Blue Cross & Blue Shield jobs in Detroit, MI

Department Summary and Preferences Responsibilities do not include building journeys within Salesforce Marketing Cloud, it does however require an understanding of consumer journeys and the requirements needed for other team members to build the journeys. * Document and communicate project concepts, milestones and results leveraging the campaign business rules and project planning documents established to turn marketing strategies into actionable campaign journeys for the CRM team to begin development of Marketing Cloud journeys. * Identify, evaluate, recommend and implement changes to marketing campaign execution problems and improve effectiveness of transitioning go-to-market plans into actionable experiences for development into Salesforce. * Salesforce Marketing Cloud experience or similar martech operational knowledge. * Identify and analyze operational data and develop insights in support of marketing objectives. * Develop and improve work flows and business processes within Marketing Cloud to improve member experiences, increase new membership. * Lead the development and implementation planning of marketing campaigns that require transition of go-to-market plans or projects into Salesforce Marketing Cloud. 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 monitored on an ongoing basis. * Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process. * Provide support to internal departments and external entities by answering questions, supplying information and training. * Create and present reports and presentations to display operational data and proposed business changes. "Qualifications" * Bachelor's Degree in a related field is preferred. * Four (4) years of experience in a related field is required. * Excellent analytical and problem-solving skills to identify, evaluate, recommend and implement changes to processes or procedures to address problems and improve departmental effectiveness. * Organizational skills and ability to prioritize; must be able to lead multiple activities with varying timelines. * Excellent verbal, written communication and interpersonal skills. * Ability to lead and contribute to business unit and/or corporate projects. * Proficient in Microsoft Office Suites. * Ability to develop and maintain effective working relationships. All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

Seeking highly experienced and results-driven Retirement Benefits manager to develop and lead a team focused on delivering exceptional customer service through operational excellence. The ideal candidate is a strategic thinker with strong background in retirement plan compliance, project management, and proven leadership skills. Key responsibilities will include modernizing/transforming retirement processes, fostering a high-performing team culture, and driving continuous improvement to achieve the organization's objectives. * Assess business challenges and opportunities related to retirement programs and employee experience and pioneer solutions to improve outcomes and enhance overall experience. * Foster individual development through continuous learning, providing opportunities for team members to acquire new skills, and providing timely coaching and feedback. * Maintain strategic partnerships with vendors to ensure delivery of services that meet or exceed the established service level agreements/standards. * Manage activities and projects to ensure efficient day-to-day operations (standard deliverables, ad hoc reporting, invoices, department budgets) and enable the Director to make informed, strategic decisions that drive business outcomes. * Manage internal and external audits of retirement programs, both qualified and non-qualified plans, to maintain compliance with regulations and plan documents. * In collaboration with ERISA counsel, maintain summary plan descriptions and plan documents to be compliance with applicable legislation such as Employee Retirement Income Security Act (ERISA), Department of Labor (DOL), Internal Revenue Service (IRS) codes. * Research, analyze and develop information to support corporate policies and initiatives in daily dealings with individuals, union organizations, and/or departments in the corporation. Collaborate effectively with vendors, ERISA counsel, payroll, and other departments as necessary to achieve the best resolution. * Supply data and recommendations to support corporate decisions, complete regulatory filings, and resolve escalation. * Utilize emerging technology (i.e. A.I. tools) to develop, enhance, and modernize communication materials including intranet webpages, internal and external communications, and benefit summaries to enhance employee education. * Prepare and present information to business partners (internal and external) on retirement programs and related topics. * Ensure that team members and vendors adhere to applicable internal policies and procedures and external laws and regulations. * Maintain professional knowledge in area of expertise through conferences, professional publications and seminars. QUALIFICATIONS * Bachelor's Degree in Business Administration, Human Resource Management, Mathematics, Actuarial Science, Finance, or related area preferred. * Experience working with Employee Retirement Income Security Act (ERISA), Department of Labor (DOL), and Internal Revenue Service (IRS) codes, legislation, and practices. * Five (5) to ten (10) years of experience in Human Resources, benefits administration or related area including experience in a leadership role. Minimum five (5) years of experience working with defined contribution and/or defined benefit plans. * Excellent analytical, organizational, problem resolution, verbal and written communication skills. * Ability to work effectively in a collaborative team environment is essential. * Thorough knowledge of ERISA and other applicable laws. * Proficient in Microsoft Office (Excel, Word, PowerPoint). * Other related skills and/or abilities may be required to perform this job.

Under general supervision, develop and produce benefit information and client communications that are designed to attract, retain, inform and educate group customers and subscribers. * Analyze components of product offerings to ensure compliance with coverage documents. * Analyze group coverage documents and develop non-standard benefit specifications that amend certificates and riders. * Design, develop, produce, and maintain materials to support marketing sales strategy. * Create descriptions that clearly define product and delivery systems. * Develop group-specific benefit materials for standard and non-standard plans. * Write and develop marketing materials and ensure that materials comply with government and corporate brand regulations/style. * Maintain hard copy and automated text libraries and/or files to facilitate development of internal and external communications. * Maintain daily, monthly, and quarterly activity reporting systems. * Develop and maintain project plans. * Other duties may be assigned. "Qualifications" * Bachelor's Degree in English, Journalism, Marketing or related field preferred. * Five (5) years experience designing, developing and producing sales promotion literature, direct mail campaigns, customer communications and/or employee benefit literature. * Three (3) to five (5) years BCBSM experience preferred. * Excellent verbal and written communication skills. * Ability to translate technical information into language easily understood by our customers. * Ability to develop communication strategies. * Ability to research, write and produce sales literature and customer communications. * Proficient in current industry standard PC applications and systems. * Other related skills and/or abilities may be required to perform this job. All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

