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CareFirst BlueCross BlueShield · 1 day ago

Functional Analyst II (Remote)

United States

Full-time

Remote

Entry, Mid Level

$55K/yr - $108K/yr

2+ years exp

CareFirst BlueCross BlueShield is seeking a Functional Analyst II to support the Pricing Administration Management department with NetworX Pricing. The role involves implementing provider pricing, analyzing business requirements, and collaborating with internal customers to ensure data accuracy and operational efficiency.

Health CareNon ProfitService Industry

No H1B

Responsibilities

Configures provider pricing by analyzing supporting documentation and determine appropriate methodology. Conducts root cause analysis to identify efficiencies and opportunities for improvement

Identifies operational requirements by analyzing requirements and business needs; determining scope; documenting results; identifying phases and elements and ensuring provider data accuracy and procedural guidelines

Collaborates with internal customers by frequent communication and status updates. May include conducting training; writing documentation; providing support and help

Develop operation problem solutions by studying system capabilities; analyzing alternative solutions; preparing functional specifications to ensure reimbursement methodologies developed meets the needs of the business

Review/Research operations systems by analyzing and resolving problems; reviewing system integrity and security; establishing and enforcing operation standards

Qualification

Microsoft OfficeData analysisFunctional specificationsRoot cause analysisCustomer serviceCommunicationTeam collaboration

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

2 years experience as a Functional Analyst OR 4 years experience in (level 2 or above) operational role

Highly proficient in Microsoft Office and similar applications

Ability to create graphics and report to non-technical audiences

Self-starter and ability to collaborate in a team environment

Excellent communication skills both written and verbal

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