Independence Blue Cross LLC
Senior Data & Reporting Specialist (Legal)
Responsible for creation, evaluation, and analysis of all appeals and grievances reporting. Assess business requirements and implement solutions. Business tracking, trending, and analysis of all data points. Respond to requests from management that feature research, investigation, evaluation, documentation, and presentation of findings including recommendations. Development of Adhoc reports from both internal and external business partners and customers. Develops DLPs and maintains/updates as needed. Supports the implementation of new procedures by evaluating impacted areas, meeting with staff, training staff, using feedback from staff and incorporate into ongoing development. Designs and evaluates pre and post workflows and processes. Lead audit meetings, and facilitate cross functional responses to auditors. Validation of audit universes, and ongoing discrepancy tracking. Acts as a conduit for leadership decision-making pertaining to all A&G related activities and systems.
* Bachelor's degree in Business Administration preferred.
* In addition to degree, minimum 5+ years proven working experience in a business unit necessary or equivalent external work experience. Demonstrated effective project management skills necessary.
* Considerable knowledge of project management methods, best practices and analysis.
* Proven effective communication and analytical skills required to covey complex ideas and concepts to users, business systems analyst and management.
* Effective facilitation and presentation skills necessary to demonstrate business solutions in a clear and concise manner.
* Demonstrated ability to define business solutions, make decisions, identify problems, coordinate resources and implement changes.
* Must be detail oriented and understand corporate objectives. Ability to follow through on project life cycle while maintaining target deadlines.
* Must be able to work independently on projects and demonstrate strong and effective leadership skills.
Independence Blue Cross is an Equal Opportunity and Affirmative Action 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.