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 business goals, objectives, and needs within the organization. * Participate in networking events with BCBSM leaders and other interns. * Engage in volunteer activities/community outreach to build knowledge of our communities and customers. * Participate in department meetings and events (i.e. monthly Diversity and Inclusion events, department wide team building events, weekly meetings to ensure team alignment, etc.). QUALIFICATIONS * Current undergraduate or graduate student with a 3.0 GPA or higher required. * Interns must be enrolled in a college/university or a Master's/PhD program for the duration of the internship. * Effective verbal, written communication and interpersonal skills. * Strong analytical skills with the ability to work independently and as a member of a team. * Excellent organizational skills to deal with multiple projects and priorities. * Responsible for maintaining confidential information to the highest degree. * Proficient in Microsoft Office suites and applicable BCBSM systems. * Ability to develop and maintain effective working relationships. Departmental Summary Join our Experience Transformation team to help identify, assess, recommend and document member experience improvements. As a health plan service provider, we do not have a tangible product. Our members and customers experience the health plan service through interactions with touchpoints (e.g., enrollment materials, health plan benefits and coverage documentation, claims and related servicing notices and statements) and across all channels (e.g., paper, digital, call center, in-person). This work will include parts or all the following: * Assessing voice of the customer data to identify what is working or not working across the member experience across all stages and steps of the member journey * Assessing member interactions across touchpoints and channels to identify opportunities for improvement by either redesigning or reconfiguring the interactions * Assessing the back office and operational supports and barriers to the member experience * Documenting and developing current state and future state service maps and blueprints * Prototyping conceptual solutions and concepts to help validate with members and stakeholders to ensure success. Prototypes may be visual illustrations to help demonstrate changes to the process, channels or touchpoints. * Identifying and developing - when needed - standards, guidelines and job aids that will inform and support the hand off to business and operational areas for implementation across the enterprise * Supporting the maintenance and editing of the SharePoint plain language and do not use list glossary Preferred Qualifications * Rising junior, or rising senior in 4-year university degree * Majoring in Systems Engineering, Organizational and operational dynamics, human factors and interactions design, service design, or related subjects * Ability to think empathetically: What do we want the members to know? What do we want the members to do? * Ability to describe and visualize service maps that document the interactions, flow, and inter-dependences between member interaction's and supporting back off processes * Familiarity with SharePoint, Figma, Miro, Mural and other similar tools * Ability to work in SharePoint, editing, publishing, programming.

The Enterprise Security Officer II position is an essential member of the enterprise security team and is focused on providing a safe, secure, and friendly environment for all individuals on our property. The primary duties of a security officer II consist of Security Officer I responsibilities in addition to enterprise command center responsibilities. Individuals in this position must be professional in their appearance and conduct and assist in the enforcement of corporate policies, guidelines, procedures, rules, regulations, laws, and ordinances. The security officer II will protect BCBSM property against damage, fire, theft, trespassing, and illegal or unauthorized entry. They will also provide an emergency response for major events and provide high quality customer service and educate stakeholders to take an active role in maintaining a secure workplace. The Security Officer II must remain calm under pressure and can make decisions quickly to protect people or property across the BCBSM enterprise. * Assists in the enforcement of corporate policies at access control points and utilize the Visitor Card Management System to issue one-day employee, contractor, and visitor badges. * Conducts interior and exterior patrols of our properties to protect against property damage, theft, trespassing, unauthorized entry and fire or safety hazards. Issues parking violations when applicable. * Performs scheduled life safety inspections of AED, duress buttons, fire extinguishers, fire alarm systems and other security technologies and equipment to assure they are functioning and operating as intended. Complete all necessary test forms and document findings and action taken to address deficiencies. * Provides escorts to vehicles upon request. * Perform executive/ security driving details (with company vehicles) as assigned. * Assures that all visitors are properly greeted and directed to their destination, and that unauthorized persons are not permitted to gain access to the buildings. * Checks ID badges, boxes, packages, assists visitors, and provides security at entrances and exits of the buildings. * Respond, investigates, and writes security incident reports regarding crimes, fire or safety incidents, medical emergencies, property loss or damage, and employee or guest misconduct. * Manage traffic and parking processes/records and enforce company guidelines/rules for employees and tenants. * Manage and perform tasks regarding identity, access and alarm management, visitor management, and other related processes. * Conducts scheduled access audits of security sensitive areas at all enterprise locations. * Conducts access audits of personnel at the direction of Human Resources. * Build and maintain relationships with internal and external stakeholders, employees, guests, contractors, and vendors. * Maintain understanding and knowledge of security related operations at all enterprise locations. * Assists in training and guidance of Security Officers and may act in the absence of Security leadership. Consistently demonstrate knowledge application through adherence and administration of corporate policies and performs other duties as requested. * Perform other duties as assigned. Command Center * Serve as the 24/7 emergency command/ dispatch center for the BCBSM enterprise (including subsidiary companies). * Monitor, respond, and react to various security scenarios which could impact our people or property. * Direct first responders/ emergency response to the event, providing real time updates as needed. * Monitor external risk events and initiate the appropriate security response following established security procedures. * Operates computerized building safety and security alarm systems, answers customer information requests, and dispatches appropriate staff via radio and telephone for building security. * Monitors enterprise-wide security systems and networks, such as closed-circuit technology. Test and documents operation of all CCTV cameras to ensure functionality state-wide and nationally. * Receives and responds to emergency and non-emergency calls from internal and external stakeholders. Performs multiple stakeholder requests via phone, email, and access controls systems. * Liaison with Public Safety throughout the state and nationally for enterprise dispatch in an emergent situation. * Processes and evaluates information received, prioritizes calls and dispatches required units and/or agencies. * Maintains status and locations of post officers. Monitors and coordinates unit activity and assignments via radio frequencies. * Creates and distributes mass Emergency Notification System (ENS) messages for emergent situations. * Serve as the central hub for all security operations- escalate and communicate crisis events quickly. * Performs various access control audits for all facilities. QUALIFICATIONS * High School Graduate or GED equivalent required. * One (1) year post-secondary education in criminal justice or related discipline. Associates degree preferred. * Two (2) years security related experience, or one (1) year general business or military with one (1) year general involving public customer service contact and experience in office building security. * One (1) year experience as a BCBSM Security Officer I preferred. * Working knowledge of safety codes, OSHA, and emergency preparedness preferred. * Valid and unrestricted driver's license with no excessive traffic violations. * Ability to obtain a chauffeur's license. * Ability to obtain First Aid, CPR (Cardiopulmonary Resuscitation) and AED (Automatic External Defibrillator) certification. * Basic knowledge of criminal and civil law. * Proficient with computer software including Microsoft Word, Excel, PowerPoint, and Outlook. * Knowledge of various fire safety alarms and devices. * Operational knowledge of radio and surveillance systems/ devices. * Demonstrated competency and/or ability to learn computerized security technologies (identity, access and alarm management, and surveillance systems). #LI - JR1

