Michigan State Benefits Operations Analyst

Blue Cross Blue Shield of Michigan; Detroit (MI); On-site; USD 60,000 - 85,000; Full time

Job summary

Blue Cross Blue Shield of Michigan is seeking an operations analyst for the State of Michigan account. The analyst will handle member and claim escalations, investigate membership discrepancies, COB inquiries, and Medicare eligibility checks.

You will support project coordination, data analysis, and reporting, and assist with meetings and training to improve customer service levels. Occasional travel may be required.

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.

Responsibilities

• Respond timely to membership and claim related escalations from customer for Blue Cross or BCN members
• Investigate and resolve membership discrepancies
• Investigate and resolve COB inquiries
• Investigate and resolve Medicare eligibility inquiries
• Assist with presenting at Benefit Open Enrollment and retiree meetings
• Demonstrated ability to function as an engaged and positive ambassador of BCBSM/BCN with attitudinal qualities to service and retain our State of Michigan customer
• Occasional travel is required
• 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.

Skills

Verbal communication

Written communication

Interpersonal skills

Analytical thinking

Organizational skills

Education

Bachelor's degree in related field

Bachelor's degree preferred

Tools

Microsoft Office Suite

Job description

Blue Cross Blue Shield of Michigan is seeking an operations analyst for the State of Michigan account. The analyst will handle member and claim escalations, investigate membership discrepancies, COB inquiries, and Medicare eligibility checks.

You will support project coordination, data analysis, and reporting, and assist with meetings and training to improve customer service levels. Occasional travel may be required.