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Actuary Associate — Valuation Manager
E-mail your resume in Microsoft Word (.doc) format to:Agelberman@bcbsm.com
Expiration: 05/01/08
Reference Code: AGMV
Job Summary:
The manager, Associate Actuary, analyzes and maintains the adequacy of actuarial reserves (including IBNR, RSR, supplemental liability, and stoploss), develops and enhances the actuarial process of reserve calculation, experience analysis and reporting, and market and product profitability analysis, as well as interacts with all financial areas of the corporation and external agencies. Directs and provide leadership in the design, pricing and implementation of products ensuring compliance with various state and federal regulations.
Duties and Responsibilities:
- Plan and carry out projects using advanced level of knowledge and comprehensive understanding of complex actuarial principles and practices to resolve a variety of problems in the absence of guidelines or precedents. Utilize significant discretion in order to achieve necessary results.
- Evaluate product line performance and the risk and appropriateness of assumptions used in product development.
- Make initial determinations on reserves, dividends allocations and surplus forecasts.
- Analyze the financial risks for various asset/liability matching scenarios and monitor the appropriateness of reserves.
- May supervise several intermediate level professionals.
- Other duties may be assigned.
- Bachelor's degree in mathematics or related area preferred.
- Minimum of five (5) years actuarial experience, including one (1) year at the Assistant Actuary level or comparable experience at another company.
- Earned the ASA designation.
- Knowledge and comprehensive understanding of complex actuarial principles and practices.>
- Strong analytical, verbal and written communication skills.
- Other related skills and/or abilities may be required to perform this job.
Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Advanced Business Intelligence Analyst
E-mail your resume in Microsoft Word (.doc) format to:sking2@bcbsm.com
Expiration: 04/30/08
Reference Code: 125998-SK
Openings: 3
Location: Detroit
Job Summary:
This position will help support internal and external stakeholders make informed decisions by analyzing and interpreting healthcare data and information through the application and development of advanced analytic tools and methods.
Duties and Responsibilities:
- Customer presentations to provide healthcare analytics with value added findings and recommendations.
- Conduct analyses of health care data and develop appropriate strategies to improve quality, utilization and costs.
- Identify, investigate and define utilization issues/problems impacting cost, delivery and quality of health care services.
- Demonstrate creativity in the design and analysis of projects with interpretation of results.
- Resolution of customer inquires regarding data and healthcare analytics.
- Recommend, communicate and implement solutions to identified problems/root cause of issues.
- Develops rapport and effective partnering relationships with Group Sales and other business areas to enhance and strengthen the consultative experience between BCBSM and our Stakeholders.
- Participates in the development and presentation of ongoing educational sessions both formally and informally to enhance the understanding of healthcare analytic issues by non analytic coworkers and acts as an analytic resource for Group Sales and other business areas.
- Assist in the management and monitoring of multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment with defined parameters.
- Interface with programmers and developers to define and implement business intelligence tools and solutions for healthcare analytics and metrics reporting.
- Communicate results and recommendations through meetings, presentations and written reports.
- Serve as a consultant to internal and external customers.
- Maintain state of the art analytical and PC skills.
- Keep current with relevant health care issues and industry initiatives.
- Bachelor's degree in business administration, health care, statistics or other related field is required.
- Master’s degree is a plus with a concentration in health care administration, community health services, health economics or business administration.
- Four (4) or more years experience in the development, evaluation, reporting and presentation of key performance metrics (including financial, utilization, clinical, satisfaction and operational) for employee benefits and welfare programs.
- Knowledge of health care insurance products and general health care issues relating to quality, utilization and reimbursement of providers.
- Experience with Microsoft Access and Excel or similar tools in order to perform database searches to respond to research questions and perform statistical analyses.
- Strong data management skills including understanding of requirements determination, data organizational structures, organized testing approaches report design and development.
- Superior analytical, communication, planning and coordination skills and ability to address complex issues technically, analytically and statistically.
- Demonstrates excellent organizational, verbal and written skills to understand, interpret and communicate ideas, including the ability to present the results of their own analysis utilizing Microsoft PowerPoint or similar tool.
- Ability to effectively interface with employees at all levels.
- Other duties may be assigned to meet additional BCBSM business goals and objectives.
Applicant needs to be a highly motivated, creative and a critical-thinker who can analyze complex problems and present healthcare solutions to our stakeholders. Possess a history of providing exceptional customer service along with a demonstrated success applying project management skills and concepts to analytic tasks. In addition, you will need the ability to work both independently and in team environments on complex projects and issues with large financial and/or risk impact to the corporation.
Department Preferences:
- ETG/ERG/EBM knowledge/experience.
- Healthcare data groupers — DRG/APG/RVU knowledge/experience.
- Trend analysis experience.
- Cost and utilization analysis experience.
- Plan design evaluation experience.
- Analysis of statistical fluctuation and norms among provider and member health care utilization patterns.
Auditor II
E-mail your resume in Microsoft Word (.doc) format to:AGelberman@bcbsm.com
Expiration: 05/01/08
Location: Detroit
Reference Code: AIIAG
Description:
Responsible for conducting operational/integrated, financial and compliance audits/reviews.
Duties and Responsibilities:
- Conducts audits/reviews of all arms of the company
- Conducts various audit and administrative projects to assess the control environment of each audit unit
- Educates and trains project staff in business risk management standards, responsibilities and the implementation and application of a project risk control process
- Conducts management action planning workshops
- Other duties may be assigned
Education:
- Bachelor's degree in related field required. Advanced degree preferred.
Experience:
- Minimum of two (2) years of auditing experience.
- Basic project management and operational/integrated/compliance auditing background required.
- Excellent analytical, organizational, problem solving, conflict resolution, time management and verbal communication skills are required.
- Proficiency in use of audit software tools (i.e., automated work papers, ACL, etc.) Other related skills and/or abilities may be required to perform this job.
Department Requirements:
- Must be able to travel to various BCBSM and subsidiary locations.
