Blue Cross NC · 1 day ago
Business Systems Analyst
United States
Full-time
Remote
Mid Level
$67K/yr - $107K/yr
3+ years expBlue Cross NC is seeking a detail-oriented and collaborative Business Systems Analyst to bridge Medicare claims business needs with technical solutions. This role involves defining, evaluating, and validating requirements while ensuring processes and systems align seamlessly to minimize operational impacts.
Financial ServicesHealth InsuranceInsurance
Responsibilities
Provide technical knowledge and support in operational system/application and procedural issues to the Medicare claims business and IT and help the business find technical solutions to meet their goals
Work in some phases of systems analysis and consider the business implications of the application of technology to the current business environment
Provide ongoing user support for ad hoc questions, inquiries, and service requests
Provide timely and accurate data/root cause analysis, trend reporting on inventory, productivity, user activity, and system performance on a regular and/or as requested basis
Resolve medium, moderately complex production issues by:
Performing initial triage for severity and business impact of system/application failures
Troubleshooting and analyzing to determine root cause of issues
Developing applicable business processes and solutions to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met
Coordinating with IT, other teams and vendors as needed to communicate issues and devise and implement long term remedies
Develop 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 Medicare claims team and IT by eliciting and documenting business requirements and preparing appropriate functional specifications while considering technical capabilities of the system/application
May act as Business Lead/Coordinator on moderate single area/department projects
Coordinate testing plans with Business area and IT
Serve as point of contact for business testing activities and ensure testing will appropriately meet business requirements
Document and may, in some cases, execute test plans and scenarios
Analyze and verify testing results for accuracy, relevance and completeness
Provide impact assessments and make assist in formulating recommendations to the business owner regarding issues, risks, etc
Assist IT with hardware and software upgrades, security changes, and architectural enhancements as needed
Configure and maintain moderately critical system tables and data elements across multiple system environments
Analyze, develop and implement configuration changes to improve system performance and user efficiency
Monitor configuration for accuracy and compliance to change control processes
Qualification
Required
Bachelor's degree or advanced degree (where required)
3+ years of experience in related field
In lieu of degree, 5+ years of experience in related field
Preferred
1-2 years of Medicare and Medicaid experience or a highly regulated operational environment – highly preferred
Lean Six Sigma/continuous improvement training and/or certifications – preferred
Data extraction experience using SQL – highly preferred
Experience with Facets claims processing system – preferred
In depth understanding of health care business operations – highly preferred
Benefits
Medical, dental, and vision coverage along with numerous health and wellness programs.
Parental leave and support plus adoption and surrogacy assistance.
Career development programs and tuition reimbursement for continued education.
401k match including an annual company contribution
Company
Blue Cross NC
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way.
5001-10000 employees
H1B Sponsorship
Blue Cross NC 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
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (1)
2023 (2)
2022 (5)
2021 (13)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Tunde Sotunde
President and Chief Executive Officer
Caleb Davies
Medicaid Market CFO - Healthy Blue of NC Medicaid
Recent News
2026-01-06
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