Responsible for planning, coordinating, and supervising all administrative, operative and employee functions within assigned area(s) to ensure an efficient and cost effective area in accordance with departmental and corporate standards and objectives. * Supervise, coordinate, direct and monitor staff activities to ensure prompt, courteous and accurate response to customers; ensure an efficient and qualitative operation through effective planning, leading, controlling and organizing. * Prioritize and assign work to employees and initiate corrective measures to resolve problems including scheduling or adjusting overtime requirements as necessary. * Select, train, develop, appraise and counsel support staff personnel. * Interface with diverse levels of internal and external personnel to develop and maintain effective rapport and to resolve issues and inquiries. * Monitor and analyze proficiency and quality efforts subordinate personnel. * Administer and adhere to Corporate and Departmental policies, practices and procedures, including union contract administration. * Recommend and implement new or improved systems which will enhance or expedite work. * Other duties may be assigned. Qualifications * Bachelor's Degree in related field preferred. * A minimum of 60 college credits is required. * Three (3) years customer service, or claims processing, or membership and billing experience required. * Two (2) years experience in a leadership role preferred. * Detailed knowledge of assigned BCBSM department(s)/area(s) including all applicable policies, procedures and processes as preferred. * Strong organizational, planning, analytical and communication skills. * Other related skills and/or abilities may be required to perform this job. Must pass Team Leader selection system. Departmental Preferences * Knowledge of 3270, NASCO, NCompass and Navigator * Knowledge of FEP Direct * Inventory management experience This position is based out of the BCBSM Tower All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

Non-Exempt/Bargaining Unit Posting Local/Seniority Unit - 2500/4201 Date Posted Internal - 9/18/25, Deadline Date - 9/25/25 Department - 104700 Property Management Salary Grade - K Job Code - X285A Number of openings - 1 Shift - 7:00am-3:30pm M-F, please note shifts may change based on vacation relief. Site/Location: Detroit, MI Status - Regular Full Time This position is responsible for the safe, reliable and efficient operation of all Detroit Service Center equipment and systems, as required to provide an optimum work environment for all facility personnel, data processing, and print center devices, critical to servicing BCBSM customers. Also, responsible for provision of emergency service response to all site emergencies, maintenance of all assigned spaces and equipment, and oversight of all contractor activity for protection of the BCBSM work environments for all buildings as assigned within region. * Operate and maintain the Detroit Service Center facility, physical plant systems and equipment. Must possess proficiency in the operations and maintenance of HVAC systems and equipment, high-pressure steam and components, the operation of emergency and standby power generation systems. * After normal working hours, provides the highest level of facility system expertise and authority to assure the continuity of environmental and power services to the Detroit Data Processing Center and Print Center. Assumes the leadership role for all physical plant operations in the absence of direct supervision. * Must not leave Post of Duty, per City of Detroit Ordinance #706-G, until properly relieved by competent, qualified, licensed personnel, or until applicable systems are secured. * Must be able to work any shift, as this is a 24/7 facility. * Assumes a leadership role in responsibility to facility emergencies, in the absence of leadership/management. All emergency responses shall be closely coordinated with BCBSM Security. * Install, operate and maintain the Building Automation System and components. Under the direction of leadership, assist in the development, installation and programming of the Building Automation System and components. * Provides installation, maintenance and diagnostic services on facility refrigeration equipment and systems, HVAC equipment, boilers, controls and all miscellaneous equipment required to support physical plant and facility operations. * Provides diagnostics and service to electrical control systems as required to support HVACR, physical plant and facility operations. * Maintain a daily record of all operation and maintenance activities, affecting the facility systems. * Perform all periodic standard operational and maintenance procedures. * Tour the entire facility at least once each shift and inspect all systems and equipment for proper operation. * Minor repairs and adjustments shall be made as necessary. Any discrepancies found shall be logged and corrected. Inform team leadership if any discrepancy remains uncorrected. * Must be aware of all activities which may adversely impact the facility environment or the health and safety of its occupants. Maintains authority to stop any activity that negatively impacts the facility environment and must notify team leadership to resolve the issue(s). Knowledge and compliance with, all federal, state and local regulations are required. * Responsible for maintaining assigned equipment and spaces in optimum operational condition. Team leadership must be notified of any maintenance that cannot be performed due to conflicting responsibilities or assigned projects. * Must meet minimum performance standards provided by leadership and maintain system operational proficiency upon completion of the qualification guidelines. Upon completion of training period, incumbent will be a qualified facility system expert and provide assistance as necessary, to authorized supervisor / employee, in the safe and proper lockout hazardous energy sources on all facility systems or equipment. * Track all daily work in addition to Preventative Maintenance in the Angus Work Order system. * Perform other related duties as assigned. QUALIFICATIONS * High school graduate or GED equivalent is required. * Completion of BCBSM Service Center Systems and Jefferson Facility Systems Qualification Guidelines within specified time frames. * A minimum of one (1) year DDC/BAS operation and maintenance experience with a minimum of two (2) years operational experience in a comparable facility. * City of Detroit First Class Refrigeration Operators License, EPA Refrigerant Recovery Certificate and Valid Michigan Driver's License required. * Boiler Operations and Refrigeration / Electrical / Mechanical service licensing preferred. * Must be able to work any shift, weekends and holidays. * Must be familiar with all applicable hand power tools and pertinent occupational, health and safety standards. Must be able to communicate well with customers, staff and employees. * Ability to lift up to 80 pounds. * Other related skills and/or abilities may be required to perform this job.

