Configuration Services Enterprise Analyst - Hybrid

Blue Cross Blue Shield of Arizona
United States, Arizona, Phoenix
2444 W Las Palmaritas Dr (Show on map)
Nov 15, 2024
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.AZ Blue offersa 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. We are hiring for a future start date of 1/1/2025. This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona. PURPOSE OF THE JOB The Configuration Enterprise Analyst is able to support Configuration Services in any BCBSAZ project as a single resource representing corporate wide knowledge of business and functional processes. This combines the skillsets of a Project Manager, Business Analyst, Healthcare EDI Analyst, Software Development Analyst, Data/Reporting Analyst, Process Improvement Analyst, External Vendor Management Liaison, and Consultant. REQUIRED QUALIFICATIONS Required Work Experience 2 years' experience doing benefits or pricing configuration in the Health Rules Payor claims adjudication system 2 years of experience in healthcare or insurance field in at least three of the following areas: Project Management, including scope/schedule/cost documentation, analysis and reporting Business Analysis, including Business Requirements Documents and User Stories, Test Strategies, Test Scripts, Defects, etc. Healthcare EDI Analysis, including experience working with 270/271, 276/277, 278, 834, 835, 837, etc. file formats Software Development Analysis, including Business Requirement, Functional Design/Specification, QA/UAT Testing, Implementation and Post-Implementation processes Data/Reporting Analysis using Excel, Access, SQL or SAS Process Improvement, including Business Process Engineering (Current State vs. Future State Analysis, Gap Analysis, and Workflow Diagrams) External Vendor Management, including working with and/or managing External Vendor relationships Consulting, including Sponsor/Business Lead management and the ability to identify and resolve business or technical problems in a variety of team and organizational environments 1 year experience with either Jira or DevOps work tracking systems Required Education High-School Diploma or GED in general field of study (All Levels) Required Licenses N/A Required Certifications N/A PREFERRED QUALIFICATIONS Preferred Work Experience (All levels) 3 years' experience doing benefits or pricing configuration in the Health Rules Payor claims adjudication system 5 years of demonstrated experience in healthcare or insurance field in four or more of the following areas: Project Management, including scope/schedule/cost documentation, analysis and reporting Business Analysis, including Business Requirements Documents and User Stories, Test Strategies, Test Scripts, Defects, etc. Healthcare EDI Analysis, including experience working with 270/271, 276/277, 278, 834, 835, 837, etc. file formats Software Development Analysis, including Business Requirement, Functional Design/Specification, QA/UAT Testing, Implementation and Post-Implementation processes Data/Reporting Analysis using Excel, Access, SQL or SAS Process Improvement, including Business Process Engineering (Current State vs. Future State Analysis, Gap Analysis, and Workflow Diagrams) External Vendor Management, including working with and/or managing External Vendor relationships Consulting, including Sponsor/Business Lead management and the ability to identify and resolve business or technical problems in a variety of team and organizational environments 5 years of experience as a subject matter expert in at least two of the above areas 2 years' experience with either Jira or DevOps work tracking systems Preferred Education Bachelor's degree in mathematics, Computer Science, Information Systems, Business, or related field Preferred Licenses N/A Preferred Certifications N/A ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES Level 1 (Enterprise analyst) Act as lead business analyst for large or complex Initiatives/Mandates/Projects/Enhancements (with assistance from the Enterprise Analyst Lead or Manager) Develop complex (e.g. multiple departments/systems) business requirements on large efforts and flow specifications with little to no management direction. Decompose high-level project information and evaluates project components to forecast work effort required Interpret design specifications for comparison against defined business needs to ensure compatibility, consistency and completeness Write test scripts, perform testing and post-production validation Utilize problem-solving skills to improve procedures and processes, resolve system deficiencies and implement enhancements Facilitate and/or create new operational procedures and processes resulting from advancing technologies or capabilities. Resolve differences between customers and other team members in order to achieve organizational and project goals Interpret business and technical design specifications and resolve conflicts that arise when compared against the defined needs of the business. Fully support all business segments and platforms Level 2 (enterprise analyst lead) Supports Business, Sponsors and Project Managers with Project-level activities, including (but not limited to) Vendor Management, Project Plans and Schedules, Status Reports, and Risk/Issue Identification and Resolution Act as lead business analyst for large or complex Initiatives/Mandates/Projects/Enhancements (with minimal guidance from Manager) Ensures Service Level Agreements between department and operational or technical areas are met Proactively seeks opportunities to improve processes and procedures in support of customer satisfaction and corporate goals Mentors Level 1 analysts ALL LEVELS The position requires a full-time work schedule (at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements. REQUIRED COMPETENCIES Required Job Skills Basic skills with MS products, including Project, SharePoint, Word, Visio, and PowerPoint Excellent verbal and written communication skills and the ability to interact professionally and maintain positive working relationships in a cross-functional team environment Strong analytical skills in support of independent or team-based decisions utilizing customer input and research Strong problem-solving skills Strong time management skills Basic understanding in at least two of the following Business areas: Enrollment Configuration Claims and Customer Service Provider Contracting and Networks Appeals & Grievances, Utilization Management, and Care Management Web Portals (Public, Member, Provider, Broker and Group) Knowledge of systems and processes for various BCBSAZ Lines of Businesses, including Local, FEP, CHS, BlueCard Home/Host and Medicare Advantage Required Professional Competencies Ability to prioritize tasks and work on multiple priorities, sometimes under strict and competing time constraints Ability to build synergy with a diverse team in an ever-changing environment Ability to exercise independent judgment and demonstrate creative problem-solving techniques Ability to anticipate downstream impacts and factor in those considerations appropriately Ability to persevere in the face of resistance or setbacks Required Leadership Experience and Competencies Ability to support and execute on the priorities and direction of corporate leadership Ability to apply sound management decision making skills to perform effectively in the absence of management Ability to effectively deal with conflict Ability to present concepts effectively to varying levels of staff PREFERRED COMPETENCIES Preferred Job Skills Advanced skills with MS products, including Project, SharePoint, Word, Visio, and PowerPoint Advanced data analysis and reporting skills using Excel, Access or SAS Advanced understanding of Project Management, Analysis, and Software Development Best Practices Strong facilitation and presentation skills Ability to develop and implement solutions on behalf of the internal/external client and organization that result in win/win outcomes Advanced understanding in at least two of the following Business areas: Enrollment Configuration Claims and Customer Service Provider Contracting and Networks Appeals & Grievances, Utilization Management, and Care Management Web Portals (Public, Member, Provider, Broker and Group) Preferred Professional Competencies Ability to support any project or initiative as a utility player, especially in situations where the team/project is either under-staffed or missing the required roles/skillsets due to resource deficiencies Ability to develop solutions that meet the needs of internal and external customers that are in line with project and corporate strategic goals Ability to work with ambiguous and conflicting information while remaining focused on the end goal. Preferred Leadership Experience and Competencies Ability to develop and present recommendations to leadership that affect the direction and/or success of the project or initiative Ability to proactively identify and manage risks (including the development of mitigation plans) before the risks manifest into issues Our Commitment AZ Blue 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.