Medicare Supplement Analyst (Remote/Hybrid)

Awarded the Best Place to Work 2021, Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

This position is remote/hybrid within the state of AZ only

PURPOSE OF THE JOB

Support and drive analysis on the end-to-end health of the operation, to identify improvement opportunities within our success, metrics, and to collaborate inside and outside the team, and across the enterprise where necessary, to develop and implement new solutions for old or new challenges that support our Medicare optimization journey. Some examples could include assessing workflows across functions for efficacy and quality and cost, developing visibility and reporting (or reporting requirements) where we believe gaps exist but we don’t have the needed data points, using data to create insights that allow

us to make decisions from those insights, and staying current with CMS guidance across the operational functions to support the leadership team in staying ahead or current with guidance, changes, and considerations on the horizon.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

1. Required Work Experience

· 3 years of experience in data mining and reporting

· 3 years of experience in healthcare or insurance field with an emphasis on Business Analysis

· 1 year of experience in project management

· 3 years of experience in process improvement

· 3 years of experience in quality management or operations field

2. Required Education

· High-School Diploma or GED in general field of study

3. Required Licenses

· N/A

4. Required Certifications

· N/A

PREFERRED QUALIFICATIONS

1. Preferred Work Experience

· 5 years of experience in a healthcare related field with an emphasis on Business Analysis

· 5 years of experience in a research, computer science, reporting and/or statistical field

2. Preferred Education

· Bachelor’s Degree in business, computer science, mathematics, or statistics field of study

3. Preferred Licenses · N/A

4. Preferred Certifications

· Six Sigma Black Belt Certification or willingness to obtain certification

· Business Analyst Certification or willingness to obtain certification

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

· Responsible for partnering with the business operations management to develop and maintain productivity strategies and measures

· Suggest alternative methods and procedures in solving problems and meeting changing measurement and data needs

· Identify process improvements during the measurements process and bring to area management’s attention

· Analyze reports and data for aberrancies, reasonability and accuracy and provide recommendation for problem resolution to management

· Perform high level and detailed analyses on metrics to identify patterns and trends that do not support desired results

· Define and establish data measurement policies. Provide education of these policies to internal customers

· Coach and train the operations managers on the use of productivity measurement systems and related data metrics

· Translate business needs into user requirements and document them for the technical team

· Proactively identify continuous process improvements and work with team(s) to implement

· Assist operations management in defining services levels and measuring the satisfaction of customer and key influencers with selected processes

· Train, mentor, coach and challenge process owners on continuous process improvements

· Work with business unit managers and other OE Process Analysts to ensure best practices are shared across the organization

· The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

· Perform all other duties as assigned

COMPETENCIES

REQUIRED COMPETENCIES

1. Required Job Skills

· Advanced word processing, spreadsheet, database, analytic and reporting software

· Intermediate mathematics

· Basic programming language and operating systems

· Advanced PC proficiency

2. Required Professional Competencies

· Advanced data mining and analysis skills

· Advanced analysis skills in observing, reporting and documenting processes at a detailed level to make decisions based off of data

· Detail-oriented with ability to question existing data parameters, definitions and data flows, then track an issue back to its source

· Capable of investigative and analytical research

· Strong organizational and planning skills

· Proficiency in process improvement · Basic project lead or project management skills

· Maintain confidentiality and privacy

3. Required Leadership Experience and Competencies

· Advanced organizational skills and attention to detail

· Strong interpersonal and oral communications skills

· Presentation skills

· Ability to develop tactical plans

· Facilitate and resolve customer requests and inquiries for all levels of management within the Corporation.

PREFERRED COMPETENCIES

1. Preferred Job Skills

· Intermediate programming language and operating systems

2. Preferred Professional Competencies

· Skilled project lead or project management skills

3. Preferred Leadership Experience and Competencies

· N/A

Our Commitment

BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.