Full-Time

Senior Analyst

Reimbursement Administration

Posted on 8/19/2025

Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of Michigan

10,001+ employees

Nonprofit mutual insurer administering health benefits

No salary listed

Detroit, MI, USA

In Person

Category
Business & Strategy (2)
,
Required Skills
Data Analysis
Requirements
  • 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.
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.
Desired Qualifications
  • General understanding of BCBSM business, products and programs.
  • Understanding of and experience with HCPCS/CPT coding and familiarity with medical terminology.
  • Experience in workgroups for implementation of corporate initiatives.
  • Familiar with Medicare reimbursement.
  • Proficient in MS Access (SQL), Excel and Word.
  • Self-starter able to multi-task, adapt to rapidly changing priorities, adjust work schedule and work with urgency to meet deadlines.
  • Ability to work effectively both independently and within a team to execute plans and achieve business results.
  • Strong research and analytic skills with strict attention to detail.
  • Ability to work closely with management and teammates to monitor and report on factors that may influence workflows and identify process improvement opportunities.
Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of Michigan

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Blue Cross Blue Shield of Michigan is a nonprofit mutual insurer that administers health benefits for more than 4.3 million members in Michigan and nationwide. It offers group health plans for businesses of various sizes, including a private exchange that lets employers provide a selection of benefits, along with life and disability insurance. Benefits are delivered through employer-sponsored plans and a network-based coverage model, with plans tailored to organizations and employees. The goal is to keep health costs affordable and predictable while providing broad access to coverage and employee benefit options.

Company Size

10,001+

Company Stage

N/A

Total Funding

N/A

Headquarters

Detroit, Michigan

Founded

1938

Simplify Jobs

Simplify's Take

What believers are saying

  • Tricia Keith assumes CEO role January 1, 2025, driving operational efficiencies.
  • Relocates 130 employees to downtown Grand Rapids September 2026, optimizing real estate.
  • Emphasizes affordability, aligning with community health initiatives amid rising costs.

What critics are saying

  • New antitrust lawsuit over 'phantom tax' fees on self-funded plans triggers DOJ scrutiny.
  • Historical MFN clauses led to $30 million Shane Group settlement in 2019.
  • Cascade office closure raises real estate costs, pressuring $40.6 billion revenues.

What makes Blue Cross Blue Shield of Michigan unique

  • BCBSM dominates Michigan with over 60% commercial insurance market share.
  • Offers diversified group plans, private exchange, life, and disability insurance.
  • Nonprofit mutual structure administers benefits for 4.3 million members nationwide.

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Benefits

Remote Work Options

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