Department Preferences:
- CCSA, CFE, CIA, CISA, CM, CMA, CPA, PMP, RN certifications.
- Medicare Advantage experience a plus
Business Intelligence Analyst, Advanced
E-mail your resume in Microsoft Word (.doc) format to:KLaw@bcbsm.com
Expiration: 04/30/08
Location: Detroit
Reference Code: KL-126359
Description:
The candidate will be expected to work with minimal supervision, responsible for identifying, collecting, analyzing and maintaining health care data and programs. Coordinate projects for senior management.
Duties and Responsibilities:
- Research, identify and analyze health care data to evaluate existing and potential trends/issues.
- Assist in the management and monitoring of multiple projects by establishing project plans and objectives to ensure goal attainment within defined parameters.
- Communicate results of analysis and recommendations to management via presentations and written reports.
- Assist management with the implementation of solutions for identified problems/issues.
- Provide knowledge and guidance of health care data to unit and corporate staff as required.
- Participate in group/committee discussions and attend client meetings.
- Participate in ongoing data validation to ensure data integrity and reliability.
- Maintain a strong understanding of requirements determination, data organizational structures, testing approaches, report design and development, relevant health care issues and industry initiatives.
- Maintain a comprehensive understanding of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure, basic research principles/methodologies.
Education and/or Experience:
- Bachelor's degree in business administration, economics, health care, information systems, statistics or other related field is required. Master's degree preferred.
- Four (4) or more years of experience in related field required.
- Strong analytical, data management, planning, problem solving, verbal and written communication skills.
- Strong project management and consultative skills.
- Ability to interface with employees at all levels including senior leadership.
- Must be self-motivated and able to work independently within a team environment.
- Proficient in data languages (i.e. SAS, SQL) and industry standard PC applications (i.e. Excel, Access).
- Must have ability and willingness to work extended hours (nights and weekends).
- Two (2) years of experience reporting off a data warehouse environment.
- Knowledge of database structure/design.
- Two (2) to Three (3) years of experience in health care data management.
- Demonstrated self sufficiency in SQL.
- Familiarity with Cost, Utilization, and Quality of Care reporting concepts.
- Solid understanding of the software development life cycle and project management principles.
Preferred Experience:
- Experience with reporting tools such as COGNOS, Query Analyzer, and Advanced Access skills.
- Knowledge of advanced healthcare methodologies such as Episodes of Care and Risk Adjustment.
- Knowledge of industry standard reporting such as HEDIS.
Director, Learning & Development
E-mail your resume in Microsoft Word (.doc) format to:KLentz@bcbsm.com
Expiration Date: 04-30-08
Reference Code: KL-DirL&DDepartment: Human Resources
Job Summary:
The senior leader specializes in strategic corporate learning and organization development, to lead our Leadership and Management Development team. The candidate must be experienced in leadership of professional and technical training and organization development, having demonstrated expertise in effectively aligning strategic corporate goals to implement high value, employee development programs and services.
Essential Duties and Responsibilities:
Provide learning and development services to approximately 8,000 employees located across the state of Michigan as an integral part of the Human Performance Team. Lead team of learning and development professional staff plus additional adjunct instructors and contract staff. Direct strategy for team of professionals responsible for development and implementation of core management and leadership development curricula and other learning opportunities linked to the corporate strategy, business needs and individual career development goals.
Education and/or Experience:
- MBA or other master's degree preferred (bachelor's required), concentration in human resources development, ISD, OD or Education preferred.
Experience:
- Minimum of twelve (12) years business experience preferably in a professional services environment to include six (6) to eight (8) years leading a large-scale learning and development function for a large organization.
- Significant experience working with key business leaders on strategic initiatives.
- Proven ability to develop a strategic vision for the learning team and capability to drive a team towards the successful implementation of that strategy.
- Experience with a fast paced, high growth environment.
- Ability to be effective in a complex organizational structure with diverse needs.
- Extensive strategic leadership in marketing and communicating the "business of learning," business process reengineering, operations, performance-based learning systems, performance consulting, advanced learning strategies and measurement.
- Proven credibility in the training and development industry along with a comprehensive up-to-date knowledge of latest trends to include talent management, organization development, change management, and learning methodologies and technologies.
- Deeply entrenched into the learning profession with a broad network of senior level contacts.
Director, Medicare Compliance
E-mail your resume in Microsoft Word (.doc) format to:Agelberman@bcbsm.com
Expiration Date: 04-30-08
Reference Code: AGMCDDepartment: Medicare Advantage and Prescription Drug
Essential Duties and Responsibilities:
- Develop and execute an annual Medicare compliance monitoring work plan.
- Coordinate with General Audit on the annual Medicare auditing and monitoring plan and schedule.
- Perform Medicare Advantage and Part D monitoring in accordance with the CMS audit guides.
- Monitor status of corrective action plans resulting from internal and CMS monitoring and audits including those corrective actions that are required of delegated entities.
- Perform validation of corrective actions related to monitoring, internal or CMS audits.
- Oversee compliance with Part D Fraud, Waste and Abuse Chapter 9 CMS guidance.
- Prepare Medicare related compliance reports for leadership and committees.
- Develop, implement and track completion of Medicare specialized training.
- Keep current on all issues of Medicare Parts C and D.
- Educate Medicare business partners on Medicare requirements.
- Coordinate with Corporate and Financial Investigations Medicare Fraud, Waste, and Abuse unit.
- Participate in BCBSA and CMS conference calls.
- Assist in preparation for CMS site visits.
- Resolve issues related to Medicare compliance or HIPAA.
- Coordinate with legal counsel on regulatory interpretations that relate to Medicare business.
- Lead work efforts of two compliance staff teams, Medicare Advantage and Medicare Prescription Drug.
Education and/or Experience:
- Bachelor's degree in related field required. Master's degree in related field or J.D. considered a plus.
- Five (5) to ten (10) years experience in related field including experience in a managerial role.
Skills and Abilities:
- Ability to work effectively in a team environment.
- Strong organizational, planning, analytical and communication skills.
