Analyst - BCBSM Payment Integrity Claims Recoveries

Blue Cross Blue Shield of Michigan•Detroit, MI

About The Position

The Analyst supports management in evaluating, recommending, establishing, implementing, and analyzing production workflows and work processes involving systems, reporting, and new products or programs. The role aims to improve customer service levels, quality, and operational efficiency. The Analyst compiles and analyzes operational data to identify and resolve business problems, uses and maintains reporting systems, participates in systems testing, and recommends process improvements. The position also documents procedures, prepares reports and presentations, provides project updates to leadership, communicates policy-change recommendations, and supports internal departments and external entities with information and training. The Analyst may participate in special projects or workgroups as assigned.

Requirements

Two years of experience in a related field is required.
Effective verbal, written communication, and interpersonal skills.
Ability to work independently or in a team environment and interact with all levels of the organization.
Effective analytical and problem-solving skills to identify, evaluate, recommend, and implement process or procedure changes.
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 is preferred.
Knowledge of BCN Facets, Workflow Manager, and Negative Balances.
Knowledge of basic accounting principles.
Experience with an MS Access database.

Responsibilities

Assist management in evaluating, recommending, establishing, implementing, and analyzing production workflows and work processes for systems, reporting, and new products or programs.
Support the development, coordination, and implementation of projects to improve operational efficiency, procedures, methods, controls, and performance.
Compile and analyze operational data to identify and resolve business problems.
Use and maintain available reporting systems.
Participate in systems testing; develop procedures and controls; and recommend ongoing improvements to updated processes.
Provide the leadership team with status updates on projects and issues.
Communicate and recommend policy changes to achieve project objectives.
Assist in documenting departmental procedures.
Create and present reports and presentations that display operational data and propose business changes.
Support internal departments and external entities by answering questions, supplying information, and providing training.
Participate in special projects or workgroups as assigned.