Note: The job is a remote job and is open to candidates in USA. CareFirst BlueCross BlueShield is seeking a Functional Analyst III to support healthcare claims processing operations. The role analyzes business requirements, operational performance, metrics, and trends; recommends process improvements; develops reports and business cases; and leads and mentors lower-level analysts.
Responsibilities
- Optimizes Operations results by identifying and analyzing business requirements and operations; conducting performance studies; identifying key business metrics; developing and calibrating analytical, recommending process improvement priorities; identifying low-cost designs, materials, processes, and sources; evaluating new technologies. Lead and mentor lower level Analysts
- 20% Assesses adequacy of current processing operations by identifying and analyzing business requirements and operations; conducting performance studies; interviewing and conferring with operations personnel
- 20% Determines processing performance measures by identifying key business metrics; conducting benchmarking initiatives; developing and calibrating analytical, comparing operational models
- 20% Contributes to processing and organization success by welcoming related, different, and new requests; helping others accomplish job results. Lead and mentor lower level Analysts
- 10% Identifies opportunities for processing operational improvements by analyzing current operations; preparing cost/benefit analyses; developing business cases; recommending process improvement priorities
- 10% Supports process improvement programs by providing continuing measurements, analyses, and recommendations; developing new business models; identifying low-cost designs, materials, processes, and sources; evaluating new technologies
- 10% Maintains processing operations guidelines by writing and updating policies and procedures
- 10% Prepares processing operations analysis information and reports by collecting, analyzing, and summarizing data and trends
Skills
- Knowledge about 834 file layout, data analyzing, testing, expert in excel, good communication skills
- Education Level: Bachelor's Degree
- Education Details: Business Administration or related field
- Experience: 4 years progressive experience as a Functional Analyst OR 6 years experience in (level 2 or above) operational role
- In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience
- Highly proficient in Microsoft Office and similar applications, Expert
- Ability to create graphics and report to non-technical audiences., Expert
- Self-starter and ability to collaborate in a team environment., Expert
- Excellent communication skills both written and verbal., Expert
- Demonstrates necessary leadership attributes to lead projects while keeping operational leadership informed. , Advanced
- 10+ years experience in an operations role preferred
Benefits
- Remote work
Company Overview
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