Sr. Inter-Plan Business Systems Analyst

Remote Full-time
Sr. Inter-Plan Business Systems Analyst Location: Philadelphia, PA (Hybrid – 3 days/week from office) Duration: 08 month Years of exp: 6+ Description Claims Operations is hiring a Sr. Inter-Plan Business Systems Analyst to join our Shared Services BlueCard and Operations Support Team. This professional will be responsible for supporting the Inter-Plan BlueCard business for all Independence product lines across multiple processing platforms performing as subject matter expert. Responsibilities • Work with business partners to identify business systems requirements and develop business solutions working closely with internal IT and/or external vendors. • Perform as senior level business contact to define business system requirements for areas of expertise. • Build strong, collaborative working relationships with internal customers, management, external partners including Inter-Plan partners, outsourced IT solution providers, and other teams. • Assist in developing systems criteria and project scope. • Identify potential problems/defects, perform business analysis, and assist in defining system enhancements, modifications/change requests, and upgrades to meet business process objectives as defined by BCBSA National Program releases, BCBSA mandated initiatives, and internal processing enhancements. • Collaborate with internal IBC Test Team and associated vendor teams to assist in creating thorough Test Plans and identify appropriate Test Case Scenarios supporting defect fixes, enhancements, and projects as required. Provide business validation of testing results. • Coordinate testing with Inter-Plan partners and execute required Inter-Plan Release Global Certification testing, reporting milestone status to the assigned PM and/or Blue Cross Blue Shield Association (BCBSA). • Support production business checkout as required including identification of post-implementation defect tracking. • Identify opportunities for business process improvement and efficiencies to re-evaluate processes and operations workflows. • Attend BCBSA workgroups representing Independence Blue Cross Family of Companies as required. • Perform any other duties as may be assigned. The ideal candidate will possess: • A working knowledge and experience with BCBSA BlueCard processing and Inter-Plan Program policies. • An understanding of the business environment and associated system platforms. • Demonstrated effective organizational, analytical, technical (with business perspective) and interpersonal skills with detail-oriented focus. Must be able to present findings to management. • Proven communication and analytical skills required to address and present most complex ideas and concepts to users, business systems analysts, and management. • Ability to work with multiple business system platforms and have an extensive understanding of business process and system design. • Effective facilitation and presentation skills necessary to demonstrate and train in business systems solutions in a clear and concise manner. • Clearly define desk level procedures as required. • Coordinate with internal and external project management staff as required. • Knowledge of health insurance/health care/managed care environment preferred. Education and Experience · Bachelor’s degree in business administration preferred. · In addition to a degree, a minimum of 6+ years of proven working experience in a business unit is necessary or equivalent external work experience. Demonstrated effective project management skills necessary. · Strong demonstrated experience using Microsoft Office products (Word, PowerPoint, Excel and Visio). · Knowledge of project management tools and business systems methodology. Apply tot his job
Apply Now

Similar Opportunities

Care Manager job at Blue Cross Blue Shield – BCBS in Baltimore, MD

Remote Full-time

Case Manager, Maternity (RN or LMSW)

Remote Full-time

Utilization Management Clinical Specialist-Behavioral Health (Full Time, Remote, North Carolina Based)

Remote Full-time

[Hiring] Pre-Certification Specialist Behavioral Health @Independence Blue Cross

Remote Full-time

Telehealth for Mental Health Status Evaluations

Remote Full-time

Intake Specialist-Brown Deer

Remote Full-time

Licensed Behavioral Health Therapist-Telehealth Only

Remote Full-time

Lead, Behavioral Health (must reside in WI)

Remote Full-time

Family Engagement Specialist (Remote Oregon - MUST LIVE IN Eastern, Central or The Gorge region of OREGON)

Remote Full-time

Qualified Professional / Intensive In Home

Remote Full-time

Sr. Director - IT Security Architecture - REMOTE

Remote Full-time

Remote Email and Chat Support Specialist – Immediate Start –

Remote Full-time

**Experienced Customer Service Representative – Delivering Exceptional Experiences at arenaflex**

Remote Full-time

**Experienced Virtual Customer Service Representative – Entry-Level – Work From Home (WFH) Opportunity at arenaflex**

Remote Full-time

Freelance Clinical Research Associate

Remote Full-time

**Experienced Data Entry Specialist – Designing Data-Driven Solutions for a Global Entertainment Leader**

Remote Full-time

Remote Typing Jobs for Teens – Flexible, Immediate Start, and Career Development Opportunities

Remote Full-time

Practice Manager – Healthcare Operations (Remote – USA)

Remote Full-time

**Experienced Work-from-Home Customer Benefits Representative – Thriving in a Virtual Environment**

Remote Full-time

Remote Jobs No Degree | Customer Care Specialist | $25-$35/hr

Remote Full-time
← Back to Home