Business Analyst III- Hybrid

Blue Cross Blue Shield of Arizona•Phoenix, AZ

2d•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 and insurance business analysis, including electronic transactions and related systems, and may contribute to projects, operational processes, issue resolution, and customer support. This is a hybrid position that requires the employee to reside and work within Arizona. Hybrid individual contributors are generally required to work onsite at least once per week; onsite requirements may change based on business needs and responsibilities. The role requires a full-time schedule of at least 40 hours per week, plus additional hours as requested or needed to meet business requirements, and participation in an on-call rotation. The posting describes responsibilities across four levels. Level 3 responsibilities include developing complex business requirements for large projects, estimating work effort from project information, leading business analysis for large or complex projects, interpreting business and technical specifications, resolving conflicts against business needs, supporting all business segments, and mentoring Level 1 and Level 2 Analysts. Each progressive level includes the ability to perform the essential functions of lower levels and mentor employees in those levels.

Requirements

At least 2 years of experience in healthcare or insurance with an emphasis on business analysis, including healthcare; the posting associates this requirement with Levels 2–4.
At least 2 years of experience communicating with diverse groups inside and outside the business; the posting associates this requirement with Levels 2–4.
High school diploma or GED.
Strong analytical, 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 the ability to interact professionally and maintain positive working relationships with a diverse group.
Ability to prioritize multiple tasks, sometimes under strict time constraints; build synergy with a diverse team in an evolving environment; exercise independent judgment and creative problem-solving; anticipate downstream impacts; and persevere through setbacks.
Ability to support corporate leadership priorities, make sound management decisions in the absence of management, and deal effectively with conflict.
At least 2 years of experience triaging complex member and/or provider issues, or experience as an ICS Triage Analyst; the posting associates this requirement with Level 1.
The position requires at least 40 hours of work per week, additional hours as requested or needed to meet business requirements, and participation in an on-call rotation.

Nice To Haves

5 years of experience in healthcare or insurance business analysis, including Healthcare EDI.
5 years of experience communicating with diverse groups inside and outside the business.
1 year of testing experience.
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 with web portal business user support and change management activities.
Formal business analyst training.
Ability to identify solutions that meet customer needs, work with ambiguous and conflicting information while remaining focused on the end goal, and present publicly within the industry.
Ability to present concepts effectively to varying levels of staff (Levels 2–4).

Responsibilities

Gather and document business requirements, flow specifications, and change requests.
Research and analyze project deliverables and production issues, including issues involving electronic transactions, customer service applications, claims adjudication systems, reporting, and process efficiencies; track items through resolution.
Conduct user acceptance testing, write test scripts, perform testing, and complete post-production validation.
Act as a liaison among internal and external customers, business areas, project teams, and IT; communicate system and process changes.
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.
Mentor Level 1 and Level 2 Analysts.
Participate in an on-call rotation and perform other duties as assigned.