- Experience in a strategic leadership role with direct reports including at least five (5) years in the field of audit or compliance.
- Strong project management skills.
Knowledge Requirements:
- Knowledge of Medicare C and D or other demonstrated comparable experience in developing government program compliance auditing and monitoring programs that access regulatory risk.
- Knowledge of HIPAA regulations.
Manager, Employee Benefits
E-mail your resume and salary requirements in Microsoft Word (.doc) format to:klentz@bcbsm.com
Expiration Date: 05-31-08
Job Summary:
Responsible to design, direct, and lead the Employee Benefits department; specialize in development, planning, and leadership.
Responsibilities:
- Manage activities of a department including but not limited to planning, problem solving, staff development training and communication.
- Ensure that team members adhere to internal policies and procedures and external laws and regulations.
- Research, analyze and develop information to support human resource policies and procedures in daily dealings with individuals and/or departments in the corporation.
- Analyze business problems and devise solutions to these problems.
- Assist personnel (internal and external) by answering questions and supplying information as necessary.
- Prepare and present information to clients (internal and external) on Human Resource related topics.
- Maintain professional knowledge in area of expertise through conferences, professional publications and seminars.
Responsibilities:
- Bachelor's degree in business administration, human resource management or related area required. Master's degree in related field considered a plus.
Skills and Abilities:
- Five (5) to ten (10) years experience in human resources or related area including experience in a leadership role.
- Five (5) to seven (7) years experience of managing health and welfare welfare programs including workers compensation, wellness, Medicare and short term disability/long term disability programs.
- Excellent analytical, organizational, problem resolution, verbal and written communication skills.
- Ability to work effectively in a team environment.
- Thorough knowledge of applicable human resource laws (i.e., ERISA, FMLA, FLSA, OHSA, etc.).
- Strong PC skills including MicroSoft Word, Excel and Powerpoint.
Department Preferences:
- Preferred knowledge and experience of defined benefit and defined contribution plan administration.
- Knowledge of PeopleSoft system or comparable payroll systems preferred.
Manager — Individual Business Underwriting
E-mail your resume and salary requirements in Microsoft Word (.doc) format to:agelberman@bcbsm.com
Expiration Date: 04-30-08
Job Summary:
- Lead the Individual Medical Underwriting staff.
- Responsible for ensuring the maintenance and accurate application of underwriting policies and procedures.
- Operate within broad objectives to ensure optimum utilization of capital, manpower, and equipment for the assigned business unit.
Duties and Responsibilities:
- Ensure the review, evaluation and processing of individual business applications to determine underwriting eligibility, group requirements, and rate classification and risk.
- Manage professional, exempt, and non-exempt non-bargaining and bargaining unit employees.
- Provide high level of oversight and leadership.
- Provide effective and efficient solutions to complex business problems.
- Interact with project managers to ensure compliance with time lines and budgets.
- Assist in the development of metrics to measure departmental objectives.
- Effectively communicate with multiple internal departments and entities externally.
- Lead the design, implementation, review, and evaluation of underwriting guidelines, processes, policies, and procedures.
- Maintain strong knowledge of medical underwriting and health insurance processes and insurance laws that govern the individual market.
- Draft correspondence for the agent community.
Education and/or Experience:
- Bachelor's degree in nursing or related field required.
- Five (5) to ten (10) years experience as a Medical Underwriter or Underwriting Supervisor in the health or life insurance field strongly preferred.
- Three (3) years of supervisory or management experience preferably in Individual Medical Underwriting.
- Health Insurance designations such as HIAA, LOMA, etc. strongly preferred.
- Strong knowledge and understanding of underwriting decision process, medical terminology, medical record review, and health insurance benefit administration required.
Skills and Abilities:
- Strong ability to understand and interpret company products, benefits, membership/billing policies and procedures as well as the corporate computer systems pertaining to individual contracts.
- Strong ability to read and interpret medical records.
- Ability to work under general direction.
- Ability to work effectively in a team environment.
- Excellent decision making, analytical, and verbal communication skills.
- Strong technical writing skills.
- Proficient in current industry standard PC applications and systems.
- Other related skills and/or abilities may be required to perform this job.
Manager, Risk Management Services — Treasury Services
E-mail your resume in Microsoft Word (.doc) format to:agelberman@bcbsm.com
Expiration: 06/01/08
Reference Code: MRSAG
Job Summary:
- Responsible for the development, recommendation and administration of risk management and loss prevention programs.
- Ensure compliance with safety legislation, industry practices and market requirements involving organization products.
- Responsible for the design, development, implementation and maintenance of comprehensive business recovery plans.
- Develop and implement risk management strategies tailored to BCBSM corporate needs and insurance market conditions, including carrier and broker selection, limits, deductibles and appropriate use of self-insurance.
- Identify hazard risks to assets and earnings of BCBSM and subsidiaries from property and liability exposures and implement strategies to reduce possible claims.
- Implement risk control measures to reduce or eliminate hazards.
- Renew existing insurance portfolio on a cost-effective basis with appropriate coverages.
- Provide business recovery consulting to vice presidents, directors and managers and coordinate all corporate business recovery planning efforts.
- Manage the recovery operations of any department experiencing an event of any interruption to normal business activity(s) for a period of time that may possibly create a devastating affect on corporate finance, operations or customer relations.
- Evaluate and identify risk management issues for acquisitions.
- Review contracts for appropriate insurance and indemnification language.
- Monitor carrier, broker and consultant performance.
- Perform all department managerial administrative duties and administer corporate personnel policies and procedures.
- Perform other related duties as assigned.
- Bachelor's degree in related field required and CPCU, ARM, or J.D. designation is preferred.
- A minimum of ten (10) years insurance carrier, broker or risk management experience is required.
- Specific experience with large account risk financing or risk management experience is required.
- Knowledge of insurance principles and risk control theory with a background in risk management, risk financing, law and contracts are required.
- Ability to work effectively in a team environment.
- Good analytical, organizational, planning, verbal and written communication skills.
