College Co-op: Operational Readiness Analyst
Independence Blue Cross, Phila, PA, United States
About the Hiring Department
The Operational Readiness Team drives business process improvements optimizing people process and technology to improve customer experience and realize meaningful cost containment.
Co-op Job Description
Support the Operational Readiness Team with analytics, quality assurance testing and reporting, tracking and trending of issues to effectuate Business Optimization & Cost Containment for the organization.
Responsibilities
Investigate claims processing and requests claims adjustments for AmeriHealth member and provider appeals.
Evaluate billing and enrollment challenges to determine root cause and resolution.
Perform root cause analysis to determine appropriate issue resolution across enterprise
Develop spreadsheets for tracking and trending issues/business challenges
Analyze claims utilization data and identify areas for cost savings improvement.
Research inquiries concerning claims, billing and enrollment.
Provide technical guidance and analytical claims support for various AHNJ business units including but not limited to Health Services, Sales Finance, Network Services and Product.
Support cost containment projects and corporate initiatives by participating on various project teams.
Assist with identifying par and non-participating provider issues and work closely
Assumes additional duties as requested.
Required Skills
Working knowledge of all Microsoft Office especially Outlook, Word, Excel, PowerPoint and Access.
Preferred Power BI skills
Interpersonal and effective communication skills of significant value.
Accepted Majors
Business
Population Health
Analytics
Classification
Junior or Senior undergraduate students
Recent graduate (must be within one year or less of the program start date)
Minimum GPA
3.0 or higher
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
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The Operational Readiness Team drives business process improvements optimizing people process and technology to improve customer experience and realize meaningful cost containment.
Co-op Job Description
Support the Operational Readiness Team with analytics, quality assurance testing and reporting, tracking and trending of issues to effectuate Business Optimization & Cost Containment for the organization.
Responsibilities
Investigate claims processing and requests claims adjustments for AmeriHealth member and provider appeals.
Evaluate billing and enrollment challenges to determine root cause and resolution.
Perform root cause analysis to determine appropriate issue resolution across enterprise
Develop spreadsheets for tracking and trending issues/business challenges
Analyze claims utilization data and identify areas for cost savings improvement.
Research inquiries concerning claims, billing and enrollment.
Provide technical guidance and analytical claims support for various AHNJ business units including but not limited to Health Services, Sales Finance, Network Services and Product.
Support cost containment projects and corporate initiatives by participating on various project teams.
Assist with identifying par and non-participating provider issues and work closely
Assumes additional duties as requested.
Required Skills
Working knowledge of all Microsoft Office especially Outlook, Word, Excel, PowerPoint and Access.
Preferred Power BI skills
Interpersonal and effective communication skills of significant value.
Accepted Majors
Business
Population Health
Analytics
Classification
Junior or Senior undergraduate students
Recent graduate (must be within one year or less of the program start date)
Minimum GPA
3.0 or higher
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
#J-18808-Ljbffr