Business II Analyst- Palmetto GBA

BlueCross BlueShield of South Carolina•Columbia, SC

About The Position

The Business II Analyst works with Medicare Tech Support, which tests CMS (Medicare) release changes for MCS (Part B) and FISS (Part A), researches production issues, and helps operational areas resolve reporting issues. The position evaluates business activities, performance, and systems for standards and workflow simplification; analyzes data and prepares reports and presentations for management; and supports system changes, testing, implementation, and issue resolution. Under general direction, the analyst defines business requirements, tests changes, and leads small to moderate projects. The role works with management, technical and non-technical staff, and business units to document workflows and communicate business changes. The position is with Palmetto GBA, a subsidiary of BlueCross BlueShield of South Carolina, and is not eligible for sponsorship now or in the future. As an SCA employee, the employee is required to enroll in the employer’s health insurance, with coverage beginning on the first day of the month after 28 days of full-time employment. Supplemental pay for health coverage is provided until enrollment is complete.

Requirements

  • Bachelor's degree, or an associate degree plus two additional years of job-related experience for a total of four years of required work experience, or six total years of required work experience.
  • Working knowledge of business support and systems concepts.
  • Ability to communicate effectively with technical and non-technical audiences and explain basic technical and business concepts to management, peers, and business units.
  • Good teamwork and interpersonal skills.
  • Good analytical and conceptual skills.
  • Fundamental understanding of user acceptance test plans and test matrices, project plans, and scope and design documents.
  • Working knowledge of how projects and implementations affect an organization and how to link those effects to business processes.
  • Working knowledge of mainframe electronic data processing system change methodology.
  • Proficiency with Microsoft Office.

Nice To Haves

  • CMS experience.
  • FISS experience.

Responsibilities

  • Evaluate activities, performance, and systems within a specific area against standards and for workflow simplification.
  • Compile data for analysis and prepare reports and management presentations using applicable programming languages and/or software products.
  • Review system enhancements and upgrades to determine whether customer file modifications are required.
  • Facilitate timely and accurate updates to reference files based on customer requests.
  • Coordinate testing and debugging of new or modified software.
  • Create test matrices and supporting documentation.
  • Develop and execute formal test plans to ensure delivery of quality software applications.
  • Monitor software implementations for exceptions and verify that system operational-process changes have the desired effect.
  • Identify and document system problems and assist in resolving them.
  • Research system problems and identify potential solutions.
  • Investigate and diagnose system problems; formulate solutions, initiate change sheets, define business requirements, and test corrections.
  • Research questionable standard-system or local-component situations to assure compliance and accuracy.
  • Define business requirements, test, and lead small to moderate projects under general direction.
  • Assist management with business reviews by analyzing internal and external projects and changes.
  • Ensure changes do not negatively affect productivity or procedures.
  • Recommend improvements to productivity, cost effectiveness, and timeliness.
  • Communicate with management and departmental personnel to document workflow procedures.
  • Assist with verbal and written communications about business changes for management and staff.
  • Prepare written reports and analyses of testing results and related data, including recommendations to customers for improving operational workflows.
  • Provide application security administration when an appropriate written and approved request is received.

Benefits

  • Subsidized health plans
  • Dental coverage
  • Vision coverage
  • 401(k) retirement savings plan with company match
  • Life insurance
  • Paid time off (PTO)
  • Nine paid holidays
  • On-site cafeterias and fitness centers in major locations
  • Wellness program and healthy lifestyle premium discount
  • Tuition assistance
  • Service recognition
  • Employee assistance
  • Discounts to movies, theaters, zoos, theme parks, and more
  • Supplemental pay for health coverage until required health insurance enrollment is complete
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