Provide business requirements, create action plans, and implement new and updated workflows
Monitor various Association policies and procedures to ensure compliance
Resolve common, complex, and escalated issues impacting provider and member claims
Identify operational issues and initiate fixes to eliminate trends of claims adjudication
Partner with IT on the implementation of systemic solutions
Act as a liaison between internal divisions and the BCBSA
Manage error reports from the BCBSA and initiate systematic solutions

High School Diploma/GED required
Minimum of 2 years of experience in a relevant field, preferably in operations or claims processing environment
Project management/data analysis experience preferred

National Programs Analyst

Key skills