Analyst - BCBSM Payment Integrity Claims Recoveries

Blue Cross Blue Shield of Michigan • Detroit, MI

2d

About The Position

The Analyst supports management in evaluating, recommending, establishing, implementing, and analyzing production workflows, work processes, systems, reporting, and new products or programs to improve customer service levels and overall quality. The role supports projects that improve operational efficiency and provides analysis, reporting, procedural documentation, and assistance to internal departments and external entities.

Requirements

• Two years of experience in a related field.
• Effective verbal, written communication, and interpersonal skills.
• Ability to work independently or in a team environment and interact with all levels of the organization.
• Analytical and problem-solving skills to identify, evaluate, recommend, and implement process or procedure changes that address problems and improve departmental effectiveness.
• Organizational skills and ability to prioritize and coordinate multiple activities with varying timelines.
• Proficiency in Microsoft Office suites.
• Ability to develop and maintain effective working relationships.

Nice To Haves

• Bachelor's degree in a related field.
• Knowledge of BCN Facets, Workflow Manager, and Negative Balances.
• Knowledge of basic accounting principles.
• Experience with MS Access database.

Responsibilities

• Support the development, coordination, and implementation of projects to enhance the efficiency of operational procedures, methods, controls, and performance.
• Compile and analyze operational data to identify and resolve business problems.
• Use and maintain reporting systems; participate in systems testing; develop procedures and controls; and recommend ongoing process improvements.
• Provide the leadership team with project and issue status updates.
• Communicate and recommend policy changes to achieve project objectives.
• Assist in documenting departmental procedures.
• Create and present reports and presentations showing operational data and proposing business changes.
• Support internal departments and external entities by answering questions, supplying information, and providing training.
• Participate in special projects or workgroups as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level