or ...
Job Category: Audit/Corporate Compliance Job Description: This position is responsible for conducting operational, financial, and compliance audits/reviews of BCBSM, its subsidiaries as well as vendors, suppliers, Par Plans and contract...
prior to market submission, with accountability for quality, consistency, and adherence to BlueCross template standards... as subject matter expert on complex, jumbo or high-profile projects where strategic positioning is critical. Partner cross...
cross-functional teams and align enterprise resources to customer and market needs. Strong business and financial acumen...