
1001 - 5000 employees
Founded 1938
🏥 Healthcare
💼 Consulting
🛡️ Insurance
Healthcare • Consulting • Insurance
Capital Blue Cross is a health insurance company that offers a range of health plans for individuals, families, and employers. They serve customers in Central Pennsylvania and the Lehigh Valley, focusing on providing health coverage services such as Medicare plans, student health plans, and resources for managing medical care. Capital Blue Cross positions itself as a partner in health, emphasizing support for members' overall wellness and preventive health measures.
🔥 12 hours ago
🔔 Pennsylvania – Remote
💵 $57k - $105.9k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧐 Analyst
🦅 H1B Visa Sponsor
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1001 - 5000 employees
Founded 1938
🏥 Healthcare
💼 Consulting
🛡️ Insurance
Healthcare • Consulting • Insurance
Capital Blue Cross is a health insurance company that offers a range of health plans for individuals, families, and employers. They serve customers in Central Pennsylvania and the Lehigh Valley, focusing on providing health coverage services such as Medicare plans, student health plans, and resources for managing medical care. Capital Blue Cross positions itself as a partner in health, emphasizing support for members' overall wellness and preventive health measures.
• Provide analytical, technical, and problem-solving support to the Manager Large Group Delinquency • Develop and maintain Large Group delinquency processes • Automate delinquency processes where possible and develop methods to manage and report on manual processes • Mitigate company risk while maintaining positive customer relationships • Analyze and report on complex receivable data • Confirm the accuracy of internal reports with staff • Perform variance analysis and develop reports and tracking tools • Improve existing tools to analyze, project, and record results • Serve as department project lead for medium-scale 40–500-hour department or corporate projects and maintenance activities • Provide verbal and written project status updates • Identify project risks, contingencies, root causes, and process improvement opportunities • Manage and monitor group payment arrangements and other delinquency issues • Collaborate with Legal and other departments to prepare letters and communications • Summarize advanced analytical research for intended audiences • Facilitate meetings and prepare agendas, minutes, and documentation • Communicate roadblocks and impacts to management and business areas • Collaborate with Legal, Operations, Sales, IT&D, and other business areas • Provide analytical data and Large Group receivable reports to Finance management
• 3 years’ experience working with an integrated business system handling claims processing, membership, billing, network, clinical, customer service, and product processes • Experience planning, organizing, and managing major activities • Ability to comply with corporate and department policies, procedures, and standards • Detailed knowledge of group invoicing/billing in Facets and ASO invoicing on SharePoint • Knowledge of the health care industry and Capital corporate structure • Knowledge of standards, policies, business practices, and procedures across multiple departments and systems • Familiarity with services, systems, and processes provided by external business partners • Proficiency with Microsoft Office Suite • Proven ability to direct and guide multiple simultaneous complex projects with substantial or critical customer/business impacts • Very strong quantitative and qualitative analytical skills • Ability to analyze complex problems, determine impacts, and develop business solutions or recommendations • Project planning, organization, leadership, and control skills • Strong written and verbal communication skills for technical and non-technical audiences • Persuasion and negotiation skills • Ability to lead meetings, give presentations, conduct effective interviews, and adapt to changing priorities • Bachelor’s degree preferred • Ability to work over 40 hours per week • Ability to occasionally lift or move up to 5 pounds
• Medical, Dental & Vision coverage • Retirement Plan • Paid Time Off • Holidays • Volunteer time off • Incentive Plan • Tuition Reimbursement • Flexible work environment • Training and continuing education • Community volunteer opportunities
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