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Blue Cross Blue Shield Association ยท 4 days ago
Sr Business Systems Analyst (Pharmacy Division)
Remote - Virginia
Full-time
Onsite
Mid, Senior Level
$76K/yr - $137K/yr
5+ years exp
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Responsibilities
Support Pharmacy Quality Team initiatives and work on Medicare Part D Patient Safety measure gap closure
Provide advanced technical knowledge and support in system/application and procedural issues to the business and IT and help the business find technical solutions to meet their goals.
Use judgment and initiative to review, analyze and develop solutions and applicable business processes for business systems while identifying and quantifying the business impact of those solutions to ensure quality, cost effectiveness, timeliness and customer service, including the resolution of large, complex production system problems.
Provide systems analysis expertise and regularly considers the business implications of the application of technology to the current business environment
Coordinate ongoing user support for ad hoc questions, inquiries, and service requests.
Ensure efficiency of reporting and data tools for supported business area use and for trend analysis.
Coordinate the development of system support processes with IT; coordinate daily to resolve production support issues, including application failures and user errors; document, track and report all system support activities
Work collaboratively on projects and initiatives with the business and IT to test and implement long-term solutions by eliciting and documenting business requirements and preparing appropriate functional specifications while considering technical capabilities of the system/application and ensuring an integrated approach is used.
Act as Business Lead/Coordinator on large, complex departmental and/or some corporate projects/initiatives.
Facilitates project including intake, scheduling of projects, implementation, post-implementation support, and review and approve technical specifications
Serve as point of contact for business testing activities and influence testing strategy to ensures testing will appropriately meet business requirements
Analyze and verify results for accuracy, relevance and completeness. Provide impact assessments and make recommendations to the business owner regarding issues, risks, etc.
Train/coach others on appropriate testing protocol, execution and test plan creation.
Assist IT and help identify business area impacts for hardware and software upgrades, security changes, and architectural enhancements as needed.
Configure and maintain critical system tables and data elements across multiple system environments
Analyze, develop and implement configuration changes to improve system performance and user efficiency
Provide timely and accurate reporting/data on inventory, productivity, user activity, and system performance on a regular and/or as requested basis.
Monitor configuration for accuracy and compliance to change control processes.
Collaborate with pharmacy benefits manager to assess program effectiveness and implement suggested recommendations for improvement when appropriate.
May have budget responsibilities to control expenditures in accordance with budget allocations, together with the conformance to timing, limits and usage of funding as agreed upon in the spending plan for the assigned program.
Qualification
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Required
Bachelor's degree or advanced degree (where required)
5+ years of experience in a related field
Strong functional/technical area knowledge and expertise with relevant systems/applications
Ability to define, evaluate, and validate requirements and technical designs for complex business issues
Experience coordinating with IT to support problem resolution, testing, software upgrades, and related projects
Proven ability to analyze business systems and identify solutions while considering technical capabilities
Excellent communication, collaboration, and leadership skills
Proficiency in MS Excel
Preferred
Medicare knowledge and/or experience
Experience with the following applications/platforms: Salesforce, Care Radius or relevant fulfillment tool (e.g., Blue Connect)
Experience in healthcare or pharmacy-related industries is a plus
Company
Blue Cross Blue Shield Association
Blue Cross Blue Shield Association is a national federation of 36 independent operated Blue Cross and Blue Shield companies.
1,001-5,000 employees
H1B Sponsorship
Blue Cross Blue Shield Association has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Trends of Total Sponsorships
2023 (1)
2022 (22)
2021 (4)
2020 (9)
Funding
Current Stage
Late StageLeadership Team
Kim Keck
President & CEO
Adam Myers
Chief Clinical Transformation Officer
Company data provided by crunchbase
