Senior Analyst - Program and Vendor Management

With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust.

Southfield, MI

Blue Cross Blue Shield of Michigan

When you think of <a href="" target="_blank" rel="noopener noreferrer">Blue Cross Blue Shield of Michigan</a> for health insurance, you can know you&rsquo;re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future.&nbsp;<br /><br />We offer:<br />Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyle<br />The largest network of doctors and hospitals in the state<br />Lower health care costs Higher quality health care<br />Award-winning diversity practices<br />Grants and programs that promote better health throughout Michigan<br /><strong><br />Mission:&nbsp;</strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><a href="" target="_blank" rel="noopener noreferrer"><strong>Click here</strong></a> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.<br /><br />For Application Timeline &amp; Selection Process:&nbsp;<a href="" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions.

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Competitive Total Compensation Package

Overview: 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.<br /><br /> <p><strong>Departmental Summary:</strong></p> <p>Analyst position will require understanding and processing of vendor inquiries, data entry and analysis of vendor performance, and collaboration with internal and external business partners to support vendor management.</p>
Responsibilities: <ul> <li>Identify and analyze operational data and develop insights in support of business objectives.</li> <li>Develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality.</li> <li>Identify and/or analyze business problems and develop recommendations for solutions to problems.</li> <li>Lead the development and implementation of projects and/or teams in order to produce desired results.</li> <li>Document and communicate project concepts, milestones and results.</li> <li>Recommend and assist with implementing standard policies and procedures.</li> <li>Ensure that corporate compliance is communicated, implemented and monitored on an ongoing basis.</li> <li>Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.</li> <li>Provide support to internal departments and external entities by answering questions, supplying information and training.</li> <li>Create and present reports and presentations to display operational data and proposed business changes.</li> </ul> <br /> <p><strong>Departmental Preferences:</strong></p> <p>&nbsp;</p> <p>Primary daily responsibilities include inquiry support, action item management, data entry</p> <ul> <li>Management of all vendor mailboxes</li> <li>Responding to claim and provider inquiries from provider consultants</li> <li>Routing inquiries to provider consultants as applicable</li> <li>Escalating complex inquiries to Contract administrator</li> <li>Classifying and reporting all inquiries for accurate assessment of inquiry volumes by program</li> <li>Utilizing escalation contacts for inquiry escalation</li> <li>Updating / creating action items based on email inquiries</li> <li>Updating provider tracking materials for provider based inquiries</li> <li>Updating program reporting metrics with routine reporting from vendor and internal stakeholders</li> </ul>
Requirements: <ul> <li>Bachelor's Degree in a related field is preferred.</li> <li>Four (4) years of experience in a related field is required.</li> <li>Excellent analytical and problem-solving skills to identify, evaluate, recommend and implement changes to processes or procedures to address problems and improve departmental effectiveness.</li> <li>Organizational skills and ability to prioritize; must be able to lead multiple activities with varying timelines.</li> <li>Excellent verbal, written communication and interpersonal skills.</li> <li>Ability to lead and contribute to business unit and/or corporate projects.</li> <li>Proficient in Microsoft Office Suites.</li> <li>Ability to develop and maintain effective working relationships.</li> </ul> <strong>Departmental Requirements:</strong><br /> <p>Other activities include</p> <ul> <li>Support creation of roadshow materials for business partner education of UM programs</li> <li>Ability to relay program material and education to business partners</li> <li>Maintain a service and communication model with external business partners</li> </ul> <ul> <li>Support program management in new vendor implementations including tracking action items and managing incoming inquiries for resolution and/or escalation</li> <li>SharePoint and Teams management</li> </ul>