Insurance OPT Jobs in Michigan

INTRODUCTION

Responsible for leading the development and implementation of programs and strategies by identifying insights that enhance business decision making capability. This includes developing or changing workflows and implementing process improvements to enhance organizational products, programs and service to our customers.

ROLE AND RESPONSIBILITIES

• Identify and analyze operational data and develop insights in support of business objectives.
• Develop and improve work flows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality.
• Identify and/or analyze business problems and develop recommendations for solutions to problems.
• Lead the development and implementation of projects and/or teams in order to produce desired results.
• Document and communicate project concepts, milestones and results.
• Recommend and assist with implementing standard policies and procedures.
• Ensure that corporate compliance is communicated, implemented and monitored on an ongoing basis.
• Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process.
• Provide support to internal departments and external entities by answering questions, supplying information and training.
• Create and present reports and presentations to display operational data and proposed business changes.

BASIC QUALIFICATIONS

• Bachelor's Degree in a related field is preferred.
• Four (4) years of experience in a related field is required.
• Excellent 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 lead multiple activities with varying timelines.
• Excellent verbal, written communication and interpersonal skills.
• Ability to lead and contribute to business unit and/or corporate projects.
• Proficient in Microsoft Office Suites.
• Ability to develop and maintain effective working relationships.

PREFERRED QUALIFICATIONS

• Responsible for assisting and supporting management in the evaluation, recommendation, implementation and analysis of new and improved production workflows, work processes for systems, membership reporting and new products/programs to improve customer service levels and overall quality.
• Knowledge of the 834 HIPAA compliant file layout and the related updates made to BCBSM membership systems. Understand eMVP and eBilling (on-line membership and billing tool) and related interfaces is preferred.
• High understanding of Microsoft office tools (access & excel) is preferred.
• Background in project work, testing and developing timelines is preferred.
• Ability to create tech specs and work closely with our IT partners for SQL and opening tickets (ORCA) for enhancements is preferred.
• Able to analyze departmental tools to assist team in identifying potential breaks and work with peers to fix is preferred.

All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.