Jobs at Arkansas Blue Cross and Blue Shield

Retrieve, clean, integrate and analyze business, medical, operational, financial and customer data to produce reports, visualizations and insights. Identify trends, perform root cause analysis, support ad-hoc reporting and reporting process development, and consult with stakeholders to support decision making and process improvement.

Lead business systems analysis by gathering and translating requirements into technical specifications, configuring systems, designing reports, integrating data, performing testing and UAT, driving process improvements, and leading projects while mentoring team members.

Retrieve, clean, integrate and analyze business, medical, financial and operational data. Build repositories and reports, create data visualizations, identify trends and root causes, support ad-hoc requests, and provide insights to inform business decisions and process improvements.

Drafts, revises, and maintains ERISA- and ACA-compliant plan documents, SPDs, SBCs and amendments; coordinates with Benefits and Legal; manages approvals, template libraries, secure document storage, and resolves internal/external issues to ensure compliance and accurate plan administration.

Perform risk-based internal audits across operations, financial and non-financial reporting, and IT. Plan audits, conduct fieldwork, test controls, draft reports, support external audits and investigations, and advise on internal control improvements to enhance governance and compliance.

Provide nursing case management by assessing, planning, coordinating, implementing, monitoring, and evaluating care plans to optimize patient outcomes and cost-effective resource use. Serve as liaison among patients, families, clinicians, and community providers, maintain caseloads, ensure compliance with URAC and state regulations, and deliver disease-specific education and support.

Retrieve, integrate, analyze, and validate business, medical, operations, financial and customer data. Build repositories, perform data extraction and manipulation, identify trends and root causes, produce reports and visualizations, support ad-hoc requests, and consult with stakeholders to inform business decisions and process improvements.

Support implementation, configuration, and optimization of Epic Payer Platform to enable bidirectional clinical and administrative data exchange with provider partners. Configure applications, onboard and test integrations, monitor data quality and mapping, troubleshoot issues, develop documentation and training, and support workflows such as prior authorization, claims, risk adjustment, and HEDIS reporting to improve operations and member outcomes.