Analysis Skills, Business Administration, Business Support, Claims Processing, Communication Skills, Computer Networks, Data Analysis, Health Economics, Healthcare, Healthcare Providers, Identify Issues, Information Technology & Information Systems, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Multitasking, Organizational Skills, Problem Solving Skills, Product Programs, Project Planning, Project Tracking, Project/Program Coordination, Root Cause Analysis, SQL (Structured Query Language), Statistics, Trend Analysis
Responsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management. Collaborate with teams across the enterprise to implement projects. Implement changes to claims processing based on the guidelines.
- Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues.
- Possess and maintain a comprehensive understanding and knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles/methodologies.
- Assist in the management and monitoring of multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
- Communicate results of analysis to management via reports/presentations and assist management in implementing programs that provide solutions.
- Recommend, communicate, and implement solutions to identified problems/root cause of issues.
- Provide expertise and guidance to unit and corporate staff as required.
- Represent and participate in group or committee discussions.
"Qualifications"
- Bachelor''s Degree in Business Administration, Economics, Health Care, Information Systems, Statistics or other related field is required. Master''s Degree in related field preferred.
- Four (4) or more years of experience in related field required.
- Strong communication skills are required to understand, interpret, and communicate ideas.
- Strong knowledge and use of existing software packages (PowerPoint, Excel, Word, etc).
- Working knowledge of data languages such as SAS or SQL.
- Strong analytical, organizational, planning and problem solving skills.
- Ability to effectively interface with employees at all levels.
- Understand and apply statistical inference.
- Other related skills and/or abilities may be required to perform this job.
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.
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Blue Cross and Blue Shield Association
At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.
2,000 to 2,499 employees
https://www.bcbs.com/about-us/careers