Teams at Arkansas Blue Cross and Blue Shield

Provide data validation, analysis, reporting and dashboard support to inform business decisions. Prepare and audit compensation data and transactions in Workday, validate extracted data, research anomalies, integrate data from multiple sources, and assist on special projects to ensure data accuracy and integrity.

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.

Assess, plan, implement, coordinate, monitor, and evaluate comprehensive care plans to meet patients' health needs. Serve as liaison among patients, families, providers, and community resources, ensure URAC and state compliance, provide disease-specific education, manage caseloads, facilitate cost-effective care and appropriate service levels, and document outcomes.