Business Analyst III- Hybrid

Blue Cross Blue Shield of Arizona•Phoenix, AZ

1d•Hybrid

About The Position

Blue Cross Blue Shield of Arizona (AZ Blue) is hiring a Business Analyst III to gather and document business requirements on behalf of internal and external customers, research and analyze project deliverables and production issues, conduct user acceptance testing, and serve as a liaison among business customers, external customers, project teams, and IT. The role supports healthcare electronic data interchange (EDI), business processes, systems, and customer needs, with responsibilities varying by analyst level. All progressive levels perform the essential functions of lower levels and mentor employees in those levels. This position is hybrid within Arizona only. The employee must reside and perform work within Arizona and is required to be onsite at least once per week under AZ Blue’s current hybrid individual-contributor requirements. The position requires a full-time schedule of at least 40 hours per week, plus additional hours as requested or needed, and participation in an on-call rotation. At Level 3, the analyst develops complex business requirements and flow specifications for large projects with little to no management direction, decomposes project information to forecast work effort, and leads business analysis for large or complex projects. The analyst interprets business and technical design specifications, resolves conflicts against business needs, supports all business segments, and mentors Level 1 and Level 2 analysts. The posting also describes duties for Levels 1, 2, and 4 as part of the role’s progressive level structure.

Requirements

At least 2 years of experience in healthcare or insurance with an emphasis on business analysis, including healthcare, for Levels 2–4.
At least 2 years of experience in a role demonstrating the ability to communicate with diverse groups inside and outside the business, for Levels 2–4.
For Level 1, at least 2 years of experience triaging complex issues from members and/or providers, or experience as an ICS Triage Analyst.
High school diploma or GED.
Strong analytical skills to make independent, effective decisions based on customer input and research.
Strong problem-solving and time-management skills.
Basic skills with Microsoft Word, Excel, Internet Explorer, Outlook, Visio, and PowerPoint.
Basic skills with query tools.
Strong understanding of file handling and data translation.
Excellent verbal and written communication skills and ability to interact professionally and maintain positive relationships with diverse groups.
Ability to prioritize multiple tasks, sometimes under strict time constraints; build synergy with a diverse team in a changing environment; exercise independent judgment and creative problem solving; anticipate downstream impacts; and persevere through resistance or setbacks.
Ability to support corporate leadership priorities, make sound management decisions in the absence of management, deal effectively with conflict, and present concepts to varying staff levels; presentation and leadership competencies apply to Levels 2–4.
Ability to develop complex business requirements and flow specifications, lead complex business analysis, interpret specifications, and mentor lower-level analysts, as applicable to Level 3.

Nice To Haves

At least 5 years of healthcare or insurance experience emphasizing business analysis, including healthcare EDI.
At least 5 years of experience communicating with diverse groups inside and outside the business.
At least 1 year of testing experience.
At least 1 year of project management experience.
Bachelor’s degree in Computer Science, Information Systems, Business, or a related field.
Business Analyst certification.
Advanced knowledge and experience developing business requirements and conducting user acceptance testing with supporting toolsets.
Familiarity with HIPAA compliance validation tools such as EDISM, Specbuilder, or ClarEDI.
Familiarity with claims and customer service processes.
Experience supporting web portal business users and with change management activities.
Formal business analyst training.
Ability to identify solutions to meet customer needs and work with ambiguous or conflicting information while remaining focused on the end goal.
Experience giving public speaking presentations within the industry.

Responsibilities

Write and review business requirements, flow specifications, or change requests.
Write test scripts, perform testing, and conduct post-production validation.
Research and analyze issues related to electronic transactions, customer service applications, claims adjudication systems, reporting, and process efficiencies; track items through resolution.
Provide first- or second-level support to internal and external customers, as applicable to level.
Use problem-solving skills to improve procedures and processes, resolve system deficiencies, and implement enhancements.
Act as a liaison between internal and external customers and IT, and communicate system and process changes to business areas.
Develop complex business requirements and flow specifications for large projects with little to no management direction.
Break down high-level project information and evaluate project components to forecast required work effort.
Lead business analysis for large or complex projects.
Interpret business and technical design specifications and resolve conflicts with defined business needs.
Support all business segments and mentor Level 1 and Level 2 analysts.
Participate in an on-call rotation and perform other duties as assigned.
At applicable levels, support external customers onboarding healthcare EDI processing and achieving HIPAA Transaction and Code Set compliance.
At applicable levels, provide subject matter expertise on electronic transactions and corporate systems, facilitate new operating procedures and processes, lead projects, coordinate UAT, develop data queries, and support multiple business segments.
At Level 4, ensure service-level agreements are met, lead large or complex projects with minimal guidance, mentor all analyst levels, and proactively seek process improvements.