Senior Business Systems Analyst - Payment Integrity

Job DescriptionUtilizing strong functional/technical area knowledge and expertise with relevant systems/applications. The incumbent defines, evaluates, and validates requirements, business functional design, and technical design for complex business issues within their domain areas. They act as a liaison representing their department and the processes and workings within it to develop effective technical solutions and minimize operational and system/application impacts. Coordinates with IT to support problem resolution, testing, software upgrades and related projects of a more complex nature.What You'll DoProvide advanced technical knowledge and support in system/application and procedural issues to the business and ITUse 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 problemsProvide systems analysis expertise and regularly considers the business implications of the application of technology to the current business environmentCoordinate ongoing user support for ad hoc questions, inquiries, and service requestsEnsure efficiency of reporting and data tools for supported business area use and for trend analysisCoordinate 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 activitiesWork 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 usedAct as Business Lead/Coordinator on large, complex departmental and/or some corporate projects/initiativesFacilitates project including intake, scheduling of projects, implementation, post-implementation support, and review and approve technical specificationsServe as point of contact for business testing activities and influence testing strategy to ensures testing will appropriately meet business requirementsAnalyze and verify results for accuracy, relevance and completeness. Provide impact assessments and make recommendations to the business owner regarding issues, risks, etcTrain/coach others on appropriate testing protocol, execution and test plan creationAssist IT and help identify business area impacts for hardware and software upgrades, security changes, and architectural enhancements as neededConfigure and maintain critical system tables and data elements across multiple system environmentsAnalyze, develop and implement configuration changes to improve system performance and user efficiencyWhat You'll BringBachelor's degree or advanced degree (where required)5+ years of experience in related fieldIn lieu of degree, 7+ years of experience in related fieldBonus PointsAdvanced knowledge of claims adjudication lifecycleFamiliarity with Payment Integrity programs and/or Pareo softwareWhat You’ll GetThe opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work 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 Learn more Salary RangeAt Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance.$75,900.00 - $136,600.00SkillsBusiness Processes, Business Process Improvements, IT Service Management (ITSM), Payment Integrity, Problem Management, Process Improvements, Requirements Analysis, Requirements Gathering, Solutions Development, Systems Analysis, Technical DevelopmentOriginally posted on Himalayas

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