oracle
Business Systems Analyst Adv
Blue Cross Blue Shield of Michigan
Detroit, USA
Full-time
Mid
Hybrid
Discovered 2 days ago
Communication
Key Skills for This Role
Communication
Full Job Posting
QUALIFICATIONS
- Bachelor’s degree in related field preferred.
- Three (3) years of relevant technical or business work experience required.
- Experience in managing cross functional teams or projects required.
- Advanced knowledge preferred in system development life cycle, process design, re-engineering, and organization transformation, Six Sigma, CMMI or ITIL, and computer programming languages.
- Basic knowledge of business operations and systems requirement processes.
- Strong technical, analytical, systems skills.
- Display innovation in identifying, proposing, and overseeing the execution of business solutions.
- Written and verbal communication skills; interpersonal skills.
- Ability to provide technical or business guidance to clients, both internal and external.
- Ability to work independently, or within a team environment.
- Other related skills and/or abilities may be required to perform this job.
- Departmental Preferences:
- Five (5) years of experience in healthcare operations, business analysis, payment integrity, provider reimbursement, claims administration, dispute resolution, project implementation, or a related field is preferred.
- Demonstrated ability to analyze business processes, identify operational risks and opportunities, and develop practical solutions to improve effectiveness and efficiency is preferred.
- Experience developing and maintaining business requirements, process documentation, operating procedures, workflows, job aids, and reporting requirements is preferred.
- Strong analytical, organizational, and problem-solving skills with the ability to manage multiple priorities in a fast-paced environment is preferred.
- Experience collaborating with cross-functional stakeholders and external vendor partners to support operational execution, issue resolution, and process improvement initiatives is preferred.
- Experience supporting business readiness, testing, implementation, and change management activities is preferred.
- Experience working with dispute resolution processes, provider negotiations, vendor management, or regulatory compliance activities is preferred.
Preferred Qualifications
- Bachelor’s degree in related field preferred.
- Advanced knowledge preferred in system development life cycle, process design, re-engineering, and organization transformation, Six Sigma, CMMI or ITIL, and computer programming languages.
- Five (5) years of experience in healthcare operations, business analysis, payment integrity, provider reimbursement, claims administration, dispute resolution, project implementation, or a related field is preferred.
- Demonstrated ability to analyze business processes, identify operational risks and opportunities, and develop practical solutions to improve effectiveness and efficiency is preferred.
- Experience developing and maintaining business requirements, process documentation, operating procedures, workflows, job aids, and reporting requirements is preferred.
- Strong analytical, organizational, and problem-solving skills with the ability to manage multiple priorities in a fast-paced environment is preferred.
- Experience collaborating with cross-functional stakeholders and external vendor partners to support operational execution, issue resolution, and process improvement initiatives is preferred.
- Experience supporting business readiness, testing, implementation, and change management activities is preferred.
- Experience working with dispute resolution processes, provider negotiations, vendor management, or regulatory compliance activities is preferred.
About Blue Cross Blue Shield of Michigan
Apply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at Blue Cross Blue Shield of Michigan
Medical Director Medical Policy, CMS/MA
Detroit, USA
Director
Provides clinical program leadership and develops, implements and approves policies within recognized area of responsibility. Develop and maintain medical policy. Establish rationale for approving inquires and appeals. A
Discovered 3 days agoView →
Business Performance Analyst
Detroit, USA
Discovered Today
Materials Processor
Detroit, USA
Discovered TodayFull-time
Materials Processor
Detroit, USA
Discovered TodayFull-time
Medical Director Utilization Management
Detroit, USA
Discovered 2 days agoFull-time
BCN Clms Bus Sys Analyst
Grand Rapids, USA
Discovered 2 days agoFull-time
Medical Director Medical Policy, CMS/MA
Detroit, USA
Discovered 2 days agoFull-time
Paralegal
Detroit, USA
Discovered 2 days agoFull-time
Medical Director Medical Policy, CMS/MA
Detroit, USA
Discovered 3 days ago