- Knowledge of PC and software applications including Word, Excel and RIMIS is required.
- Responsible for the overall direction, coordination, and evaluation of risk management business unit.
- Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
- Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
RN Analyst I
E-mail your resume in Microsoft Word (.doc) format to:khughes1@bcbsm.com
Expiration: 04/30/08
Reference Code: KH-125987
Department: BlueHealthConnection
Location: Southfield
Job Summary:
Responsible for providing clinical and technical support for the assigned area(s). Responsible for utilizing the nursing process in the development, implementation, monitoring and evaluation of educational plans and goals to support patient disease management, specialty assessment, telephone triage and health education.
Duties and Responsibilities:
- Assist project team with the resolution of problems, conduct special assignments as requested and prepares reports and/or analysis documenting the results with recommendations to management.
- Assist with the design, development, modification, testing, implementation and maintenance of assigned systems.
- Troubleshoot problems and submit recommendations. May be required to interface with other areas, either internally or externally, to resolve problems.
- Compile and analyze data and produce routine and non-routine reports, presentations, letters, communications and graphics.
- Assist personnel (both internal and external) by answering questions, supplying information and training.
- Other duties may be assigned.
- Associate's degree in nursing or RN diploma required.
- One (1) to two (2) years of clinical experience. Two (2) to five (5) years preferred.
- 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.
- Telephone triage experience preferred.
- Med/Surg and ER experience preferred.
- Health coaching experince preferred.
- Exhibits enthusiasm and team community approach.
- Demonstrates active listening skills.
- Home care/community care experience preferred.
- Other related skills and/or abilities may be required to perform this job.
- Registered nurse with current Michigan registered nurse license required.
- Department is a 24/7 operation. Positions are for afternoon shift. Saturday/Sunday and holiday work is required.
RN — Case Manager
E-mail your resume in Microsoft Word (.doc) format to:KHughes1@bcbsm.com
Expiration: 04/30/08
Reference Code: RNB02
Area: Case Management, Specialty Programs and Specialty Groups
Location: Southfield
Job Summary:
A BCBSM Case Manager works with patients and providers to ensure that available health care resources are being used in a timely and cost effective manner.
Responsible for utilizing the nursing process in the development of treatment plans, with established goals, implementation of those plans, and monitoring and evaluation of an assigned case load of patients in order to provide them with the quality care appropriate to meet their clinical needs.
Duties and Responsibilities:
- Reviews and analyzes referrals from a variety of sources for acceptance into the program.
- Troubleshoots problems and submits recommendations. May be required to interface with other areas, both internally and externally, to resolve problems.
- Consults and collaborates with medical consultants, medical directors, professional team and health care providers to develop treatment plans and goals on an as needed basis.
- May develop educational and treatment plans by working with the patient and/or designee and family in agreement with physicians that will assure safe and cost effective quality of care.
- Reviews status of patient in regards to established goals as appropriate.
- May contact health care providers for assessment of the clinical status of the patient.
- May analyze clinical reports utilizing approved standards and document results attained.
- May conduct patient home visits to guarantee that the setting is safe and that medically necessary services are being delivered and that treatment goals are realistic and attainable on an as needed basis.
- Coordinates discharge planning initiatives on an as needed basis.
- May perform clinical review of claims to ensure that correct reimbursement for covered and/or approved services occurs.
- May perform internal peer review for quality performance.
- May assist with the design, development, modification, testing, implementation and maintenance of assigned systems.
- Assumes leadership responsibilities when necessary.
- Associate degree in nursing or RN diploma required. Bachelor's degree preferred.
- Two (2) to (4) years of clinical experience, preferably in Case Management or Home Health Care with a Medical/Surgical background.
- Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes.
- Working knowledge of Case Management principles and procedures based on nationally recognized standards of Case Management.
- Excellent analytical, organizational, verbal and written communication skills.
- Ability to work independently and in a team environment.
- Ability to be flexible and to manage multiple tasks.
- Good working knowledge of PC applications.
- Other related skills and/or abilities may be required to perform this job.
- Knowledge of BCBSM benefits preferred.
- Registered Nurse with current Michigan Registered Nurse license required.
- CCM certification is a plus.
Senior Analyst
E-mail your resume in Microsoft Word (.doc) format to:KHughes1@bcbsm.com
Expiration: 05/09/08
Reference Code: SACP-KH
Area: Clinical Program Development
Location: Southfield
Job Summary:
Leadership responsibility to coordinate the development and implementation of programs and strategies to improve service to our customers.
This position will report to the Manager of Clinical Program Development. This department is responsible for development, evaluation and implementation of BlueHealthConnection care management components such as case management, disease management, and wellness. Examples of every day tasks include:
- Develop strategic plan for transferring paper-based training materials to online environment
- Responsible for the production/maintenance of materials related to designated wellness and care management solution(s)
- Coordinate with unit-based trainers to determine material development needs
- Develop formal classroom and blended learning materials
- Regular consultation with designated subject matter experts and peers
- Project management of assigned projects
- Adherence to specific deadlines
- Develop and improve work flows and business processes within area(s) to improve customer service, decrease operational costs and improve overall quality.
- Identify and/or analyze business problems and devise procedures for solutions to the problems.
- Effectively lead projects/teams in order to produce desired results.
- Responsible for corporate communication of project results.
- Recommend and assist with implementing standard policies and procedures for providing routine service.
- Assure 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.
- Assist personnel (both internal and external) by answering questions, supplying information and training.
- Develop and maintain an effective working relationship with customers.
- Other duties may be assigned.
- Bachelor's degree in Instructional Design or related field preferred.
- Four (4) to seven (7) years experience in related field.
- Supervisory and/or Analyst experience required with proven experience in operational analysis, data analysis, and problem resolution type activities.
- Ability to plan, organize, direct and control projects.
- Excellent written and verbal communication skills.
- Ability to lead and contribute to process improvement projects.
- Working knowledge of PC applications and/or mainframe required.
- Experience with implementing adult learning techniques and training-centered best practice.
