Provider Analytics & Workflow Optimization Specialist

Blue Care Network; Detroit (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

Blue Cross Blue Shield of Michigan is seeking a professional to assist and support management in evaluating, recommending, establishing, implementing and analyzing production workflows and processes to improve customer service levels and overall quality.

The role involves coordinating projects to improve efficiency, analyzing data to resolve problems, maintaining reporting systems, and providing updates to leadership.

Qualifications

• Bachelor's Degree preferred.
• Two years of related field experience required.
• Effective verbal, written communication and interpersonal skills.
• Ability to work independently or in a team and interact with all levels.
• Effective analytical and problem-solving skills to improve processes.
• Organizational skills and ability to prioritize multiple activities.
• Proficient in Microsoft Office suites.
• Ability to develop and maintain effective working relationships.

Responsibilities

• Support development, coordination, and implementation of projects to enhance efficiency of procedures, methods, controls, and performance.
• Compile and analyze operational data to identify and resolve business problems.
• Utilize and maintain available reporting systems; participate in testing, develop procedures/controls and improve updated processes.
• Provide leadership with status updates on projects and issues.
• Communicate 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 internal and external entities by answering questions, supplying information and training.
• Participate on special projects or workgroups as assigned.

Skills

Communication

Analytical thinking

Problem solving

Team collaboration

Organizational skills

MS Office

Education

Bachelor's Degree

Tools

PORTICO

Facets

NASCO

Provider systems

Automation tools (RPA)

Job description

Blue Cross Blue Shield of Michigan is seeking a professional to assist and support management in evaluating, recommending, establishing, implementing and analyzing production workflows and processes to improve customer service levels and overall quality.

The role involves coordinating projects to improve efficiency, analyzing data to resolve problems, maintaining reporting systems, and providing updates to leadership.