Operations Vendor Performance Analyst Sr

BCBSM • River Park, FL

270d • $77,200 - $127,400

About The Position

This position is responsible to perform highly complex technical and analytical work under limited supervision in support of driving the vendor performance through research, process audit, oversight and analysis of data for the Operations Division. The focus is on end-to-end vendor support that drives the operation of the business to ensure services and transactions are processed in a timely and accurate manner.

Requirements

• 5+ years of related professional experience.
• Excellent collaborative, interpersonal, oral and written communication skills.
• Willingness to travel domestic or internationally, up to 4 weeks at a time.
• Intermediate technical skills (Microsoft Office - Excel, Word, Access).
• Desire to excel and ability to work in a high paced environment, handling multiple responsibilities and projects.
• Strong work ethic, flexible.

Nice To Haves

• Bachelor's degree.
• Registered Nurse Experience applying medical necessity within Utilization Management.

Responsibilities

• Participates in process change and redesign to implement improvements (including business requirements and acceptance testing) to support operational vendors.
• Analyze KPI metric to root cause performance issues and drive results.
• Creates, maintains and monitors vendor performance records to baseline historical performance and trend and track performance over time.
• Frequently interacts with functional leaders at vendor location to provide guidance and performance feedback.
• Communicates and collaborates with operations stakeholders as needed to support overall Blue Cross quality and customer experience objectives.
• Identifies opportunities and recommends solutions that increase automation and resolve system deficiencies.
• Maintains awareness of systems, processes and expertise to support operations outsourced business units.
• Participates in assigned workgroups, committees, and project implementations.
• Collaborates with business and technical units to serve as vendor champion with internal stakeholders.
• Acts as mentor for other individuals in the department.

Benefits

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree