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Analyst

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Blue Cross Blue Shield of Michigan

17d ago

  • Job
    Full-time
    Junior Level
  • Data
    Business, Operations & Strategy
  • Detroit

AI generated summary

  • You need a bachelor's degree, 2 years of related experience, strong communication skills, analytical problem-solving abilities, claims processing knowledge, and proficiency in Microsoft Office.
  • You will analyze data, improve workflows, support project implementation, communicate policies, provide updates, and create reports while assisting internal and external stakeholders.

Requirements

  • Bachelor's Degree in a related field is preferred.
  • Two (2) years of experience in a related field is required.
  • Effective verbal, written communication and interpersonal 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.
  • Claims processing experience in NASCO/3270.
  • Experience utilizing and testing Navigator, 3270, NCompass, IKA, and EFDE.
  • Demonstrated knowledge/competency with National, Auto, Medicare Advantage & Instate claims keying and claims processing procedures.
  • Demonstrated knowledge/competency in the following areas: professional & facility claims, or inquiry experience preferred, analytical experience, ability to produce statistical information in conceptual needs, and working with PC applications and/or mainframe systems experience.

Responsibilities

  • Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality.
  • Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance.
  • Compile and analyze operational data to identify and resolve business problems.
  • Utilize and maintain available reporting systems. Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.
  • Provide leadership team with status updates on projects and issues.
  • Communicate and recommend policy changes to achieve project objectives. Assist in documenting departmental procedures.
  • Create and present reports and presentations to display operational data and propose business changes.
  • Provide support to both internal departments and external entities by answering questions, supplying information and training.
  • Participate on special projects or workgroups as assigned.

FAQs

What is the primary responsibility of the Analyst position?

The primary responsibility of the Analyst position is to assist and support management in evaluating, recommending, establishing, implementing, and analyzing new and improved production workflows and work processes to enhance customer service levels and overall quality.

What qualifications are required for this Analyst role?

A Bachelor's Degree in a related field is preferred, along with two years of experience in a related field. Effective communication, analytical, and organizational skills are also required.

What skills are necessary to succeed in this Analyst position?

Effective verbal and written communication skills, analytical and problem-solving skills, organizational skills, and proficiency in Microsoft Office suites are necessary to succeed in this position.

Is previous experience in claims processing necessary for this role?

Yes, previous claims processing experience in NASCO/3270 and knowledge or competency in relevant claims keying and processing procedures is preferred.

What types of projects will the Analyst participate in?

The Analyst will participate in projects aimed at enhancing the overall efficiency of operational procedures, methods, controls, and performance, as well as special projects or workgroups as assigned.

Will the Analyst be required to create reports and presentations?

Yes, the Analyst will be responsible for creating and presenting reports and presentations to display operational data and propose business changes.

How does this role support communication within the organization?

The Analyst is responsible for providing updates on project statuses to the leadership team, communicating policy changes to achieve project objectives, and assisting in documenting departmental procedures.

Are there opportunities for professional development in this position?

Opportunities for professional development may arise through participation in various projects and workgroups, as well as through interactions with internal departments and external entities.

What types of systems will the Analyst utilize and maintain?

The Analyst will utilize and maintain reporting systems, participate in systems testing, develop procedures and controls, and provide recommendations for process improvements.

How are applicants evaluated for this role?

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status, or status as an individual with a disability.

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Blue Cross Blue Shield of Michigan

Finance
Industry
5001-10,000
Employees

Mission & Purpose

Blue Cross Blue Shield of Michigan is a nonprofit corporation and an independent licensee of the Blue Cross and Blue Shield Association. BCBSM's commitment to Michigan is what differentiates it from other health insurance companies doing business in the state. That mission has never changed. Nearly 70 years ago, Blue Cross Blue Shield of Michigan started with a purpose to provide people with the security of knowing they have health care when they need it. Today, that nonprofit mission is the same and the company is accomplishing it in many ways, including: Offering access to health care coverage for everyone, regardless of circumstances Never dropping your coverage for health reasons Partnering with the state to cover more than 32,000 children through MIChild Providing financial support to 30 free clinics statewide Contributing more money than any other company to provide Michigan with better health and health care Advocating and educating through Alliance for Advancing Nonprofit Health Care