Responsible for providing legal analysis and consultation to business partners on impacts in an environment that is continuously evolving. The Attorney will partner closely with the business to determine its ultimate goals, assess risk, and provide creative solutions. * Proactively identifies and analyzes legal issues and risks presents clear opinions, advice and recommendations, and helps ensure legal compliance across the full spectrum of the enterprise. * Drafts a variety of legal documents and memos, opinions, and pleadings where appropriate, with guidance from the senior attorney on the most complex matters. * Serves as experienced counsel for substantive areas of law as required with ability to quickly learn unfamiliar areas of law. * Effectively partner with business leaders in identifying and evaluating business objectives, legal risks, and liabilities to achieve overall business objectives by providing support and counsel beyond strictly legal advice. * Engages within department by serving as a resource for junior colleagues, developing or enhancing precedents, guidance notes and other know-how for benefit of entire department). * Actively contributes to wider business activity through participation in cross-functional teams and considers the commercial impact when applying legal and regulatory principles to develop practical and workable solutions. * Proactively assumes additional responsibilities and performs special projects or investigations as needed. Regulatory: * Expertise in reviewing and interpreting federal and state laws, regulations and other guidance required. * Extensive knowledge of Michigan Insurance Code, Affordable Care Act, Mental Health Parity, and Addition Equity Act and other federal and state laws impacting individual and group health benefits and insurance regulations and the interpretation of those laws. * Ability to serve as contact with Department of Insurance and Financial Services on legal matters involving the enterprise and the regulator. * Experience providing trusted legal advice and counsel on health care benefit requirements and limitations in federal laws, state laws, and regulations in furtherance of drafting of certificates and riders. Departmental Preferences: * 10 years of previous experience within handling a variety of legal matters and projects independently, preferred. * Experience with drafting and negotiating various types of provider agreements (professional and/or facility) preferred. * Experience with value-based and risk contracts a plus. QUALIFICATIONS * Juris Doctor degree in Law required. * Must be a member in good standing with the State Bar of Michigan or possess the ability to become a member upon being hired. * Minimum of 7 years of previous experience serving as in-house counsel and handling a variety of legal matters and projects independently. * Experience with analyzing and interpreting statutes, general business and legal periodicals, professional journals, technical procedures and governmental regulations. * Highly developed sense of ethics, integrity, discretion, and judgment. * Advanced written communication skills, including the ability to write contracts and provide clear legal analysis and opinions on matters. * Advanced verbal communication skills, as is necessary for negotiation and to effectively present information and respond to questions from regulators, business partners, management and third parties and to navigate sensitive conversations and present solutions in a tactful manner. * Ability to effectively work in a fast-paced environment with competing priorities, deadlines, and workloads that can be variable for long periods of time. * Ability to lead others and manage projects within the department.

Conduct compliance investigations and lead the execution of moderately complex initiatives for Blue Cross Blue Shield of Michigan (BCBSM) and its subsidiaries. Analyze and develop documentation to support regulatory changes and departmental policies and procedures. * Conduct comprehensive and moderately complex regulatory analyses to include the review, summarization and dissemination of compliance reports. * Provide support and recommendations for privacy investigations to mitigate business risk. * Develop work flows to define the documentation of department processes, report generation, and process improvements. * Define assigned project scope and deliverables to support compliance initiatives. * Partner with the business to drive compliance as a core competency and integrate compliance into business plans, scorecards, metrics and processes. * Promote compliance awareness by supporting training, programs and departmental activities. * Provide support or lead government audit requests and inquiries by collecting, reviewing and verifying all requested material. * Support and provide analyses to management in compliance reporting activities. "Qualifications" * Bachelor's degree in related field is required. * A minimum of four (4) years of related experience is required. * Previous experience with regulatory health care requirements is preferred. * Compliance Certification Board (CCB) certification(s) is preferred. * Intermediate proficiency using Microsoft Word, PowerPoint and Excel. * Intermediate written and verbal communication skills. * Ability to process large quantities of detailed information with high levels of accuracy. * Ability to analyze information and provide alternative solutions for problem solving. * Knowledge of process improvement tools and techniques to improve business processes. * Ability to manage multiple priorities and projects of moderate complexity. * Ability to travel up to 20% of the time both within and outside of Michigan. All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