- Strong ability to assess/evaluate training programs and materials; strong ability to create/update instructionally sound materials based on assessment.
- Experience in measuring the success of internal training programs to ensure the consistency of knowledge transfer.
- Ability to streamline content that is used by multiple areas.
- Experience conducting train-the-trainer sessions.
- Experience in developing training materials using Authorware, Breeze, Captivate and/or similar authoring tools.
- Strong project management skills.
- Ability to manage projects proactively, troubleshoot, and follow-up with team leader on project status.
- Ability to convey complex information in an easily understood manner.
- Exceptional organizational and interpersonal skills.
- Advanced degree in Instructional Design, Public Health or related field a plus.
- Experience in providing statistical/analytic support to improve quality, utilization, cost and performance for training initiatives preferred.
- An understanding of wellness and care management concepts and solutions preferred.
- HTML coding experience preferred.
- Other related skills and/or abilities may be required to perform this job.
Senior Analyst — Pharmacy Services
E-mail your resume in Microsoft Word (.doc) format to:KHughes1@bcbsm.com
Expiration: 05/31/08
Reference Code: KH-126347
Area: Pharmacy Services
Location: Southfield
Job Summary:
Responsible for the development and provision of reports and analyses concerning the BCBSM prescription drug programs to both internal and external customers. Will be required to provide in-depth analyses of utilization, and to identify and explain aberrancies. May be asked to chair workgroup. Will be required to do developmental work with respect to reports and databases. Must be knowledgeable of the full spectrum of analytical tools/ methodologies in order to develop solutions in the absence of guidelines or precedents. This includes documented experience using Access, Excel, using the Data Warehouse, and developing ad hoc reports as well as report templates. Adheres to requirements of corporately approved processes/standards. Understands complex and sensitive issues and information, analyzes complex requests, conceptualizes issues and solutions in an unstructured, dynamic, multidisciplinary environment.
Duties and Responsibilities:
- Develop and improve work flows and business processes within area(s) to improve customer service, decrease operational costs and improve overall quality.
- Identify and/or analyze business problems and devise procedures for solutions to the problems.
- Effectively lead projects/teams in order to produce desired results.
- Responsible for corporate communication of project results.
- Recommend and assist with implementing standard policies and procedures for providing routine service.
- Assure 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.
- Assist personnel (both internal and external) by answering questions, supplying information and training.
- Develop and maintain an effective working relationship with customers.
- Other duties may be assigned.
- Bachelor's degree in related field preferred.
- Four (4) to seven (7) years experience in related field.
- Demonstrated proficiency in Microsoft Word, Excel, Access, and Powerpoint.
- Demonstrated ability to handle multiple projects simultaneously and assume responsibility for meeting deadlines.
- Strong analytic capability.
- Ability to effectively represent Pharmacy Services in corporate workgroup meetings.
- Supervisory and/or Analyst experience required with proven experience in operational analysis, data analysis, and problem resolution type activities.
- Ability to plan, organize, direct and control projects.
- Excellent written and verbal communication skills.
- Ability to lead and contribute to process improvement projects.
- Knowledge of BCBSM's prescription drug programs and the pharmacy benefit management (PBM) industry highly desirable.
- Other related skills and/or abilities may be required to perform this job.
Senior Benefits Specialist — HR
E-mail your resume and salary requirement in Microsoft Word (.doc) format to: klentz@bcbsm.com.Expiration: 05/03/2008
Reference Code: KL126636
Area: Employee Benefits Department
Location: Detroit
Job Summary:
Coordinate various Human Resources functions including benefits administration and employee health. This position will assist employees with their health and welfare inquiries. Process life insurance claims. Assist in the development of the Summary Plan Descriptions and Plan documents for the various employee benefits.
Duties and Responsibilities:
- Independently resolve more complex employee and management inquiries that arise as a result of daily work routines abiding by all corporate and employee policies and procedures.
- Develop plans for proposed human resources systems; monitor the implementation and operation of approved systems.
- Lead work groups composed of various areas in the corporation to complete projects and/or tasks.
- Identify and analyze business problems and devise procedures and solutions to the problems.
- Assist personnel (both internal and external) by answering questions, supplying information and training as necessary.
- Develop, maintain and produce monthly, quarterly or annual reports as required.
- Research, analyze and develop information to support human resources policies and procedures in daily dealings with individuals and/or departments in the corporation.
- Prepare presentations on human resources related topics.
- Provide information for internal and external audits and market surveys as necessary.
- Bachelor's degree in computer science, business administration, human resources management or related area required.
- Five (5) years experience in the human resources environment or related experience. Excellent analytical, organizational, problem resolution, verbal and written communication skills.
- Must be self-motivated, able to work independently and within established deadlines. Proficient in current industry standard PC applications and systems (i.e., Excel, Word). Thorough knowledge of applicable Human Resources laws (i.e., ERISA, FLSA, OHSA, etc.).
- Knowledge of employee health and welfare care plan offerings that include various health care options, life insurances, EAP programs and disability programs.
- Excellent verbal and written communication skills.
- Medicare knowledge.
- Proficient in PC applications, i.e. Microsoft Word, Excel and Powerpoint.
- Knowledge of Peoplesoft system preferred.
- Knowledge of Medicare preferred.
Senior Financial Analyst
E-mail your resume and salary requirement in Microsoft Word (.doc) format to: agelberman@bcbsm.com.Expiration: 06/01/2008
Reference Code: ADRPTG
Job Summary:
Responsible for monitoring, analyzing and reporting financial information including revenue and expenses by account, customer and product segments. These duties may include variance analysis, account reconciliation, transaction processing and publishing of various financial reports and financial statements
Duties and Responsibilities:
- Prepares financial information and reviews for accuracy and completeness. Performs detailed analysis when necessary. Other deliverables may include account reconciliations, impact studies, audit findings, budgets and business cases.
- Assists with the preparation of various financial or regulatory reports and/or statements for management and/or parties external to BCBSM.
