Sr. Analyst - Key State Accounts - State of Michigan

Blue Cross Blue Shield of Michigan•Detroit, MI

11d

About The Position

This role is responsible for leading the development and implementation of programs and strategies by identifying insights that enhance business decision making capability. This includes developing or changing workflows and implementing process improvements to enhance organizational products, programs and service to our customers. The analyst will identify and analyze operational data and develop insights in support of business objectives. They will also develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality. Additionally, the analyst will identify and/or analyze business problems and develop recommendations for solutions, lead the development and implementation of projects and/or teams, document and communicate project concepts, milestones and results, recommend and assist with implementing standard policies and procedures, ensure corporate compliance is communicated, implemented and monitored, participate in systems testing, develop procedures/controls and provide recommendations for ongoing improvement, and provide support to internal departments and external entities by answering questions, supplying information and training. The role also involves creating and presenting reports and presentations to display operational data and proposed business changes.

Requirements

Customer-focused self-starter with ability to interact with the State of Michigan, members and providers.
Analytical thinker with ability to request and interpret data applicable to any project or assignment.
Extensive experience managing and keeping multiple projects on track, meeting all required deadlines, and communicating timely updates to external and internal stakeholders.
Experience with PPO and BCN benefits, certs and riders, Medicare and COB guidelines.
Four (4) years of experience in a related field is required.
Excellent analytical and problem-solving skills to identify, evaluate, recommend and implement changes to processes or procedures to address problems and improve departmental effectiveness.
Organizational skills and ability to prioritize; must be able to lead multiple activities with varying timelines.
Excellent verbal, written communication and interpersonal skills.
Ability to lead and contribute to business unit and/or corporate projects.
Proficient in Microsoft Office Suites.
Ability to develop and maintain effective working relationships.

Nice To Haves

NCompass, MembersEdge, FACETS, Benefit Explainer, Availity, Content Manager, CRM knowledge a plus.
Knowledge of BCBSM products and services (for example Omada and Livongo) and wellness initiatives to provide recommendations for group customers.

Responsibilities

Leading the development and implementation of programs and strategies by identifying insights that enhance business decision making capability.
Developing or changing workflows and implementing process improvements to enhance organizational products, programs and service to our customers.
Identifying and analyzing operational data and developing insights in support of business objectives.
Developing and improving work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality.
Identifying and/or analyzing business problems and developing recommendations for solutions.
Leading the development and implementation of projects and/or teams in order to produce desired results.
Documenting and communicating project concepts, milestones and results.
Recommending and assisting with implementing standard policies and procedures.
Ensuring that corporate compliance is communicated, implemented and monitored on an ongoing basis.
Participating in systems testing, developing procedures/controls and providing recommendations for the ongoing improvement of the updated process.
Providing support to internal departments and external entities by answering questions, supplying information and training.
Creating and presenting reports and presentations to display operational data and proposed business changes.