Customer Service Rep I Full-time Shift: 8:00 am to 5:00 pm (Shift bidding process based on seniority) Detroit, MI Assessment required- Customer Service Rep Blue Cross Blue Shield of Michigan is looking for outgoing, energetic, phone friendly individuals to work in a fast-pace call center environment. Customer Service Reps analyzes, evaluates, resolves and primarily responds to low complexity level membership issues under various product lines. * Primarily conducts low complexity internal and external research to determine and request the data needed to handle inquiries regarding membership. * Analyze and service various product lines in the area (i.e., Facility, Professional). Provide responses by telephone, check-off letters, and/or automated letters. * Follow department/corporate reporting requirements (i.e., PCRS, ICS, Special Surveys and Manual counts). * Organize work to meet National/Corporate/Department Production and Quality Standards. * Reroute misdirected inquiries. * Primarily evaluates membership issues/inquiries and price/adjudicates low complexity claims/inquiries. * Interact with others inside and outside the organization to resolve the inquiry/claim related problems. * Influence customers to accept the reasonableness of decisions and actions. QUALIFICATIONS * High school graduate or GED equivalent. * One (1) year of related work experience in areas such as public/customer service, sales representative, claims processing, membership enrollment; or one (1) year of public contact in positions such as teaching, social service work, bank teller, medical assistant/office assistant. * One (1) year of total related experience or in the absence of internal BCBSM experience, the following may apply: One (1) year of related work experience in areas such as public/customer service, sales representative or claims processing. * Demonstrated knowledge of policies, practices and procedures related to membership. * Demonstrated ability to analyze data and resolve problems related to membership. * Demonstrated command of all skills necessary for oral and written communications in a clear, concise and tactful manner.

We are seeking a highly skilled and strategic Accounting Manager to lead complex accounting operations related to healthcare facility and provider contracts, with a focus on Non-Claim Benefit Expenses (NCBE), Medical Loss Ratio (MLR) impacts, self-funded group billings, and provider risk arrangements within our Controllership organization (Enterprise Accounting). This role requires a strong technical accounting foundation, deep understanding of GAAP and healthcare statutory principles, and proven leadership in managing teams and collaborating across departments and executive leadership. The ideal candidate will bring a blend of analytical rigor, operational excellence, and interpersonal effectiveness to drive governance, accuracy, and efficiency in high-risk accounting areas. Key Responsibilities * Lead and oversee accounting for facility and provider contracts with unique risk and NCBE structures, ensuring compliance with GAAP and healthcare statutory requirements. * Establish and maintain governance frameworks for risk and NCBE accounting, ensuring complete, accurate, and timely financial reporting. * Develop and implement standardized, centralized, and controlled processes for high-risk accounting areas, driving operational efficiency and internal control. * Plan, organize, and direct the activities of the assigned accounting team, including staffing, development, performance management, and labor relations. * Serve as a key liaison with internal stakeholders, including actuarial, senior health services, finance, legal, and executive leadership, to ensure alignment and transparency in financial reporting. * Deliver timely and accurate financial results and insights to internal and external stakeholders, including regulatory bodies and senior leadership. * Identify and monitor performance metrics that support departmental and organizational strategic goals. * Provide strategic solutions to complex accounting and business challenges, leveraging data and cross-functional collaboration. * Continuously improve operational policies and procedures to uphold sound business practices and robust internal controls. * Lead and support special projects, audits, and initiatives as assigned. * Champion a culture of accountability, innovation, and continuous improvement within the accounting team. Qualifications * Bachelor's degree in Accounting, Finance, or related field required; Master's degree preferred. * CPA, CMA, or CFM certification strongly preferred. * Minimum of 6-10 years of progressive accounting experience, with at least 3 years in a leadership or supervisory role. * Demonstrated expertise in GAAP and healthcare statutory accounting principles. * Experience with healthcare contract accounting, including risk-based arrangements and NCBE. * Strong leadership and team management skills, including experience with union and non-union environments. * Excellent analytical, organizational, and problem-solving abilities. * Exceptional communication skills, with the ability to influence and collaborate across all levels of the organization. * Proficiency in financial systems and tools, including Microsoft Excel, Word, PowerPoint, and ERP platforms. * Ability to manage multiple priorities in a fast-paced, deadline-driven environment. All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

Advise the customers of our updates to the Medicare policy and how the updates will benefit the members and impact the group's experience and utilization. * Assist specific area(s) in: deployment and operational activities and/or development, implementation, and maintenance of clinical operational processes. * Identify and/or analyze business problems and devise procedures for solutions to problems; prepare reports and/or analyze, documenting results. * Design, develop, modify, test, implement and maintain assigned systems, either independently or as part of a team. Troubleshoot problems and submit recommendations. * May be required to interface with other areas, both internal and external, to resolve problems. * Assist personnel (both external and internal) by answering questions, supplying information and training. "Qualifications" * Associate's Degree in Nursing or RN Diploma required. Bachelor's Degree preferred. * Two (2) to four (4) years of clinical experience. * Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes. * Excellent written and verbal communication skills. * Working knowledge of PC applications. * Other related skills and/or abilities may be required to perform this job. All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

