Address
Form of workAbout the Role
Brighton Health Plan Solutions (BHPS) is seeking an experienced Business Reporting Analyst for our Customer Service team to work on key departmental projects and client specific reporting. The ideal candidate has a curious mind and enjoys taking a challenging problem, breaking it down into sections, reviewing the information, and asking the right questions. This person must have exceptional people skills as well as creative solutions.
Primary Responsibilities
Essential Qualifications
About
At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all of your unique abilities.
Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions.
Come be a part of the Brightest Ideas in Healthcare™.
Company Mission
Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners.
Company Vision
Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.
DEI Purpose Statement
At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.
*We are an Equal Opportunity Employer
Brighton Health Plan Solutions (BHPS) is seeking an experienced Business Reporting Analyst for our Customer Service team to work on key departmental projects and client specific reporting. The ideal candidate has a curious mind and enjoys taking a challenging problem, breaking it down into sections, reviewing the information, and asking the right questions. This person must have exceptional people skills as well as creative solutions.
Primary Responsibilities
- Execute strategic initiatives developed by the Call Center leadership team that will improve customer satisfaction and business performance.
- Conduct requirement gathering with business users and technical team and capture the requirements and use cases.
- Develop and maintain a detailed project schedule, which includes administrative tasks while ensuring adherence to deadline.
- Organize and facilitate project-related meetings, including the creation of agendas, preparation of materials and recording minutes.
- Reports and analyzes events reports to assess first contact resolution, identify open events and works with call center management team to review and close. Identify gaps in events management to improve first call resolution percentage.
- Produces monthly reports for key clients incorporating call metrics, caller reasons, CSAT post call scores and other relative data elements.
- Collaborates with Analytic Teams to provide focused or regional analysis of member utilization trends and client spend.
- Produce reports, timelines, and graphics to communicate expectations and progress to management, customers, and other relevant parties.
- Identify process improvements and facilitate re-engineering of business process.
- Generates daily call center queue, agent performance reports and call tracker reports.
- Works with the Management team to gather all reporting required to produce Monthly agent scorecards.
- Produces and provides Customer Service Stats daily reporting for newly implemented clients.
Essential Qualifications
- Bachelor's Degree.
- 3+ years of Project management experience and 2-3 years in the Health Insurance Industry.
- Knowledge of CPT codes, ICD-10.
- Knowledge of managed care procedures, claims payment policies.
- Previous multi-channel experience (i.e., voice, email, and chat) a plus.
- Strong analytical, time management and written communication skills.
- Previous experience in a healthcare plan or call center preferred.
- Undergraduate degree in business administration or related field.
- Stakeholder management skills in large complex project/program with Internal and external teams.
- Strong knowledge of Microsoft Office including Word, Excel, Access, PowerPoint and Outlook.
- Knowledge of tuning SQL queries is a plus.
About
At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all of your unique abilities.
Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions.
Come be a part of the Brightest Ideas in Healthcare™.
Company Mission
Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners.
Company Vision
Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.
DEI Purpose Statement
At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.
*We are an Equal Opportunity Employer
