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Blue Cross and Blue Shield Association
The Clinical Coding team seeks an experienced Business Analyst, Consultant with strong analytical, business, and technical expertise to support complex, cross functional initiatives.
This role is responsible for analyzing data, defining business requirements, and driving operational improvements related to payment policy, medical policy, and coding related processes, while also contributing to the development of annual operating plans, budgets, forecasts, and cost/benefit analyses for new initiatives. The Business Analyst, Consultant will report to the Sr. Manager, Clinical Coding.
In this role, you will play a critical role in ensuring payment and medical policy logic is accurately translated into system configuration, directly impacting claims accuracy, regulatory compliance, and cost of healthcare outcomes, while influencing cross-functional decision-making through expert analysis and identification of improvement opportunities.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Knowledge and Experience
Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
Your Work
Your Work
Adjudication, Analysis Skills, Budget Management, Business Analysis, Business Case, Business Operations, Business Solutions, Capital Budgeting, Centers for Medicare and Medicaid Services (CMS), Communication Skills, Consulting, Content Management Systems (CMS), Cost Benefit Analysis, Cost Forecasting, Cross-Functional, Data Analysis, Data Management, Editing, Forecasting, Gap Analysis, Health Information Technology, Healthcare, Interpersonal Skills, Leadership, Medical Coding, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Microsoft Visio, Microsoft Word, Multitasking, Operational Audit, Operational Improvement, Performance Analysis, Policy Development, Presentation/Verbal Skills, Problem Solving Skills, Process Improvement, Project Planning, Project/Program Management, Regulatory Compliance, Regulatory Requirements, Requirements Management, Research Skills, Risk Analysis, Root Cause Analysis, Systems Administration/Management, Technical Support, Time Management, Writing Skills
Blue Cross and Blue Shield Association
At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.
We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.
2,000 to 2,499 employees
Insurance
0
Matched to your profile
We surface this role because it matches profiles like yours, not because we vet the employer. Always confirm the pay, location, and remote details on Blue Cross and Blue Shield Association's official site before you apply.