
5001 - 10000 employees
Founded 1952
🏥 Healthcare
💼 Consulting
🛡️ Insurance
Healthcare • Consulting • Insurance
BlueCross BlueShield of Tennessee is a leading health plan provider in Tennessee, serving 3. 4 million members. The company is committed to creating a workforce where everyone is valued, respected, and part of the team, emphasizing diversity and inclusion. They offer a range of career opportunities, including internships through their BlueBridge program, enabling new professionals to transition from college to work. BlueCross BlueShield of Tennessee also focuses on providing exceptional customer service and community care, striving to make a difference in the healthcare industry. It is an independent licensee of the Blue Cross Blue Shield Association and a qualified health plan issuer in the Health Insurance Marketplace.
🔥 9 minutes ago
🎸 Tennessee – Remote
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧐 Business Analyst
🦅 H1B Visa Sponsor
👻 Ghost score 10%
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5001 - 10000 employees
Founded 1952
🏥 Healthcare
💼 Consulting
🛡️ Insurance
Healthcare • Consulting • Insurance
BlueCross BlueShield of Tennessee is a leading health plan provider in Tennessee, serving 3. 4 million members. The company is committed to creating a workforce where everyone is valued, respected, and part of the team, emphasizing diversity and inclusion. They offer a range of career opportunities, including internships through their BlueBridge program, enabling new professionals to transition from college to work. BlueCross BlueShield of Tennessee also focuses on providing exceptional customer service and community care, striving to make a difference in the healthcare industry. It is an independent licensee of the Blue Cross Blue Shield Association and a qualified health plan issuer in the Health Insurance Marketplace.
• Support Operational Oversight and Compliance initiatives through operational reporting, data analysis, process oversight, and Excel-based reporting • Focus on TennCare Employment and Community First CHOICES (ECF CHOICES) and Long Term Services and Supports (LTSS) • Monitor data for timeliness and compliance standards • Assist with external audits • Identify and investigate potential issues • Analyze data and trends • Recommend process improvements and support solution development • Partner with internal teams and stakeholders on compliance activities, audit reviews, reporting, and operational improvements • Ensure work is completed accurately and within established deadlines • Design, develop, assess, and implement organizational management projects, policies, and procedures • Identify business process improvement projects and recommend efficiencies to management • Conduct cost/benefit evaluations of external and internal resources • Analyze business requirements and production specifications to improve management operations
• Bachelor’s Degree or equivalent work experience required • Equivalent experience is defined as 4 years of professional work experience in a corporate environment • 3 years of technical or operational experience required • Database reporting skills utilizing Access, Cognos and data warehouse • Proficient in Microsoft Office (Outlook, Word, Excel, Access and PowerPoint) • Strong analytical, decision-making, organizational, and time-management skills • Ability to work independently with minimal supervision or function in a team environment • Ability to handle multiple projects and deadlines • Excellent oral and written communication skills • Strong interpersonal skills • Must reside in the State of Tennessee • Ability to work either 6:45 AM–3:15 PM CST or 7:00 AM–3:30 PM CST • Previous team lead experience highly preferred • Professional conduct and auditing credentials preferred • ECF CHOICES/LTSS experience preferred
• Remote work • Monday-Friday schedule
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