- Prepares financial reporting that may include linking financial information from various sources to provide meaningful financial reports or to assure appropriate data reconciliation. Financial data may include financial statements detail, corporate, division and cost center BPR information, cost allocation information, general ledger transaction activity, settlement activity, membership, billing and revenue activity.
- May process financial transactions including journal entries, invoices, cost allocations, etc.
- Assists with drafting of policies and develops desk level procedures for the department to help assure clarity in department practices and adequate internal controls.
- Interfaces with various departments, management and individuals' external to BCBSM.
- Responds to adhoc requests and inquiries.
- Performs other assignments, duties or functions as assigned by management.
- Bachelor's degree in accounting, finance or related field required.
- Two (2) to four (4) years experience in related field.
- Strong analytical, organizational and problem solving skills.
- Good verbal and written communication skills.
- Ability to work under general supervision in an environment where there are certain deadlines.
- Proficient in current industry standard PC applications and systems (e.g., Excel, Word, etc.).
- General knowledge of generally accepted accounting principles (GAAP).
- Other related skills and/or abilities may be required to perform this job.
- Strong financial analysis skills and experience a must.
- Good understanding of accounting and financial concepts, such as journal entries, reconciliations, amortization/depreciation and accruals.
- Demonstrates self motivation and is goal oriented and accomplishment driven.
- Excellent organizational and problems solving abilities.
- Intermediate or higher skill level in Microsoft Excel, Word and PowerPoint.
- Ability to multi-task, meet deadlines and make process improvements.
- Desire and ability to understand all aspects of information being analyzed.
- Strong interpersonal skills and ability to work effectively with others.
- Bachelor's degree or masters in accounting or finance.
- Business planning, budget variance and forecasting experience.
- Familiarity with cost drivers and measurable inputs and outputs (metrics).
- Corporate project experience.
- Working experience with PeopleSoft financial applications.
- COGNOS Powerplay experience.
Senior Pharmacy Analyst
E-mail your resume and salary requirement in Microsoft Word (.doc) format to: khughes1@bcbsm.com.Expiration: 05/09/2008
Reference Code: 126590
Area: Pharmacy Services Administration
Location: Southfield
Job Summary:
Responsible for promoting appropriate benefit designs for prescription drugs to sales staff, agents and customers. This position is also responsible for the education of sales staff and agents regarding the available benefit designs in order to advance corporate efforts to increase market share and provide cost-effective benefit designs. The incumbent responds to RFP's, RFI's and questionnaires for prescription drug benefits. Responsible for obtaining and retaining enrollment and assist in improving and maintaining stakeholder satisfaction with our commercial prescription drug programs. This position serves as a Pharmacy Services liaison and subject matter expert on the prescription drug programs to Marketing and Sales, which includes forming relationships with clients, agents, consultants and internal areas to educate, consult and promote the value of our prescription drug programs.
Duties and Responsibilities:
- Prepare and conduct presentations or educational programs to various audiences, including customers, agents and internal marketing departments.
- Provide accurate and timely responses to prescription drug Requests for Proposal (RFP), Requests for Information (RFI), and questionnaires for both Local and National groups.
- Coordinate with BCBSM prescription drug vendor to compile RFP, RFI and questionnaire responses that are the vendor's responsibility.
- Review of prescription drug RFP, RFI and questionnaire responses compiled by other corporate areas or our prescription drug vendor to ensure their accuracy and integrity.
- Draft and coordinate various communications for distribution to internal departments and external customers, including marketing pieces.
- Review non-standard benefit requests and provide approval/disapproval in accordance with corporate direction and systems capabilities.
- Serve as contact/representative to Sales Liaison, NASCO systems and special projects, including community initiatives/task forces.
- Interface with external customers/contacts, various internal departments and with our prescription drug vendor to resolve outstanding issues.
- Serve as liaison to BCBSM prescription drug vendor's marketing support staff. Serve as contact to internal corporate areas and external customers/contacts to assist in the processing of problematic claims.
- Must be willing to travel within the State and provide own transportation. Overnight business trips maybe occasionally required.
- Other duties may be assigned.
- Bachelor's degree in pharmacy required.
- Marketing experience in pharmacy environment preferred.
- Must have excellent verbal and written communication skills with the ability to organize and demonstrate knowledge during individual/group presentations.
- Must be able to function independently with minimal supervision and have the ability to set priorities with the objective of completing numerous activities with short turnaround time frames.
- Ability to interface with department staff, numerous internal departments, external customers, agents and subscribers.
- Knowledge of BCBSM prescription drug programs, certificates and riders, non-standard benefits, and marketing structure.
- Proficient in Word, Excel, and PowerPoint.
- Excellent communication skills, including public speaking.
- Ability to work effectively in groups to drive results within mandated timelines.
- Ability to multi-task and work under tight deadlines.
- 3-5 years of managed care pharmacy experience preferred.
- Familiarity with vendor systems and capabilities.
- Other related skills and/or abilities may be required to perform this job.
- Current Michigan Pharmacist license, or acquisition of Michigan Pharmacist license within six (6) months of start date.
Senior Health Care Analyst
E-mail your resume and salary requirement in Microsoft Word (.doc) format to: khughes1@bcbsm.com.Expiration: 05/22/2008
Reference Code: 126317-KH
Area: Wellness and Care Management Consulting
Location: Southfield
Job Summary:
The Wellness & Care Management Consulting department is responsible for collaborating with the Group Sales Division to interact with customers to better understand their wellness and care management needs, educate them about resources offered by BCBSM and helps employers select a wellness and care management solution tailored to their needs.
Applicant will be responsible for working directly with customers to identify their unique wellness & care management needs, provide them with tailored solutions and guide them through the process from design to rollout. Applicant will need to possess excellent presentation skills and have the ability to explain complex concepts to a variety of internal and external audiences. Strong analytic and consulting skills necessary to help customers interpret and understand data to find solution that fits their population.
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.
Duties and Responsibilities:
- Leads in the research, analysis, identification and evaluation of data from assigned problems to evaluate existing and potential trends and issues.