* Individual will work alongside architecture to define future state and translate the outcomes to tactical activity with support from analysts, technical leads and delivery. * Our department is emphasizing the need for strategic thinkers. The world of PI is changing rapidly and will continue to do so for many years to come. Departmental Preferences: * Demonstrated experience leading or contributing to the strategic vision and future state definition of a significant claims processing solution * Ability to define and clearly communicate a path from current state to the future state solution, bridging strategic vision to tactical execution * Experience and knowledge of IT infrastructure, architecture and application development * 7-8 years claims processing experience on a payer health insurance platform, preferably NASCO or Facets * 2-4 years of experience with vendor integration to payer platforms * Understanding of the Claim payment continuum including Clinical Editing and Payment Integrity * Demonstrated experience with leading problem-solving exercises and presenting out-of-the-box alternatives * Experience in Visio/other process flow software Maintain the broadest range and depth of knowledge in their respective area of expertise within the IT organization. Stay abreast of emerging technologies and influence strategic decisions regarding technical direction of the business. Consult on multiple projects/programs as a subject matter expert of existing technology; on and helps drive new technology direction; on cross-divisional technology solutions; and on highly complex tasks, projects/programs or support issues that involve a high degree of risk or impact to business unit performance and has a high level of knowledge within one or more areas of specialty. * Interface with users and IT teams to evaluate possible implementation of new or enhanced technology in the organization, consistent with the goal of improving existing systems and technologies and in meeting the needs of the business. Provide technical expertise across business and IT functions. * Partner with leadership to define and communicate long-term technology strategy and planning for a specific area. Participate with business relationship managers and business leads to understand business requirements and help them understand how technology tradeoffs influence strategy. Drive technology improvements. * Make recommendations and influence long-term technology decisions and planning for multiple business units. Assist in the definition of the architecture and technology needs of the organization based on new and emerging technologies, and establish priorities and strategies consistent with business goals and economic viability. Consult in the development and analysis of source selection strategies. Recommend and incorporate technology with long-term business plans. * Consult in the development of responses to customer requests and proposals as needed. Consult on the technical aspects of strategic projects/programs. Provide technical guidance to customers and internal IT staff in the design and development of fully integrated technology solutions. Influence the design of innovative solutions using new technologies. Review proposed designs at key milestones and makes recommendations as needed. Ensure the conceptual completeness of the technical solution. Create prototypes, lead initial development and testing as needed. * Consult on the resolution of high severity issues or issues escalated by senior leadership. Collaborate with internal or external parties during the problem resolution process as needed. Provide technical leads, delivery leads, and IT Leadership with technical consultation and advice. Keep IT's technology and application owners aware of key issues. Identify and resolve potential problems and conflicts in technology. Advise on options, risks, costs versus benefits, system impacts, and technology priorities. Transfer knowledge of key learning throughout the enterprise, and communicates strategic and technological plans. Interface/communicate with the Architecture group. Partner with and acts as an advocate for Architecture. Present technical plans in common terms to ensure understanding from all audiences. * Lead the collaboration of research and evaluation of emerging technology, industry and market trends, as needed. Assist in project development and/or operational support activities as needed. Research, collect, and disseminate information on emerging technologies and key learning throughout the enterprise. Research and recommend changes to enterprise architecture. * Support and may drive research analysis and A&P projects to identify and evaluate emerging technologies. Research and evaluate emerging technology, industry and market trends to assist in project development. Provide recommendations based on business relevance, appropriate timing and deployment. Analyze and research process of deployment and assists in this process. Assist in cost-benefit and risk analysis and present options to leadership teams. Oversee cost-benefit and risk analysis and presents options to leadership teams as needed. Represent the organization in relevant industry forums. * Provide coaching, mentoring and technology guidance across the organization(s). Other duties may be assigned. "Qualifications" EDUCATION AND/OR EXPERIENCE * Bachelor's degree in computer science, information systems, computer engineering, systems analysis or a related discipline required. Master's degree preferred. * Seven (7) years of experience in multiple technology areas required. * Demonstrate strong knowledge in one or more major technology areas knowledge of BCBSM business required. OTHER SKILLS AND ABILITIES * Decision making and strategic and critical thinking skills. * Must influence people over whom they have no direct control, as they help define strategic technical and business plans. * Ability to utilize assigned resources and leverage back-channel resources (individuals or teams) to achieve or exceed planned outcomes. * Other related skills and/or abilities may be required to perform this job. All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

Responsible for retention activities for BCBSM and/or BCN customers generally with 50 to 99 contracts in a group within an assigned geographic area overseeing the agent relationship(s) associated with those accounts. Retention activities include planning, strategizing, benefit consulting and administration to increase membership as well as required resell activities. Responsibility may include enrolled and prospective customers. * Working in concert with the Sales Manager to propose specific retention strategy that is aligned with the overarching strategy for that agency relationship, by understanding the decision-making process and gaining trust and respect from key agent decision makers. * Provide the agent/customer with information related to alternate methods of health care delivery (e.g., HMO, POS, PPO). May include financial alternatives such as funding options. * Use established resell process to coordinate customer acceptance of renewals, open enrollment activities and the acquisition of information for the completion of necessary reporting. * Explore possible jeopardy situations and develop and implement sales strategies to retain the group. * Identify complex servicing problems, refer through appropriate internal channels and assure resolution of the problems. * Coordinate and assist in the education and training of group contact personnel. * Complete and forward all sales plans and/or reports as required. * Responsible for involvement in community relations activities to support corporate, sales and marketing images. * Secure necessary data for the development of rates for proposed programs. * Develop presentations of proposed programs in order to meet customer needs and close the sale. * Coordinate the successful implementation of new business enrollment with the sales office. QUALIFICATIONS * Bachelor's Degree in Business Administration, Marketing or related field preferred. * Three (3) years of concept sales or face-to-face service experience. * The following licenses are required within 90 days of the employee's start date or the license expiration date: Valid Michigan Accident and Health Insurance License. * Excellent analytical, presentation, problem resolution, sales, verbal and written communication skills. * Valid Michigan driver's license required. * Well-developed forecasting, organizing, planning and scheduling skills. * Proficient in current industry standard PC applications and systems. * High degree of technical knowledge of all benefits, billing, competitive programs, distribution systems, methods, policies, procedures, rating, regulations, selling process and underwriting as it relates to sales and marketing. * Thorough knowledge of alternative benefit delivery programs, corporate philosophy, medical economics, trust fund and union structures. * Other related skills and/or abilities may be required to perform this job.

