Analyst, Clinical Editing

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="https://www.bcbsm.com/" 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.<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="http://www.bcbsm.com/index/about-us/our-company.html" 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 />Learn more about your options as an external candidate. <a href="https://bcbsm.taleo.net/careersection/2/jobsearch.ftl?lang=en" target="_blank" rel="noopener noreferrer">Click here</a> to view open positions. http://www.bcbsm.com

keywords: management,department summary,maintain,support,teamwork,leadership,analysis,leadership,degree,experience,communication,knowledge,departmental preferences

Full-time

Competitive Total Compensation Package

Overview: 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
Responsibilities: <ul><li>Assist and support in the planning, coordinating, developing and implementing of approved projects which are Divisional and/or Corporate in scope in order to enhance the overall efficiency of operational procedures, methods, controls, and performance.</li><li>Analyze, process and/or expedite operational transactions; this may include timely resolution of problems. Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.</li><li>Provide leadership team with status of projects; issue, communicate and recommend policy decisions to achieve project objectives.</li><li>Utilize and maintain available corporate production and reporting systems; produce routine and non-routine reports, presentations, letters communications and graphics.</li><li>Assist personnel (both internal and external) by answering questions, supplying information and training.</li><li>Represent department and division as requested on work groups and special assignments. Develop and maintain an effective working relationship with customers or partners.</li><li>Other duties may be assigned. </li></ul>
Requirements: <ul> <li>Bachelor's Degree in related field preferred.</li> <li>Two (2) to five (5) years experience in related field is required.</li> <li>Demonstrated knowledge/competency in the following areas: c laims or inquiry processing experience preferred, a nalytical experience, a bility to produce statistical information from conceptual needs, and w orking with PC application and/or mainframe systems preferred.</li> <li>Effective verbal and written communication skills.</li> <li>Ability to lead and contribute to process improvement programs.</li> <li>Excellent interpersonal skills necessary to interact with all levels of all personnel.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul>