Employer Industry: Healthcare Insurance

Why Consider this Job Opportunity:
- Competitive salary up to $113,295
- Opportunity for career advancement and growth within the organization
- Comprehensive health benefits (Medical/Dental/Vision)
- Generous paid time off and incentive plans
- Wellness programs and tuition reimbursement
- Chance to make a positive impact on operational performance and customer satisfaction

What to Expect (Job Responsibilities):
- Conduct research and root cause analysis to identify operational deficiencies and recommend solutions
- Develop forecasting tools and translate business requirements for IT development
- Lead or participate in project workgroups and conduct User Acceptance Testing
- Prepare materials for internal and external audits and review findings/reports
- Coach/mentor less experienced staff and assist with work assignments

What is Required (Qualifications):
- Bachelor's Degree preferred
- Minimum of seven (7) years' experience in an operational or analytical role
- Experience with StepWise rating tool required
- Knowledge of Healthcare industry and Project Management methodologies
- May require working knowledge of Horizon Blue Cross Blue Shield products and services

How to Stand Out (Preferred Qualifications):
- Experience with insurance rating systems
- Knowledge of facility billing procedural (CPT/HCPCS) and diagnostic (ICD10) codes

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