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Business Analyst I - Ii Remote - Az

Company

Blue Cross Blue Shield of Arizona

Address , Townley, Al
Employment type FULL_TIME
Salary
Expires 2023-07-27
Posted at 11 months ago
Job Description
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. BCBSAZ offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
Purpose of the job
On behalf of internal and external customers, gather and document business requirements, provide research and analysis related to project deliverables or production (break/fix) issues, conduct user acceptance testing (UAT), and act as a liaison between business customers, external customers, project teams and IT.
REQUIRED QUALIFICATIONS
Required Work Experience
  • 2 years of experience in healthcare or insurance field with emphasis on Business Analysis including Healthcare EDI (levels 2 – 4)
  • 2 years of experience in a role with demonstrated ability to communicate with diverse groups of people inside and outside of the business (levels 2 – 4)
  • 2 years of experience triaging complex issues from member and/or providers or experience as a ICS Triage Analyst. (lev 1)
Required Education
  • High-School Diploma or GED in general field of study (All Levels)
PREFERRED QUALIFICATIONS
Preferred Work Experience (All levels)
  • 5 years of experience in healthcare or insurance field with an emphasis on Business Analysis including Healthcare EDI
  • 1 year of experience in project management
  • 1 year testing experience
  • 5 years of experience in a role with a demonstrated ability to communicate with diverse groups of people inside and outside the business
Preferred Education
  • Bachelor’s Degree in Computer Science, Information Systems, Business, or related field (All levels)

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
Level 1

  • Write test scripts, perform testing and post-production validation
  • Provide first or second level support for internal/external customers
  • Act as a liaison between external/internal customers and IT; communicate system and process changes to business areas
  • Conduct research and analysis for issue resolution relating to electronic transactions, customer service applications, claim adjudication systems including reporting, process efficiencies. Track all items through to resolution.
  • Write and review business requirements, flow specifications or change requests
  • Utilize problem-solving skills to improve procedures and processes, resolve system deficiencies and implement enhancements
Level 2
  • Develop moderate complex (e.g. multiple departments/systems) business requirements on large projects and flow specifications with limited management direction.
  • Support multiple segments of business
  • Utilize existing reporting tools to develop and execute data queries for ad hoc requests; understand data source structures
  • Mentors Level 1 Analysts
  • Lead small to medium size projects; act as UAT Coordinator including test strategy and plan development
  • Understand EDI formats/syntax and file transfer protocols
  • Provide subject matter expert (SME) advice related to electronic transactions and other corporate systems in the prioritization of workload or issue research.
  • Resolve differences between customers and other team members in order to achieve organizational and project goals
  • Provide support to external customers to onboard Healthcare EDI processing and achieve HIPAA Transaction and Code Set compliance.
  • Facilitate and/or create new operational procedures and processes resulting from advancing technologies or capabilities.
  • Interpret design specifications for comparison against defined business needs to ensure compatibility, consistency and completeness
Level 3
  • Act as lead business analyst for large or complex projects
  • Develop complex (e.g. multiple departments/systems) business requirements on large projects and flow specifications with little to no management direction.
  • Mentors Level 1 and 2 Analysts
  • Fully support all business segments
  • Decompose high-level project information and evaluates project components to forecast work effort required
  • Interpret business and technical design specifications and resolve conflicts that arise when compared against the defined needs of the business.
Level 4
  • Ensures Service Level Agreements between department and operational or technical areas are met
  • Act as lead business analyst for large or complex projects with minimal guidance from lead or manager
  • Mentors all level of analysts
  • Proactively seeks opportunities to improve processes and procedures in support of customer satisfaction and corporate goals
ALL LEVELS
  • Each progressive level includes the ability to perform the essential functions of any lower levels and mentor employees in those levels.
  • Perform all other duties as assigned
  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements. Participate in on-call rotation
REQUIRED COMPETENCIES
Required Job Skills (Applies to All Levels)
  • Strong analytical skills to support independent and effective decisions based on customer input and research
  • Basic skills with query tools
  • Strong understanding of file handling and data translation
  • Strong time management skills
  • Basic skills with core MS products: Word, Excel, IE, Outlook, Visio, PowerPoint
  • Excellent verbal and written communication skills and the ability to interact professionally and maintain positive working relationships with a diverse group
  • Strong problem-solving skills
Required Professional Competencies (Applies to All Levels)
  • Anticipates downstream impacts and factors in those considerations appropriately
  • Ability to build synergy with a diverse team in an ever-changing environment
  • Prioritize tasks and work mulitple priorities, sometimes under strict time constraints
  • Ability to exercise independent judgment and demonstrate creative problem solving techniques
  • Perseverance in the face of resistance or setbacks
Required Leadership Experience and Competencies
  • Ability to present concepts effectively to varying levels of staff (Applies to Levels 2 - 4)
  • Effectively deal with conflict
  • Support priorities and direction of corporate leadership
  • Ability to apply sound management decision making skills to perform effectively in the absence of management
PREFERRED COMPETENCIES
Preferred Job Skills (Applies to All Levels)
  • Experience with web portal business user support and change management activities
  • Familiar with HIPAA compliance validation tools such as EDISM, Specbuilder or ClarEDI.
  • Familiar with claims and customer service processes
  • Demonstrates an advanced knowledge of and experience with the development of business requirements, user acceptance testing and their supporting toolsets.
  • Formal business analyst training
Preferred Professional Competencies (Applies to All Levels)
  • Driven to identify solutions to meet customer needs.
  • Performs public speaking presentations within the industry
  • Ability to work with ambiguous and conflicting information while keeping focused on the end goal.
Our Commitment
BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.