Business Analyst, Principal

Blue Shield of California • El Dorado, AR

2d

About The Position

Your Role The Behavioral Health Services (BHS) team is responsible for developing and executing a best-in-class behavioral health insurance product for Blue Shield. The Behavioral Health Business Analyst, Principal, will report to the Director of Strategic Planning & Performance. In this role you will serve as a critical partner between the BHS team and the technical teams, through cross-functional collaboration, to identify and implement solutions that enhance efficiency, quality and value.

Requirements

• Requires mastery level knowledge of job area typically obtained through advanced education combined with experience.
• Requires a bachelors degree or equivalent experience
• Requires at least 10 years of prior relevant experience
• Requires experience defining and implementing technologies and tools to support relevant operational process automation and analysis
• Must have experience defining technology and business requirements and User Acceptance Testing (UAT) to support and sustain business applications
• Requires experience driving sustainable change across multiple stakeholders

Nice To Haves

• Desire experience with behavioral healthcare from any combination of perspectives: plan, vendor, clinical, provider relations, managed behavioral health organization, etc.
• Experience with Facets, AuthAccel and CareConnect preferred

Responsibilities

• Provide highly complex analytical support through the analysis and interpretation of data in support of behavioral health data while collaborating with cross-functional business operations
• Lead the development of annual BHS system roadmaps, associated budgets and forecasts, and build business cases for new business initiatives (cost/benefit analysis)
• Develop, prepare and analyze reports with highly complex analyzes and data for management review, and presents to various levels of management
• Define business requirements and provide analysis to identify system and process enhancements to increase operational efficiency
• Analyze actual results against plan and forecast, identify root cause of issues and recommend interventions where appropriate
• Partner with the BHS teams and support the operational systems with issue triage, requirement documentation, testing coordination and serving as the teams’ champion and liaison with the technical delivery teams.
• Manage the end-to-end BHS system generated letters process including governance, creation/maintenance, and implementation
• Oversee BHS system access provisioning to ensure system compliance and security
• Build, maintain and test the BHS business continuity plan

What This Job Offers

• Job Type: Full-time
• Career Level: Principal