- Possess and maintain an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies.
- Manage and monitor multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
- Develop lines of communication to discuss/review results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.
- Investigate, review, recommend, communicate and implement solutions which identify problems/root cause of issues.
- Identify and resolve challenges in order to fulfill key corporate objectives and respond to the demand of change management and initiate actions needed to plan, organize and control team activities.
- Independently develop and plan, reports, papers and/or other materials in a clear and concise manner.
- Provide expertise and guidance to unit and corporate staff as required.
- Acts as liaison between corporate business areas and participates in group or committee discussions.
- Create and make sales presentations to key existing and potential BCBSM customers as the sole representative of the Wellness and Care Management department or as part of a team that is working closely with Marketing and Sales.
- Work as a liaison between operational and program areas and the customer in conjuction with Marketing and Sales staff.
- Conduct analyses of BCBSM claims, memebership and financial data to assess customer needs and opportunities.
- Other duties may be assigned
- Health Services Administration, Kinesiology and Public Health, or Marketing as a field of education.
- Bachelor's degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field is required. Master's degree in related field preferred.
- Six (6) or more years experience in related experience, typically in two (2) subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management).
- Excellent analytical, planning, problem solving, verbal and written skills to communicate complex ideas.
- Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.). Strong working knowledge of data languages such as SAS or SQL.
- Ability to work independently, within a team environment and communicate effectively with employees at all levels.
- Extensive experience developing and conducting presentations to diverse audiences. Strong communication skills (written and verbal) are required to understand, interpret , and communicate Wellness & Care Management concepts and solutions.
- Highly motivated with a history of providing exceptional customer service. Demonstrated ability to function as a positive ambassador of the corporation with attitudinal qualities to service and retain customers.
- Creative problem-solver with superior analytical skills Able to work with internal and external clients to identify needs and develop solutions.
- Extensive knowledge of BCBSM business and programs, internal and external environment as well as knowledge of general health care issues relating to wellness & care management.
- Solid working knowledge of reporting tools and software: Excel, Access, PowerPoint, Word and Visio.
- Must possess valid, non-restricted Michigan Operator License as travel to customer sites may be required.
- Strong presentation skills and experience in working with external customers.
- Demonstrated ability to interpret qualitative and quantitative analyses. Familiarity with financial analysis, concepts of return on investment and financial risk.
- Demonstrated ability to handle a variety of assignments simultaneously in a fast-paced environment.
- Capacity to quickly grasp complex concepts and to interface with various levels of business experts.
- Demonstrated ability to work effectively with various corporate areas including Medical Informatics, Clinical Program Development, BlueHealthConnection Operations, Marketing & Sales, Underwriting and the Business Intelligence Center.
- Possess and maintain comprehensive understanding and knowledge of BlueHealthConnection components and solutions and how they integrate with BCBSM products and programs is preferred.
- Familiarity with concepts of Wellness and Health Promotion and understanding of Care Management processes.
- Ability to function well independently and work effectively as part of a team.
- Sales and Marketing experience a plus.
- Other related skills and/or abilities may be required to perform this job.
- Travel throughout the State of Michigan is required.
Senior Health Care Analyst
E-mail your resume and salary requirement in Microsoft Word (.doc) format to: khughes1@bcbsm.com.Expiration: 05/15/2008
Reference Code: 126721-KH
Area: Clinical Program Development
Location: Southfield
Job 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.
This position will report to the Manager of Clinical Program Development. This department is responsible for project management, research, development, analysis, implementation and evaluation to support the Physician Group Incentive Program (PGIP) and Collaborative Quality Initiative (CQI) program. Examples of responsibilities include:
- Lead management of multiple development initiatives and other projects by establishing project plans and objectives to ensure team goals are met
- Lead research and analysis of clinical literature, market trends and other data to evaluate existing health care delivery transformation activities and make recommendations for future development
- Administer ongoing clinical programs; ensure compliance with contract requirements and obtainment of program goals.
- Possess and maintain comprehensive understanding and knowledge of PGIP and CQI programs and strategy relative to other BCBSM products and programs
- Lead development of initiative evaluation design including specifying indicators of program success, defining the scope of the evaluation, development of methods and data collection specifications, and describing uses of cost-benefit analysis
- Assist in development of initiative and other project cost-benefit analysis
- Independently develop initiative plan documents in a clear and concise manner
- Act as a liaison between other corporate areas such as Medical Informatics, Business Intelligence Center
- Interface with Provider Organizations, providing information, soliciting input, and responding to questions
- Leads in the research, analysis, identification and evaluation of data from assigned problems to evaluate existing and potential trends and issues.
- Possess and maintain an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies.
- Manage and monitor multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
- Develop lines of communication to discuss/review results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.
- Investigate, review, recommend, communicate and implement solutions which identify problems/root cause of issues.
- Identify and resolve challenges in order to fulfill key corporate objectives and respond to the demand of change management and initiate actions needed to plan, organize and control team activities.
- Independently develop and plan, reports, papers and/or other materials in a clear and concise manner.
- Provide expertise and guidance to unit and corporate staff as required.
- Acts as liaison between corporate business areas and participates in group or committee discussions.
- Other duties may be assigned.
- Bachelor's Degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field is required. Master's degree in related field preferred.
- Six (6) or more years experience in related experience, typically in two (2) subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management).
- Excellent analytical, planning, problem solving, verbal and written skills to communicate complex ideas.
- Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).
- Strong working knowledge of data languages such as SAS or SQL.
- Ability to work independently, within a team environment and communicate effectively with employees at all levels.
- Six (6) to eight (8) years experience in the development of pay for performance or other continuous quality improvement/transformation programs, including evaluation design.
- Two (2) or more years experience in development of health care policies and programs.
- Proven ability to successfully manage multiple projects from beginning to completion.
- Strong written and verbal communication skills a must.
- Analysis skills a must.
- Proficient in the use of PC applications such as MS Word, Excel, Access, Visio, and PowerPoint.
