SysMind ยท 6 days ago
Business Systems Analyst
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ArchitectureConsulting
Insider Connection @SysMind
Responsibilities
Work with business partners to identify business systems requirements and develop business solutions working closely with internal IT and/or external vendors.
Perform as a senior-level business contact to define business system requirements for areas of expertise.
Build strong, collaborative working relationships with internal customers, management, external partners including Inter-Plan partners, outsourced IT solution providers, and other teams.
Assist in developing systems criteria and project scope.
Identify potential problems/defects, perform business analysis, and assist in defining system enhancements, modifications/change requests, and upgrades to meet business process objectives as defined by BCBSA National Program releases, BCBSA mandated initiatives, and internal processing enhancements.
Collaborate with internal IBC Test Team and associated vendor teams to assist in creating thorough Test Plans and identify appropriate Test Case Scenarios supporting defect fixes, enhancements, and projects as required. Provide business validation of testing results.
Coordinate testing with Inter-Plan partners and execute required Inter-Plan Release Global Certification testing, reporting milestone status to the assigned PM and/or Blue Cross Blue Shield Association (BCBSA).
Support production business checkout as required including identification of post-implementation defect tracking.
Identify opportunities for business process improvement and efficiencies to re-evaluate processes and operations workflows.
Attend BCBSA workgroups representing Independence Blue Cross Family of Companies as required.
Perform any other duties as may be assigned.
Qualification
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Required
Must have worked with Blue Cross Blue Shield Association (Any of State companies) in some capacity.
BSA with Host Blue Card processing knowledge
Direct Host experience processing Host claims
Understanding the BCBSA Policy around Host processing
A working knowledge and experience with BCBSA BlueCard processing and Inter-Plan Program policies
Ability to work with multiple business system platforms and have an extensive understanding of business process and system design
Coordinate with internal and external project management staff as required
Minimum 6+ years proven working experience in a business unit necessary or equivalent external work experience
Demonstrated effective project management skills necessary
Strong demonstrated experience using Microsoft office products (Word, PowerPoint, Excel and Visio)
Knowledge of project management tools and business systems methodology
Preferred
Knowledge of health insurance/health care/managed care environment preferred
Benefits
Health Insurance