<p>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.</p>

Detroit, 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.<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 />Learn more about your options as an external candidate. <a href="" target="_blank" rel="noopener noreferrer">Click here</a> to view open positions.&nbsp;

keywords: professional,support,teamwork,leadership,analysis,experience,knowledge,degree,technology


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: <ol> <li> <div><span style="font-size: small;">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.</span></div> </li> <li> <div><span style="font-size: small;">Analyze, process and/or expedite operational transactions; this may include timely resolution of problems.</span></div> </li> <li> <div><span style="font-size: small;">Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.</span></div> </li> <li> <div><span style="font-size: small;">Provide leadership team with status of projects; issue, communicate and recommend policy decisions to achieve project objectives.</span></div> </li> <li> <div><span style="font-size: small;">Utilize and maintain available corporate production and reporting systems; produce routine and &nbsp;non-routine reports, presentations, letters communications and graphics.</span></div> </li> <li> <div><span style="font-size: small;">Assist personnel (both internal and external) by answering questions, supplying information and training.</span></div> </li> <li> <div><span style="font-size: small;">Represent department and division as requested on work groups and special assignments.</span></div> </li> <li> <div><span style="font-size: small;">Develop and maintain an effective working relationship with customers or partners.</span></div> </li> </ol>
Requirements: <p><strong><span style="font-size: small;">EDUCATION AND/OR EXPERIENCE</span></strong></p> <p><span style="font-size: small;">1.&nbsp;&nbsp;&nbsp;&nbsp; Bachelor's Degree in related field preferred.</span></p> <p><span style="font-size: small;">2.&nbsp;&nbsp;&nbsp;&nbsp; Two (2) to five (5) years experience in related field is required.</span></p> <div><span style="font-size: small;">3.&nbsp;&nbsp;&nbsp;&nbsp; Demonstrated knowledge/competency in the following areas:</span></div> <div><span style="font-size: small;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; A.&nbsp; Claims or inquiry processing experience preferred.</span></div> <div><span style="font-size: small;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; B.&nbsp; Analytical experience.</span></div> <div><span style="font-size: small;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; C.&nbsp; Ability to produce statistical information from conceptual needs.</span></div> <div><strong><span style="font-size: small;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></strong><span style="font-size: small;">D. Working with PC application and/or mainframe systems preferred.</span></div> <div><span style="font-size: small;">4.&nbsp;&nbsp;&nbsp;&nbsp; Effective verbal and written communication skills.</span></div> <div><span style="font-size: small;">5.&nbsp;&nbsp;&nbsp;&nbsp; Ability to lead and contribute to process improvement programs.</span></div> <div><span style="font-size: small;">6.&nbsp;&nbsp;&nbsp;&nbsp; Excellent interpersonal skills necessary to interact with all levels of all personnel.</span></div> <div><span style="font-size: small;">7.&nbsp;&nbsp;&nbsp;&nbsp; Other related skills and/or abilities may be required to perform this job.</span></div> <div>&nbsp;</div> <div> <div><span style="font-family: Calibri;"><u>DEPARTMENTAL PREFERENCES:</u></span></div> <ul> <li>&nbsp;5 years Claims or BlueCard Claims experience</li> <li>Proven leadership experience by leading projects or teams.</li> <li>Demonstrated project work/corporate work group experience (within the last year)</li> <li>Excellent analytical, organizational, problem solving, verbal and written communication skills.</li> <li>Ability to work independently, within a team environment and with multiple priorities.</li> <li>Working&nbsp;knowledge of the following preferred: Access Database, Microsoft Word/Excel, SharePoint,&nbsp;Microsoft Outlook, Blue2, NASCO/3270</li> <li>Proficient in current industry standard PC applications and systems (e.g., Access, Excel and&nbsp;Word).</li> <li>Ability to work closely with the technical support team in understanding and resolving systems&nbsp;issues.</li> </ul> <ul> <li><span style="font-family: Calibri;">Ability to develop, implement, and monitor policies and procedure.</span><span style="font-family: Calibri;"><u>Duties include but are not limited to:</u></span></li> </ul> </div> <ul> <li><span style="font-family: Calibri;">Conduct Coaching, Development and training opportunities</span></li> <li><span style="font-family: Calibri;">&nbsp;Responsible for the Analyst/Technician Job responsibilities, fill in for absent analysts.</span></li> <li><span style="font-family: Calibri;">Assist Sr. Analyst, TL2, &amp; Management with resolution of issues.</span></li> <li><span style="font-family: Calibri;">Determine business impacts to operational areas by interfacing with inter and intra-departmental&nbsp;</span><span style="font-family: Calibri;">business leads and determine training and documentation needs; and interfacing with internal&nbsp;</span><span style="font-family: Calibri;">customers to identify and/or analyze business problems and develop solutions.</span></li> <li><span style="font-family: Calibri;">Interface with various departments and senior management and provide value and support for&nbsp;</span><span style="font-family: Calibri;">continuous improvement.</span></li> <li><span style="font-family: Calibri;">Develop project plans and monitor project statuses</span></li> <li><span style="font-family: Calibri;">Assist with documentation and training</span></li> <li><span style="font-family: Calibri;">Conduct special assignments, prepare reports, analyze and document the results with recommendations for improvement.&nbsp; Assist with design development, modification, testing, implementation and maintenance of assigned systems.&nbsp; Interface with other teams/areas both internal and external to resolve issues.&nbsp; Prepare presentations and present to staff at department or sectional meeting.</span></li> </ul>