Responsible 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 assess the control environment of each auditable unit. Develops and communicates risks and recommended controls for multiple layers of leadership. * Conduct internal audits and reviews to identify risks, document established controls to mitigate risk and assess the control environment of each auditable unit. * Identify datasets/sources that are relevant to the audit and connect risks to data. * Communicate issues, audit results, and recommendations in a clear and concise manner to appropriate levels of operating and/or Information Technology management, including activity updates to the Audit Committee of the Board of Directors. * Assist in the development of the annual audit plan through risk universe identification. * Assist in the facilitation of project risk assessments and lessons learned sessions. Assist in conducting management action planning workshops to discuss business and IT risks, prioritize control issues and develop corrective action plans. * Provide information on business risk management standards and responsibilities and the implementation and application of a project risk control process. * Develop, maintain, and report against a work plan, as work progresses, given scope and objectives. Prepare complete and accurate audit workpapers in a timely manner. * Suggests improvements to audit methodologies, policies, and procedures to incorporate lessons learned, including innovative uses of data including analytics and visualization. * Assist in educating and training BCBSM project staff, employees and management on internal corporate and Information Technology controls and encourage change that promotes an effective and efficient control environment. QUALIFICATIONS * Bachelor's Degree in Business Administration, Accounting, Finance, Management or Accounting Information Systems, Computer Science, or closely related field is required. * Four (4) years of related work experience, which includes two (2) years of identifying and evaluating technology risk and controls * One or more of the following professional certifications preferred: Certified Internal Auditor, Certified Public Accountant, Certified Information Systems Auditor, Certified in Risk and Information Systems Control, Certified Information Systems Security Professional, Certified in the Governance of Enterprise IT or Project Management Professional. * Strong analytical and critical thinking skills, as is necessary to identify datasets/sources that are relevant to the audit. * Strong oral communication skills, including presentations, as is necessary to effectively communicate audit information to financial and non-financial individuals, including senior level management. * Strong written communication skills, including the proven ability to tell a relevant business story using data and visualizations. * Intermediate problem-solving ability, as necessary to solve problems in a dynamic team environment and handle multiple assignments in a timely manner. * Advanced conflict management skills, as necessary to resolve issues where corporate areas are in disagreement. * Intermediate proficiency using Microsoft Word, Excel, and Project. * Intermediate proficiency in use of audit software and visualization tools (i.e., automated work papers, ACL, Tableau, etc.). * Strong interpersonal skills to effectively interface with various levels of management as well as contacts outside the organization. * Knowledge of project audit methodologies, risk management and project management techniques to detect and resolve complex multidisciplinary issues. * Demonstrate high standards of conduct and ethics as well as appropriate judgment, independence and discretion as required by the IIA Standard of Professional Practice of Internal Auditing and Code of Ethics. * Understanding of auditing principles and applications as derived from standards for the professional practice of internal and information technology auditing (i.e. Institute of Internal Auditors (COSO), the Information Systems * Audit & Control Association (COBIT), and the Project Management Institute). * Comprehensive understanding of auditing principles, processes, and working knowledge of information technology general controls (e.g. system development life cycle, change control, access administration) and business process - IT controls (e.g. application controls including embedded and configurable (i.e., passwords and edit checks, etc.).

As an intern, you will help support the team by pulling reports from scoreboard to support the Team Leader IIs, huddle creation and run through, Bluestar rewards support, and helping support other individuals on the team. This position will be located in Detroit but will require travel to Southfield for in-person staff meetings Interns complete required reporting to help support servicing area, create huddle roll outs, support BlueStar Rewards, send out PEGA and Kudos email in a timely manner. In addition, the interns help support analysts, senior analysts and project consultants on tasks that are repetitive or time consuming to ensure the team continues to move forward. 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 business goals, objectives, and needs within the organization. * Participate in networking events with BCBSM leaders and other interns. * Engage in volunteer activities/community outreach to build knowledge of our communities and customers. * Participate in department meetings and events (i.e. monthly Diversity and Inclusion events, department wide team building events, weekly meetings to ensure team alignment, etc.). QUALIFICATIONS * Current undergraduate or graduate student with a 3.0 GPA or higher required. * Interns must be enrolled in a college/university or a Master's/PhD program for the duration of the internship. * Effective verbal, written communication and interpersonal skills. * Strong analytical skills with the ability to work independently and as a member of a team. * Excellent organizational skills to deal with multiple projects and priorities. * Responsible for maintaining confidential information to the highest degree. * Proficient in Microsoft Office suites and applicable BCBSM systems. * Ability to develop and maintain effective working relationships.

