Analyst - Senior

Company: Blue Cross Blue Shield of Michigan Industry: Health Insurance and Health Care Level: Non-Manager JobFamily: Multi-divisional Compensation: Competitive Total Compensation Package About Us When you think of Blue Cross Blue Shield of Michigan for health insurance, you can know you’re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future. We offer: Plans for employers and individuals that meet today’s needs, budgets and lifestyle The largest network of doctors and hospitals in the state Lower health care costs Higher quality health care Grants and programs that promote better health throughout Michigan Mission: We commit to being our members’ trusted partner by providing affordable, innovative products that improve their care and health. For Application Timeline & Selection Process: Legal Disclaimer: EEO Statement: view full text All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. view full text Legal Disclaimer: EEO Statement: view full text All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. view full text photo_library +12 Photos video_library 2 Videos Overview Position Summary This position leverages data analysis, process improvement, and strategic problem-solving to identify opportunities, improve workflows, and support initiatives that enhance organizational performance and customer experience. The successful candidate will collaborate with business partners across the organization to deliver actionable insights and lead projects that contribute to our mission of improving the health and well-being of the communities we serve. Responsibilities Analysis Identify and analyze operational data and develop insights in support of business objectives. Develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality. Identify and/or analyze business problems and develop recommendations for solutions to problems. Leadership Lead the development and implementation of projects and/or teams in order to produce desired results. Document and communicate project concepts, milestones and results. Recommend and assist with implementing standard policies and procedures. Ensure that corporate compliance is communicated, implemented and monitored on an ongoing basis. Performance Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process. Provide support to internal departments and external entities by answering questions, supplying information and training. Create and present reports and presentations to display operational data and proposed business changes. Requirements Education Bachelor's Degree in a related field is preferred. Experience Four (4) years of experience in a related field is required. Ability to lead and contribute to business unit and/or corporate projects. Skills 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. Proficient in Microsoft Office Suites. Ability to develop and maintain effective working relationships. Departmental Preferences Strong understanding of Medicare Advantage plan structure and CMS regulations & guidance. Proven experience processing MA PPO claims across Facility, Professional, Home & Host lines of business. About Us When you think of Blue Cross Blue Shield of Michigan for health insurance, you can know you’re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future. We offer: Plans for employers and individuals that meet today’s needs, budgets and lifestyle The largest network of doctors and hospitals in the state Lower health care costs Higher quality health care Grants and programs that promote better health throughout Michigan Mission: We commit to being our members’ trusted partner by providing affordable, innovative products that improve their care and health. For Application Timeline & Selection Process: With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust. View Summary Company: Blue Cross Blue Shield of Michigan Level: Non-Manager Compensation: Competitive Total Compensation Package JobFamily: Multi-divisional Industry: Health Insurance and Health Care Overview At Blue Cross Blue Shield of Michigan, the Senior Analyst plays a key role in driving operational excellence and informed business decision-making. This position leverages data analysis, process improvement, and strategic problem-solving to identify opportunities, improve workflows, and support initiatives that enhance organizational performance and customer experience. The successful candidate will collaborate with business partners across the organization to deliver actionable insights and lead projects that contribute to our mission of improving the health and well-being of the communities we serve. At Blue Cross Blue Shield of Michigan, the Senior Analyst plays a key role in driving operational excellence and informed business decision-making. This position leverages data analysis, process improvement, and strategic problem-solving to identify opportunities, improve workflows, and support initiatives that enhance organizational performance and customer experience. The successful candidate will collaborate with business partners across the organization to deliver actionable insights and lead projects that contribute to our mission of improving the health and well-being of the communities we serve. Responsibilities Identify and analyze operational data and develop insights in support of business objectives. Develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality. Identify and/or analyze business problems and develop recommendations for solutions to problems. Lead the development and implementation of projects and/or teams in order to produce desired results. Document and communicate project concepts, milestones and results. Recommend and assist with implementing standard policies and procedures. Ensure that corporate compliance is communicated, implemented and monitored on an ongoing basis. Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process. Provide support to internal departments and external entities by answering questions, supplying information and training. Create and present reports and presentations to display operational data and proposed business changes. Identify and analyze operational data and develop insights in support of business objectives. Develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality. Identify and/or analyze business problems and develop recommendations for solutions to problems. Lead the development and implementation of projects and/or teams in order to produce desired results. Document and communicate project concepts, milestones and results. Recommend and assist with implementing standard policies and procedures. Ensure that corporate compliance is communicated, implemented and monitored on an ongoing basis. Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process. Provide support to internal departments and external entities by answering questions, supplying information and training. Create and present reports and presentations to display operational data and proposed business changes. Requirements Bachelor's Degree in a related field is preferred. 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. Departmental Preferences Strong understanding of Medicare Advantage plan structure and CMS regulations & guidance. Proven experience processing MA PPO claims across Facility, Professional, Home & Host lines of business. Bachelor's Degree in a related field is preferred. 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. Departmental Preferences Strong understanding of Medicare Advantage plan structure and CMS regulations & guidance. Proven experience processing MA PPO claims across Facility, Professional, Home & Host lines of business. Legal Disclaimer: EEO Statement: view full text All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. view full text This position leverages data analysis, process improvement, and strategic problem-solving to identify opportunities, improve workflows, and support initiatives that enhance organizational performance and customer experience. The successful candidate will collaborate with business partners across the organization to deliver actionable insights and lead projects that contribute to our mission of improving the health and well-being of the communities we serve. #J-18808-Ljbffr Blue Cross Blue Shield of Michigan