Senior Operations Vendor Performance Analyst

BlueCross BlueShield of Minnesota

Nov 15, 2024
About Blue Cross Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us. How Is This Role Important to Our Work? This position is responsible to perform highly complex technical and analytical work under limited supervision in support of driving the vendor performance through research, process audit, oversite and analysis of data for the Operations Division. The focus is on end-to-end vendor support that drive the operation of the business to ensure services and transactions are processed in a timely and accurate manner. A Day in the Life: Participates in process change and redesign to implement improvements (including business requirements and acceptance testing) to support operational vendors. Analyze KPI metric to root cause performance issues and drive results. Creates, maintains and monitors vendor performance records to baseline historical performance and trend and track performance over time. Frequently interacts with functional leaders at vendor location to provide guidance and performance feedback. Communicates and collaborates with operations stakeholders as needed to support overall Blue Cross quality and customer experience objectives. Identifies opportunities and recommends solutions that increases automation and resolves system deficiencies. Maintains awareness of systems, processes and expertise to support operations outsourced business units. Participates in assigned workgroups, committees, and project implementations. Collaborates with business and technical units to serve as vendor champion with internal stakeholders. Acts as mentor for other individuals in the department. Required Skills and Experiences: 5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered. Excellent collaborative, interpersonal, oral and written communication skills. Willingness to travel domestic or internationally, up to 4 weeks at a time. Intermediate technical skills (Microsoft Office - Excel, Word, Access). Desire to excel and ability to work in a high paced environment, handling multiple responsibilities and projects. Strong work ethic, flexible. Nice to Have: Bachelor's degree. Current, unrestricted RN Licensure. Experience applying Clinical Criteria based on service and diagnosis codes. Make A Difference Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic. Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talent.acquisition@bluecrossmn.com. All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S. Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.