- Solid understanding of quality metrics preferred.
- Strong background in collaborating with external partners on health care programs preferred.
- Master's degree in public health, health administration or other related field preferred.
- Other related skills and/or abilities may be required to perform this job.
Senior Health Care Analyst
E-mail your resume and salary requirement in Microsoft Word (.doc) format to: khughes1@bcbsm.com.Expiration: 05/15/2008
Reference Code: 125826-KH
Area: Medical Informatics
Location: Southfield
Job 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.
Working in a team environment, this position will be responsible for the construction of decision analytic models in support of BCBSM's care management programs and provider performance management functions. This position will work closely with all areas in the Clinical Programs division to plan and execute projects.
Typical projects will include:
- Develop activity based models for new products that estimate cost and benefits.
- Developing ROI models for Care Management and Provider Incentive Programs.
- Developing cost accounting methods for Care Management processes.
- Develop operational processes to support BCBSM's Care Management Consultative Sales functions.
- Developing advanced models for estimating cost savings for care management programs.
- Other analytic projects necessary to support the Clinical Programs area.
- Leads in the research, analysis, identification and evaluation of data from assigned problems to evaluate existing and potential trends and issues.
- Possess and maintain an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies.
- Manage and monitor multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
- Develop lines of communication to discuss/review results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.
- Investigate, review, recommend, communicate and implement solutions which identify problems/root cause of issues.
- Identify and resolve challenges in order to fulfill key corporate objectives and respond to the demand of change management and initiate actions needed to plan, organize and control team activities.
- Independently develop and plan, reports, papers and/or other materials in a clear and concise manner.
- Provide expertise and guidance to unit and corporate staff as required.
- Acts as liaison between corporate business areas and participates in group or committee discussions.
- Other duties may be assigned.
- Bachelor's degree in business administration, economics, health care, information systems, Statistics or other related field is required. Master's degree in related field preferred.
- Six (6) or more years experience in related experience, typically in two (2) subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management).
- Excellent analytical, planning, problem solving, verbal and written skills to communicate complex ideas.
- Excellent knowledge and use of existing software packages (PowerPoint, Excel, Word, etc.).
- Strong working knowledge of data languages such as SAS or SQL.
- Ability to work independently, within a team environment and communicate effectively with employees at all levels.
- Education, training or significant job experience in a field involving development of advanced models in areas such as financial analysis, actuarial sciences, operations engineering, health economics, provider incentive programs or other related field. Strong analytic modeling conceptualization and construction skills (i.e. decision analytic modeling, business process modeling, financial modeling, etc.)
- Strong writing and reporting skills.
- Solid working knowledge of reporting tools and software: Excel, Access, PowerPoint, Word and Visio.
- Experience modeling business processes.
- Experience researching, planning and managing projects.
- SQL, SAS, database, or other programming or information system development/reporting skills.
- Other related skills and/or abilities may be required to perform this job.
Systems Administrator
E-mail your resume in Microsoft Word (.doc) format to: klaw@bcbsm.com.Expiration: 06/15/2008
Reference Code: KL-126686
Location: Detroit
Job Summary:
The candidate will be responsible for the design, development and support of technology infrastructure, hardware, software and office systems support and distribution, systems performance, technology integration.
Duties and Responsibilities:
- Under general direction and coaching, responsible for implementing, integrating and providing support for middleware software in multi-tiered, multi-platform environment.
- Performs on-going maintenance of servers.
- Sets up and monitors software that is between the applications and the operating system.
- Assists in determining appropriate middleware for environment based on organization's architectural needs.
- Investigates new developments and makes recommendations on additions or replacements.
- Bachelor's degree in related field preferred.
- Minimum one (1) to three (3) years related experience preferred.
- Excellent analytical, organizational, verbal and written communication skills.
- Creativity is expected.
- Other related skills and/or abilities may be required to perform this job.
- Ability to work 24x7 including weekends and holidays.
- Demonstrated troubleshooting skills.
- One (1) to two (2) years of experience supporting Windows XP/2000/2003 Clients and Servers.
- One (1) to two (2) years of experience supporting x86 server hardware.
- Microsoft Certified Professional.
- Experience installing/configuring/supporting Windows Server and Client Operating Systems, Microsoft DNS / WINS / DHCP/ Active Directory, Microsoft Exchange, Print services, VMWare / Microsoft Virtual Server, and Windows Server Update Services.
Technology Specialist
E-mail your resume and salary requirement in Microsoft Word (.doc) format to: klaw@bcbsm.com.Expiration: 05/15/2008
Reference Code: KL-126616
Location: New Hudson, Michigan
Job Summary:
Enterprise architecture, new technology implementation, research and evaluation of emerging technologies, strategic technology planning, consulting, software validation, e-business support.
Duties and Responsibilities:
- With general guidance and coaching, participates in design, development and implementation of specific new and emerging technologies, platforms and services.
- Assists in the assessment of technical viability of new products and technologies.
- Works with developers and infrastructure specialists to pilot and evaluate new technologies.
- Participates in development of business cases and obtaining approvals for capital expenditures.
- Familiar with standard concepts, practices, and procedures within a particular field.
- Other duties may be assigned.
- Bachelor's degree in related field preferred.
- Minimum three (3) to five (5) years related experience preferred.
- Excellent analytical, organizational, verbal and written communication skills.
- Significant creativity is required.
- Other related skills and/or abilities may be required to perform this job.
- Excellent problem solving ability.
- Experience performing data mapping and gap analysis.
- Experience with business processes in at least one of the following: claims, benefits, membership, or eligibility.
- Experience writing/developing use case models and/or specifications.
- Understanding of XML sufficient to read XML documents and schemas.
- Some experience with UML.
- Rational tool experience.
- Experience in multiple platforms (i.e. mainframe and distributed).
- Project leadership experience.
- Experience facilitating quality reviews, tracking closure and obtaining final approvals.
- CORE/SBP evaluation experience.
- Experience in analysis and design.
- Exposure to services and/or Web services technologies.
