Analyst – Provider Servicing, OATS

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.

Michigan (Hybrid)

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.&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="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 />For Application Timeline &amp; Selection Process:&nbsp;<a href="https://s3.amazonaws.com/data.vizirecruiter.com/Images/BCBSMCareers+-+Quick+Reference+Guide.pdf" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="https://ejko.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_3/requisitions" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions. http://www.bcbsm.com

keywords: position summary,teamwork,support,leadership,assist,create,assemble,communication,maintenance,experience,departmental preferences,organization,degree,technology,develop,communication,analysis,travel,professional,knowledge

Non-Manager

Competitive Total Compensation Package

Overview: <p><strong>**Candidate can be based out of Detroit, Lansing, Marquette,&nbsp;<u>or</u>&nbsp;Grand Rapids.**</strong></p> <p>&nbsp;</p> <p><strong>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.</strong></p>
Responsibilities: <ul> <li>Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance.</li> <li>Compile and analyze operational data to identify and resolve business problems.</li> <li>Utilize and maintain available reporting systems. 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 updates on projects and issues.</li> <li>Communicate and recommend policy changes to achieve project objectives. Assist in documenting departmental procedures.</li> <li>Create and present reports and presentations to display operational data and propose business changes.</li> <li>Provide support to both internal departments and external entities by answering questions, supplying information and training.</li> <li>Participate on special projects or workgroups as assigned.</li> </ul>
Requirements: <ul> <li>Bachelor's Degree in a related field is preferred.</li> <li>Two (2) years of experience in a related field is required.</li> <li>Effective verbal, written communication and interpersonal skills.</li> <li>Ability to work independently or in a team environment and interact with all levels of the organization.</li> <li>Effective 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 coordinate multiple activities with varying timelines.</li> <li>Proficient in Microsoft Office suites.</li> <li>Ability to develop and maintain effective working relationships.</li> </ul> <p><strong>Departmental Preferences</strong></p> <ul> <li>Proficient commercial PPO benefit, eligibility knowledge and experience.&nbsp;</li> <li>Proficient commercial PPO claim knowledge and analyzation experience.&nbsp;</li> <li>Two (2) years of experience in commercial PPO provider lines of business (professional and facility)&nbsp;</li> <li>Experience in NCompass</li> <li>Candidate can be based out of Detroit, Lansing, Marquette, or Grand Rapids.</li> <li>Travel may be required both in and out of state (will vary). &nbsp;</li> </ul> <div><em>All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.</em></div>