Job summary
Job post source
This job is directly from Blue Cross Blue Shield of Michigan
Job overview
The Analyst I - RN role at Blue Cross Blue Shield of Michigan involves providing clinical and technical support to medical review systems, impacting healthcare service quality and compliance.
Responsibilities and impact
The job entails designing, testing, and maintaining medical review systems, troubleshooting issues, compiling and analyzing data for reports, providing clinical recommendations, collaborating with teams, and participating in continuous improvement efforts.
Experience and skills
Requires an Associate's Degree in Nursing or RN Diploma, 2-3 years clinical experience including Medical Surgical, current Michigan RN license, strong communication skills, and proficiency with PC applications; Microsoft 365 and BCBSM systems experience preferred.
Company information
Blue Cross Blue Shield of Michigan is a healthcare insurance provider focused on medical reviews and compliance with regulations and accreditation standards.
Company overview
Blue Cross Blue Shield of Michigan is a nonprofit mutual insurance company that provides health insurance services to individuals and businesses. They generate revenue through premiums paid by policyholders and reimbursements from healthcare providers. Established in 1939, the company has a significant history of offering comprehensive health coverage and has evolved to include various health and wellness programs. They are part of the larger Blue Cross Blue Shield Association, which is a federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies.
How to land this job
Position your resume to highlight your clinical experience as a Registered Nurse, emphasizing your knowledge of medical-surgical care and patient health assessment aligned with Blue Cross Blue Shield of Michigan's requirements.
Focus on showcasing your technical skills related to system testing, troubleshooting, and data analysis, especially your ability to work with electronic tools and generate reports compliant with healthcare regulations.
Apply through multiple platforms including Blue Cross Blue Shield of Michigan's corporate careers page, LinkedIn, and other job boards where this role is posted to maximize your application visibility.
Connect with current employees in the clinical or utilization management divisions on LinkedIn, using ice breakers like asking about their experience with BCBSM systems or discussing recent trends in medical necessity reviews to start a conversation.
Optimize your resume for ATS by incorporating keywords from the job description such as 'clinical support,' 'medical necessity reviews,' 'data analysis,' 'utilization management,' and 'Microsoft 365' to ensure it passes automated screenings.
Leverage Jennie Johnson's Power Apply feature to automate tailored applications, identify multiple application channels, and find relevant LinkedIn contacts, allowing you to focus your time on preparing for interviews and networking effectively.
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