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

• 3 years of experience in healthcare or insurance field with an emphasis on Business Analysis
• Required Education
• Required Work Experience
• N/A
• Required Certifications
• Required Licenses
• 3 years of experience in quality management or operations field
• N/A
• 3 years of experience in process improvement
• High-School Diploma or GED in general field of study
• 1 year of experience in project management
• 3 years of experience in data mining and reporting

Preferred Qualifications

• N/A
• Preferred Licenses
• Preferred Work Experience
• 5 years of experience in a research, computer science, reporting and/or statistical field
• Bachelor’s Degree in business, computer science, mathematics, or statistics field of study
• Preferred Certifications
• Preferred Education
• Six Sigma Black Belt Certification or willingness to obtain certification
• Business Analyst Certification or willingness to obtain certification
• 5 years of experience in a healthcare related field with an emphasis on Business Analysis

Essential Job Functions And Responsibilities

• Perform high level and detailed analyses on metrics to identify patterns and trends that do not support desired results
• Suggest alternative methods and procedures in solving problems and meeting changing measurement and data needs
• Proactively identify continuous process improvements and work with team(s) to implement
• Train, mentor, coach and challenge process owners on continuous process improvements
• Analyze reports and data for aberrancies, reasonability and accuracy and provide recommendation for problem resolution to management
• Coach and train the operations managers on the use of productivity measurement systems and related data metrics
• Work with business unit managers and other OE Process Analysts to ensure best practices are shared across the organization
• Assist operations management in defining services levels and measuring the satisfaction of customer and key influencers with selected processes
• 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.
• Translate business needs into user requirements and document them for the technical team
• Identify process improvements during the measurements process and bring to area management’s attention
• Define and establish data measurement policies. Provide education of these policies to internal customers
• Perform all other duties as assigned
• Responsible for partnering with the business operations management to develop and maintain productivity strategies and measures

COMPETENCIES
Required Competencies

• Strong interpersonal and oral communications skills
• Ability to develop tactical plans
• Detail-oriented with ability to question existing data parameters, definitions and data flows, then track an issue back to its source
• Required Leadership Experience and Competencies
• Advanced data mining and analysis skills
• Proficiency in process improvement
• Strong organizational and planning skills
• Basic programming language and operating systems
• Presentation skills
• Intermediate mathematics
• Advanced analysis skills in observing, reporting and documenting processes at a detailed level to make decisions based off of data
• Advanced word processing, spreadsheet, database, analytic and reporting software
• Required Professional Competencies
• Basic project lead or project management skills
• Required Job Skills
• Advanced organizational skills and attention to detail
• Advanced PC proficiency
• Capable of investigative and analytical research
• Maintain confidentiality and privacy
• Facilitate and resolve customer requests and inquiries for all levels of management within the Corporation.

Preferred Competencies

• Preferred Leadership Experience and Competencies
• N/A
• Preferred Professional Competencies
• Skilled project lead or project management skills
• Intermediate programming language and operating systems
• Preferred Job Skills

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.