Business Analyst I (Provider Enrollment)

BlueCross BlueShield of South Carolina•Columbia, SC

2d•Onsite

About The Position

Assists in formulating and defining systems scope and objectives using research and basic understanding of business systems and industry requirements. Learns to conduct business process analyses, needs assessments and cost/benefits analyses for aligning operations solutions with business initiatives. Provides assistance in testing efforts and may provide security administration to application supported by area when the appropriate written and approved request is received. Description Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. This role is located at 17 Technology Circle, Columbia, SC 29203. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date. What You’ll Do: Obtains a detailed understanding of the major operations and functions in effect within the areas being supported. Reviews basic system enhancements/upgrades to determine applicability of customer file modification requirements. Following clearly defined procedures, assists in facilitating timely and accurate updates to reference files based on customer requests. Documents system problems and assists in their resolution. Reviews and completes various daily reports to ensure system is performing as expected. Prepares written reports and analysis, including recommendations pertaining to system functionality and testing progress. Prepares and reviews test data, test plans and test matrices for system changes. Develops test matrices to accurately reflect changes and detail expected outcome. Executes test cases and evaluates test results for errors. Reports problems through appropriate channels and suggests corrections for a successful implementation. Under the guidance of an advanced business analyst or manager, learns to define business requirements, perform tests, and may lead small projects. Learns how to prepare and review data for analysis in order to evaluate the activities, performance and systems within a specific area for standards and workflow simplification. Communicates with management and departmental personnel to document workflow procedures. Assists in preparing verbal and written communication about business changes with management or other staff members. Functions as liaison between the operations testers and information systems to facilitate communications. In addition, assists customer testers with issues that arise during projects.

Requirements

Bachelor's degree.
4-years job related work experience OR Associate's and 2-years job related work experience
Advanced knowledge of Microsoft Office.
Basic knowledge of business support and systems concepts.
Strong teamwork, communication and interpersonal skills.
Good analytical and conceptual skills.
Good organizational and problem-solving abilities.
Understands how projects and implementations affect an organization and is able to link it to business processes.

Nice To Haves

Bachelor's degree-in Computer Science, Business Administration, or other job-related field.
1-year of business systems analysis, research, and customer support experience.
Working knowledge of BCBS/subsidiary systems.
Knowledge of Provider Enrollment and benefits.
Knowledge of procedures for the supported business unit.
Computer programming skills.
Ability to express basic technical/business concepts to management, peers, and the business units.
Experience with Provider Enrollment applications, to include initial applications, re-enrollment, reactivation, and change of information applications.
Experience working with internal databases, to include PECOS and OnBase.
Experience researching and obtaining information from internal departments, providers, government, or private agencies to resolve discrepancies.

Responsibilities

Obtains a detailed understanding of the major operations and functions in effect within the areas being supported.
Reviews basic system enhancements/upgrades to determine applicability of customer file modification requirements.
Following clearly defined procedures, assists in facilitating timely and accurate updates to reference files based on customer requests.
Documents system problems and assists in their resolution.
Reviews and completes various daily reports to ensure system is performing as expected.
Prepares written reports and analysis, including recommendations pertaining to system functionality and testing progress.
Prepares and reviews test data, test plans and test matrices for system changes.
Develops test matrices to accurately reflect changes and detail expected outcome.
Executes test cases and evaluates test results for errors.
Reports problems through appropriate channels and suggests corrections for a successful implementation.
Under the guidance of an advanced business analyst or manager, learns to define business requirements, perform tests, and may lead small projects.
Learns how to prepare and review data for analysis in order to evaluate the activities, performance and systems within a specific area for standards and workflow simplification.
Communicates with management and departmental personnel to document workflow procedures.
Assists in preparing verbal and written communication about business changes with management or other staff members.
Functions as liaison between the operations testers and information systems to facilitate communications.
Assists customer testers with issues that arise during projects.