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Business Analyst Job


 



About Blue Cross



 



Founded in 1933, Blue Cross and Blue Shield of Minnesota is the largest health plan in the state. We have more members, the largest network of providers and more products and services than any other plan in Minnesota. From the beginning, Blue Cross has been an innovator with a mission of making a healthy difference in people’s lives.



 



We understand the importance of finding a job that you truly enjoy — at a company that shares your values. We’ve made it easy to feel good about working at Blue Cross by encouraging volunteerism, valuing diversity and offering the flexibility you need to live a balanced life. We offer a suite of comprehensive medical and dental benefits as well as competitive pay, flexible work schedules and generous personal paid time off in addition to 20 hours of volunteer paid time off each year. We look forward to serving Minnesotans over the next 80 years and beyond. Join us and make a healthy difference through the work you do every day.


Description Summary

This position is responsible for the analysis, development, support, reporting and coordination of business workflow and to implement efficient business processes at an enterprise level.


Accountabilities


  1. Conducts in-depth research and quality analysis across various parts of the Medicare Part D program, including Coverage Determinations/Appeals, Grievances/CTMs, member issues, call center requirements, and Member Materials. Identifies trends, emerging issues to recommend best practices to ensure maximum results and develop metrics. Documents metrics and process changes.

  2. Effectively analyzes, designs, develops, tests, debugs, implements, maintains and/or enhances new or existing systems through reporting and documentation.

  3. Participates in and coordinates individual projects and related activities to ensure project progresses on schedule. Maintains adequate communication regarding project status, risks, issues, and priorities with project sponsors and leadership.

  4. Acts as a liaison with internal partners and external partners to identify opportunities and needs and researches/develops implementation plans for meeting these needs.

  5. Responsible for representing the customer and/or stakeholder (internal/external) while collaborating with business and technical units.

  6. Serves as senior subject matter expert associated with content, processes, and procedures.

  7. May lead project teams and may provide training to lower level staff to achieve project milestones and objectives.


Requirements


  • Bachelor’s degree in Business or related field and 5 years of experience or 9 years of related experience in lieu of degree.

  • Advanced collaborative, interpersonal, oral and written communication skills and demonstrated ability to develop accurate and appropriate communications.

  • Advanced ability to communicate to all levels of management.

  • Advanced research, analytical and problem-solving skills.

  • Intermediate skills in Microsoft Excel, Word, and Access.

  • Strong ability to make decisions based on analysis and business needs.

  • Ability to apply critical thinking skills and bring a different perspective to situations and challenge the status quo.

  • PBM/health plan experience.

  • Expert knowledge of Medicare Part D program requirements, specifically Chapter 18 of the Prescription Drug Benefit Manual (PDBM) - Part D Enrollee Grievances, Coverage Determinations, and Appeals.


Preferred Requirements


  • Pharmacy Technician certification and/or experience.


FLSA Status

Exempt

Blue Cross Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.



 



Make a difference



 



Thank you for your interest in Blue Cross. Be part of a company that lets you be you — and make a healthy difference in people’s lives every day



 



Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.



 



Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association