Business Operations Specialist

4 weeks ago

Nova Scotia, Canada Medavie Blue Cross Full time
Job Title: Business Support Analyst L2

Medavie Blue Cross is seeking a highly skilled Business Support Analyst L2 to join our team. As a key member of our Medicare Programs team, you will be responsible for providing exceptional customer service to our stakeholders, including DHW, providers, and residents.

Key Responsibilities:
  • Act as the primary point of contact for inquiries related to the physician and resident appeal process, providing support and recommendations to enhance efficiency.
  • Closely track, monitor, and document the physician audit appeal process, ensuring timely completion and accurate decision-making.
  • Communicate effectively with various stakeholders through phone, mail, email, and fax.
  • Coordinate Facilitated Resolution and Arbitration meetings, including participant coordination, logistical arrangements, and documentation preparation.
  • Develop and maintain reports to support the review and processing of Pre-payment assessment audits.
  • Acquire the ability to function in various roles, enabling training for future new employees.
  • Complete other customer-facing and internal support functions as required to support the business area.
  • Work collaboratively with IT and other business partners to resolve issues arising in daily operations and systems associated with Medicare Programs.
  • Develop training materials and support systems for the business area in conjunction with People Leaders.
  • Manage the update and development of business area procedures.
  • Perform audit processes for Medicare Program areas, such as BTO, in accordance with established schedules and policies.
  • Prepare quarterly and annual reports for the Surgical Access program.
Required Qualifications:
  • Post-secondary diploma or degree in a health-related field or equivalent work experience.
  • 3-5 years of relevant work experience.
  • Strong oral and written communication skills, with the ability to prioritize workload independently.
  • Proficiency in POSv, PRN, MS Excel, Word, and PowerPoint.
  • English language proficiency.
Core Competencies:
  • Demonstrates specialized knowledge of processes, policies, and precedents to perform the job and solve day-to-day issues independently.
  • Exhibits broad organizational knowledge in assessing complex issues through the identification of linkages and longer-term organizational-wide impacts.
  • Strong attention to detail and high level of accuracy, with the ability to solve routine and complex technical problems.
  • Communicates clearly and confidently, verbally and in writing, to a variety of audiences.
  • Dedicated to meeting the expectations and requirements of internal and external customers, with a focus on delivering exceptional service.
  • Results-driven and able to self-manage workload, with a focus on delivering high-quality results.
  • Demonstrates knowledge of team's overall role within Medavie Blue Cross, with a focus on leading work processes and improving team effectiveness.

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