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CareFirst BlueCross BlueShield · 2 hours ago

Business Systems Manager (Remote)

United States

Full-time

Remote

Mid, Senior Level

$119K/yr - $221K/yr

5+ years exp

CareFirst BlueCross BlueShield is a health insurance company seeking a Business Systems Manager. The role involves managing systems operations, including configuration setup, testing, and production issue resolution, while also supporting the operations team with reporting and queries for operational data.

Health CareNon ProfitService Industry

No H1B

Responsibilities

Manages the team's leadership and planning efforts. Hires, motivates, coaches, counsels, and develops team members and ensures that staff has appropriate tools and training. Evaluates performance of each team member, generates performance plans and sets goals within the context of the corporate policy. Ensures that team members are kept abreast of all relevant standards and methods. Develops and manages the team's budget

Ensures successful completion of day-to-day changes, corporate initiatives, and other projects by managing team and/or matrixed resources to ensure effective Systems Development Life Cycle (SDLC) activities spanning request analysis, requirements or specifications documentation, acceptance testing, development and maintenance of operating procedures operations support, and implementation impact assessment

Ensures successful completion of other tasks, such as daily maintenance of systems control files, benefit files, and reimbursement files, processing of trading partner transaction files, updating user documentation, and production of ad hoc reports. Ensures development and oversees use of team controls and processes for production systems support and monitoring, which includes issue analysis, tracking, and resolution. Document operational systems processes and work with peer managers to create process documents

Directs and participates in planning sessions to ensure that the teams' operations and long-range goals are coordinated with other department staff, IT, and clients. Develops and/or assists with the development of project management plans for day-to-day changes, corporate initiatives, and other projects. Provides resource estimates, timeframes, guides cost/benefit ROI business cases, and assists with the development of budgets for initiative projects. Oversees corporate processes for systems change management, spanning request submission, review, validation, prioritization, scheduling, and status reporting

Qualification

Business AnalysisSoftware Development Life CycleProject ManagementSystems OptimizationTeam LeadershipCustomer ServiceCommunication SkillsProblem-Solving Skills

Required

Bachelor's Degree in Business Administration or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience

5 years Business Analysis experience

1 year supervisory or progressive leadership experience

Demonstrated in-depth experience with technologies, systems, and business processes supported by the department (e.g., claims processing, enrollment and billing, financial, etc.)

Experience in industry best practices for project management (including resource estimating, tracking, and metrics), business/systems analysis, and software testing

Demonstrated competence with full software development project life cycle

Must be able to evaluate demands on a timely basis and distribute resources effectively, establish and manage multiple priorities, and respond appropriately to unplanned events/projects

Excellent written and verbal communication, interpersonal, analytical, and problem-solving skills

Must have the ability to negotiate and manage customer relationships and expectations

Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence

Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging

Must be eligible to work in the U.S. without Sponsorship