Analyst - Inter-Plan Admin & Relations

<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="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.&nbsp; http://www.bcbsm.com

keywords: management,maintain,support,teamwork,reporting,quality assurance,process,experience,knowledge,communication,leadership,organization,degree,department needs,analysis,research,professional

Full-Time

Competitive Total Compensation Package

Overview: <p>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.</p> <p>Represent department and division as requested on work groups and special assignments. Develop and maintain an effective working relationship with customers or partners.</p>
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>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: claims or inquiry processing experience preferred, analytical experience, ability to produce statistical information from conceptual needs, and working 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> <br /> <p><span style="text-decoration: underline;">Department Requirements and Preferences:</span></p> <ul> <li>Proficient in Excel.</li> <li>Working knowledge of SharePoint.</li> <li>Proven strong ability to problem solve with a sense of urgency based on timelines and due dates.</li> <li>Ability to work independently within a team environment requiring limited follow up from leadership.</li> <li>Excellent analytical skills with the ability to interpret, analyze, integrate and correlate information from multiple resources and SMEs.</li> <li>Proven communication skills.</li> <li>Excellent research analytical interpersonal decision making and problem solving skills.</li> <li>Excellent organizational and planning skills.</li> <li>Ability to handle multiple critical priority assignments simultaneously and reprioritize quickly.</li> <li>Experience in continuous improvement activities.</li> <li>Experience working with other Blue Plans.</li> <li>Understanding highly sensitive environment that involves Medicare compliance oversight.</li> </ul>