Blue Cross Blue Shield of MI (BCBSM) has exciting Summer 2026 internship opportunities within Information Technology in areas such as cyber security, data analytics, application development, programming, coding, network engineering/infrastructure, and more. Information technology is the backbone of BCBSM, supporting everything we do to improve the health of Michigan's residents and communities. The BCBSM IT division is invested in advancing technology to provide best-in-class customer support, protect member information with enhanced security, and develop sophisticated technologies. 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 business goals, objectives, and needs within the organization. * Participate in networking events with BCBSM leaders and other interns. * Engage in volunteer activities/community outreach to build knowledge of our communities and customers. * Participate in department meetings and events (i.e. monthly Diversity and Inclusion events, department wide team building events, weekly meetings to ensure team alignment, etc.). QUALIFICATIONS * Current undergraduate or graduate student with a 3.0 GPA or higher required. * Interns must be enrolled in a college/university or a Master's/PhD program for the duration of the internship. * Effective verbal, written communication and interpersonal skills. * Strong analytical skills with the ability to work independently and as a member of a team. * Excellent organizational skills to deal with multiple projects and priorities. * Responsible for maintaining confidential information to the highest degree. * Proficient in Microsoft Office suites and applicable BCBSM systems. * Ability to develop and maintain effective working relationships. All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

Responsible for supporting Corporate Procurement with analysis, metrics, and training. * Collect, validate, analyze, and organize data into meaningful reports for management decision making * Design, develop, test, and deploy reports for operational and strategic analysis. * Compile and analyze operational data to identify and resolve business problems. * Create and run reports as requested by leaders including workload reports, expiring contracts reports, cost savings reports, supplier performance reports and spend reports (category, cost center, supplier, Tier 1, Tier 2, etc.). * Create and deliver training on running and interpreting the reports. Support a climate of "self-service" for Procurement end users and reporting. * Create monthly dashboards for Procurement operations across the department. * Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance. * Provide leadership team with status updates on projects and issues. * Communicate with procurement and business teams and external organizations. * Coordinate supplier engagement events and department activities. QUALIFICATIONS * Bachelor's Degree preferred in Business Administration, Supply Chain Management, or related field. * Two (2) years of related experience required. * One (1) year experience creating reports with reporting software preferred (Oracle OTBI, Tableau, PowerBI, etc.) * One (1) year experience coordinating or supporting events preferred. * Institute of Supply Management (I.S.M.) affiliation preferred. * Certified Professional in Supplier Diversity (CPSD) certification preferred. * Effective interpersonal, verbal, and written communication skills. * Ability to work independently or in a team environment and interact with all levels of the organization. * Effective analytical and problem-solving skills to identify, evaluate, recommend, and implement changes to processes or procedures to address problems and improve departmental effectiveness. * Organizational skills and ability to prioritize; must be able to coordinate multiple activities with varying timelines. * Proficient in Microsoft Office suites. * Ability to develop and maintain effective working relationships.

Our department values hands-on experience with PowerShell scripts for Microsoft 365(M365) services, as well as proficiency in developing solutions using Power Apps, Power Automate, and Power BI platform and SharePoint Framework (SPFx). Departmental Preferences: * Expertise in Microsoft 365 tenant administration, including Teams, SharePoint, and OneDrive, and implement governance standards for these services * Deep understanding of M 365 fundamentals, such as sites (both classic and modern), apps, audiences, libraries, lists, views, forms, workflows, metadata, and web parts * Experience with Azure services, including guest access, analytics, dynamic groups, and Azure automation 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. 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. * Code applications or enterprise wide software systems using a disciplined development process. Integrate solutions with other applications and platforms outside the framework. Create data extracts and reports from system based on requirements. Develop, execute, and document unit test plans. Support and/or execute all testing efforts across the life cycle. * Identify technical requirements. Create technical design specifications and assist in sizing technical requirements, as needed. Assist and review technical design specifications developed by junior levels. * Lead the deployment of new modules upgrades and fixes to the production environment, as needed. Make modules production-ready by moving them to libraries, completing forms and version control documents, following procedures, etc. Validate deployment. * Evaluate new application packages and tools and performs research on best practices. Provide recommendations for solutions. * Assist in production support. Troubleshoot existing information systems to identify errors or deficiencies and develops solutions. Provide ongoing maintenance applications. * Evaluate existing applications and platforms and provides recommendations for improving application performance by conducting gap analysis, identifying feasible alternative solutions, and assisting in the scope of modifications. Participate on teams that outline the process and scope out the improvements that can realized through the application solutions. * Document functions and changes to new or modified modules and test activities/results and other areas such as error handling and backup/recovery procedures. Assist in the development of user guides and training documentation for systems. * Participate in project planning processes. Develop work plan timelines and manages workflows to meet project timeframes, as needed. * Identify best sources of data feeds and interfaces with architects to ensure their feasibility with corporate data warehouse, when needed. * Adhere to standards and procedures; check for compliance. May assists in defining development guidelines and standards. Review modules for quality assurance. * Prepare and present formal training to IT staff, as needed. Provide technical leadership, coaching and mentoring to team members. Provide technical guidance or systems process expertise. Develop reports and presentations for senior management, as needed. * Other duties may be assigned. "Qualifications" EDUCATION AND/OR EXPERIENCE * Bachelor's degree in related field preferred. * Five (5) years of application programming and analysis experience required. * Broad level of understanding surrounding information systems and application architecture standards required. * Experience designing, developing and testing applications using proven or emerging technologies required. * Project management and experience leading projects preferred. OTHER SKILLS AND ABILITIES * Demonstrated ability to analyze and interpret complex problems or processes that span multiple business areas, identify and understand requirements, and develop alternate solutions. * Understand the necessity and value of accuracy and attention to detail ability to process information with high levels of accuracy. * Expertise in multiple technical environments and possesses business knowledge that spans one or more business areas. * Written and verbal communication skills. * Ability to work independently, or within a team environment. * Other related skills and/or abilities may be required to perform this job. All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.