College Co-op: Operational Readiness Analyst
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.
• 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.
Inclusion and Belonging
At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
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.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.