JEFFREY N. LANE
Senior Business Analyst
Detroit,MI
Summary
Business professional with comprehensive background in analyzing complex data to drive strategic initiatives. Known for enhancing operational efficiency and supporting decision-making processes through detailed analysis. Highly collaborative team member focused on achieving results and adapting to dynamic business needs. Proficient in data modeling and process improvement.
Overview
7
7
years of professional experience
Work History
Business Analyst (Promoted to Senior Analyst, Nov 2025)
Blue Cross Blue Shield of Michigan / Emergent Holdings
Detroit, MI
05.2023 - Current
- Leading member experience initiatives and operational analytics for Medicare Advantage populations
- Promoted to Senior Analyst (November 2025) to lead enrollment operations oversight, managing daily reconciliation of enrollment data across multiple reporting systems, identifying and resolving discrepancies to ensure enrollment accuracy and regulatory compliance
- Analyze member engagement data across 50,000+ member population to identify gaps in preventive care utilization and develop targeted outreach strategies that improved screening rates by 18%
- Optimize AEP/OEP member enrollment processes using Salesforce, creating streamlined workflows that reduced enrollment cycle time by 25% and improved member satisfaction scores
- Partner with IT, compliance, clinical, and vendor teams to ensure member programs meet regulatory standards (CMS, state) and align with organizational quality objectives
- Monitor and report on program performance metrics, presenting actionable insights to executive leadership that resulted in 15% improvement in member engagement initiatives
- Facilitate bi-weekly stakeholder reviews with cross-functional teams to track member outreach campaign effectiveness and adjust strategies based on data trends
Case Management Specialist
Blue Cross Blue Shield of Michigan
Detroit, MI
08.2021 - 05.2023
- Delivered member-focused care coordination and program support for diverse member populations
- Conducted member outreach and engagement for high-risk populations, achieving 92% member contact rate through personalized communication strategies and follow-up coordination
- Performed utilization trend analysis to identify opportunities for preventive care interventions, supporting strategic benefit planning and program development
- Resolved complex member issues requiring cross-departmental coordination, serving as liaison between members, providers, clinical teams, and operations
- Presented program outcomes and recommendations to leadership stakeholders, contributing to 15% improvement in care management program effectiveness
- Maintained detailed case documentation and reporting in compliance with HIPAA and organizational quality standards
Project Manager
LOH Outreach (Nonprofit Community Organization)
Detroit, MI
01.2019 - 01.2022
- Designed and led community programs improving access to preventive services for underserved populations
- Developed and executed comprehensive community outreach strategy serving 2,500+ individuals annually, including resource navigation
- Coordinated multi-partner community events with providers, community organizations, vendors, and volunteers, successfully planning and executing 40+ resource events
- Created and implemented marketing campaigns (digital, print, community partnerships) that increased program participation by 150% and expanded geographic reach across three counties
- Built strategic relationships with faith-based organizations, and community leaders to maximize program reach and impact in underserved populations
- Tracked program metrics and outcomes, developing operational models to measure efficiency, member attendance, and impact, presenting findings to board of directors quarterly
- Managed program budget and vendor relationships, ensuring cost-effective service delivery while maintaining quality standards
- Trained and supervised 15+ volunteers and community health workers, fostering member-centered approach to engagement
Education
Bachelor of Science - Business Management
Colorado Technical University
Colorado Springs, CO04-2026
Bachelor of Science in Health Services Administration - Leadership
University of Detroit Mercy
Detroit, MI05-2018
Skills
Problem-solving
Project management
Requirements gathering
Microsoft Office Suite
Team collaboration
CRM systems
Attention to detail
Timeline
Business Analyst (Promoted to Senior Analyst, Nov 2025)
Blue Cross Blue Shield of Michigan / Emergent Holdings
05.2023 - Current
Case Management Specialist
Blue Cross Blue Shield of Michigan
08.2021 - 05.2023
Project Manager
LOH Outreach (Nonprofit Community Organization)
01.2019 - 01.2022
Bachelor of Science - Business Management
Colorado Technical University
Bachelor of Science in Health Services Administration - Leadership
University of Detroit Mercy
RELEVANT QUALIFICATIONS
- Healthcare Industry Experience: 5+ years in Blue Cross Blue Shield operations, Medicare programs, and member services
- Project Management: Proven experience managing community health initiatives from planning through execution and evaluation
- Member and Customer Focus: Extensive background in member engagement, outreach coordination, and experience improvement
- Marketing and Communications: Developed outreach campaigns increasing participation 150%, skilled in member education materials
- Analytical Excellence: Strong quantitative skills with ability to monitor trends, analyze findings, and drive improvements
- Independent and Self-Motivated: Demonstrated success working autonomously in field-based and remote environments
- Travel Ready: Experienced in regional program coordination with flexibility for extensive travel across service areas
PROFESSIONAL ATTRIBUTES
- Problem Solver: Capacity to manage multiple priorities with critical deadlines while maintaining accuracy and attention to detail
- Relationship Builder: Strong interpersonal and organizational skills with ability to engage diverse stakeholders from providers to executive leadership
- Results Oriented: Track record of delivering measurable impact through data-driven strategies and member-centered program design
- Adaptable Professional: Comfortable in both structured healthcare environments and dynamic community settings requiring flexibility and initiative