SUMMARY. . Supports coordination of medical services including care management intake, health screening, and provider requests to promote effective utilization of healthcare services. Promotes and supports care managers and utilization management team as required. RESPONSIBILITIES/TASKS. Provides support services to team members by answering incoming telephone calls, taking messages, researching information, and assisting in solving problems to ...
The. Stars Project Consultant. is responsible for supporting the Stars Program Performance Manager, who is responsible for supporting Star measure owners with initiative development and tracking, driving cross-enterprise ideation and collaboration to improve performance, escalating risks or issues with implementation progress and budget adherence to Stars leadership, and facilitating key Stars support meetings. ESSENTIAL DUTIES AND RESPONSIBILITI...
The. Senior Stars Project Consultant. is responsible for supporting the Stars Program Performance Manager, who is responsible for supporting Star measure owners with initiative development and tracking, driving cross-enterprise ideation and collaboration to improve performance, escalating risks or issues with implementation progress and budget adherence to Stars leadership, and facilitating key Stars support meetings. ESSENTIAL DUTIES AND RESPONS...
The Expert Data & Analytic Analyst - Stars leverages statistical methodologies to draw insightful conclusions from complex healthcare data, supporting the improvement of strategic decision-making for Medicare Stars. This role demands mastery of statistical inference, proficiency in data analysis tools, and close collaboration with diverse stakeholders to translate data into actionable insights. RESPONSIBILITIES. Drive Evidence-Based Medicare Star...
SUMMARY. . Regulatory Oversight Senior Analysts are responsible for leading and/or supporting processes that ensure oversight and ongoing monitoring of Blue Cross Blue Shield of Michigan (BCBSM) Medicare Advantage and Part D programs. Interface with external customers, including regulatory agencies and professional associations, internal customers and vendors to identify and/or analyze business problems and develop solutions is required. RESPONS...
SUMMARY. The Expert Analyst is responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. This role also coordinates projects for senior management. RESPONSIBILITIES/TASKS. Develops documentation, reports and presentations for all levels within the organization including executive leadership. Responsible for trend analysis, report development, ad-hoc analysis and suppor...
SUMMARY. The Senior Health Services Nursing Quality and Training department is looking for a nursing student who would like to learn and grow to understand the administrative side of a nursing career. The focus of this position is clinical project management, creating and updating care management educational materials, health care data analytics for performance improvement, and chart preparation for quality audits. The student will be working wit...
Reporting to the Supervisor of Early Career Programs, the Talent Acquisition Specialist is responsible for partnering with hiring managers and HR Business Partners to anticipate the early career needs of the enterprise and to deliver best intern and early career talent. RESPONSIBILITIES/TASKS. Manage the recruiting process of assigned requisitions from sourcing, interviewing, to offer extension. Coordinate student intern, trainee/ and apprentices...
SUMMARY. . 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. Care Delivery Solutions is a dynamic and innovative area within Health Care Value at Blue Cross. The team manages a growing p...
Responsible for partnering with the HR Business Partners, providing support so there is a consistent, calibrated understanding and execution of the Enterprise talent strategy. This includes managing planning initiatives and delivery of processes and analyses for Enterprise consistency. Participate in the development and execution of company-wide strategic talent management processes such as performance management, succession planning, talent revi...
SUMMARY. . 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. ESSENTIAL DUTIES AND RESPONSIBILITIES. include the following. Other duties may be assigned....
SUMMARY. The Emerging Markets Board Relations department is responsible for the integrity of the Emerging Markets and Joint Venture corporate governance frameworks, regulatory compliance matters related to the boards of directors, board governance best practices, implementing decisions made by the boards of directors, and management and maintenance of entity data and corporate records for 45 legal entities. Check out the Internships at Emergent H...
