Analyst - Payment Integrity Operations chez Blue Cross Blue Shield of Michigan Mutual Insurance Company

Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality.

• Support the development, coordination, and implementation of projects to enhance the overall efficiency of operational procedures, methods, controls, and performance.
• Compile and analyze operational data to identify and resolve business problems.
• Utilize and maintain available reporting systems. Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.
• Provide 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 to display operational data and propose business changes.
• Provide support to both internal departments and external entities by answering questions, supplying information and training.
• Participate on special projects or workgroups as assigned.

Qualifications

• Bachelor's Degree in a related field is preferred.
• Two (2) 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 changes to processes or procedures to address problems and improve departmental effectiveness.
• Organizational skills and ability to prioritize; must be able to coordinate multiple activities with varying timelines.
• Proficient in Microsoft Office suites.
• Ability to develop and maintain effective working relationships.

Departmental Preferences:

•    Strong analytical and critical thinking skills; ability to interpret and translate data into actionable insights.
•    Experience with financial modeling, reporting, or data analysis in a healthcare or payer environment preferred.
•    Comfortable working in cross-functional teams and adapting to shifting priorities.
•    Intermediate proficiency in tools such as Excel, Power BI, Tableau, or other data visualization platforms.
•    Strong communication skills and ability to support both ad hoc and recurring reporting needs for internal and external stakeholders.
•    Self-starter mindset with a willingness to learn and contribute across multiple areas of the Payment Integrity team.