Business Systems Analyst Adv

Blue Cross Blue Shield of Michigan•Detroit, MI

About The Position

Perform technology functions including business and systems analysis, application development, and process improvement. Serve as a liaison between business areas and IT when needed. Identify, document, and communicate system and process changes to improve system and operational performance. Apply in-depth knowledge of the line of business, contribute to identifying and recommending technical process improvements, design and implement technical solutions, and support complex business processes. The role involves gathering and analyzing data to understand business strategy and requirements; supporting planning sessions and alignment with business goals; evaluating department activities and proposing tools or technologies; and assisting with process redesign and documentation for new technology. It also supports application development across multiple applications, including adherence to system development lifecycle standards and delivery timelines and budgets. Responsibilities include designing, coding, testing, debugging, documenting, implementing, and maintaining complex business applications; providing analytical support for business applications, infrastructure, and technology activities; and serving as a subject matter expert for complex interface issues when needed. The analyst evaluates user needs and system performance, develops and assesses workflow alternatives, manages releases and end-to-end testing, investigates and resolves problems, and gathers information to support recommendations or escalation. The role contributes as a team member or lead to medium- or large-scale process improvement initiatives, analyzes requirements and current processes and interfaces, develops recommendations for technical business solutions, and creates reports and data delivery to meet changing requirements. It also supports audit and regulatory compliance policies, trains users on tools, and coaches less experienced team members. A bachelor’s degree in a related field is preferred. Three years of relevant technical or business work experience is required, as is experience managing cross-functional teams or projects. Advanced knowledge of system development lifecycle, process design, re-engineering, organizational transformation, Six Sigma, CMMI or ITIL, and programming languages is preferred. Departmental preferences include five years of experience in specified healthcare or related fields and experience with process analysis, documentation, cross-functional and vendor collaboration, readiness and implementation activities, and dispute resolution or compliance.

Requirements

Three years of relevant technical or business work experience required.
Experience managing cross-functional teams or projects required.
Basic knowledge of business operations and systems requirement processes.
Strong technical, analytical, and systems skills.
Ability to identify, propose, and oversee execution of business solutions.
Written and verbal communication skills and interpersonal skills.
Ability to provide technical or business guidance to internal and external clients.
Ability to work independently or within a team environment.
Other related skills or abilities may be required to perform the job.

Nice To Haves

Bachelor’s degree in a related field preferred.
Advanced knowledge of system development lifecycle, process design, re-engineering, organizational transformation, Six Sigma, CMMI or ITIL, and computer programming languages preferred.
Five years of experience in healthcare operations, business analysis, payment integrity, provider reimbursement, claims administration, dispute resolution, project implementation, or a related field preferred.
Demonstrated ability to analyze business processes, identify operational risks and opportunities, and develop practical solutions to improve effectiveness and efficiency preferred.
Experience developing and maintaining business requirements, process documentation, operating procedures, workflows, job aids, and reporting requirements preferred.
Strong analytical, organizational, and problem-solving skills, including the ability to manage multiple priorities in a fast-paced environment, preferred.
Experience collaborating with cross-functional stakeholders and external vendor partners to support operational execution, issue resolution, and process improvement initiatives preferred.
Experience supporting business readiness, testing, implementation, and change management activities preferred.
Experience with dispute resolution processes, provider negotiations, vendor management, or regulatory compliance activities preferred.

Responsibilities

Gather and analyze data to understand business strategy and requirements.
Provide direction for short- and long-term planning sessions and help ensure understanding of business goals and direction.
Evaluate ongoing department activity and propose new tools or technologies.
Assist with business process redesign and documentation for new technology.
Assist application development across multiple applications to support delivery on time and within budget, following system development lifecycle processes and standards.
Design, code, test, debug, document, implement, and maintain complex business applications, including ongoing application maintenance.
Provide analytical support related to business applications, infrastructure, and technology activities.
Serve as a subject matter expert, as needed, for identifying, triaging, and resolving complex interface problems.
Discuss users’ needs and identify vulnerabilities or poor performance in computer systems to improve productivity, efficiency, and accuracy.
Develop system solutions by preparing and evaluating alternative workflow solutions.
Perform release management and end-to-end testing of system changes.
Identify, investigate, resolve, and escalate problems; gather data to support recommendations and procure additional technical assistance when needed.
Work as a team member or lead on medium- or large-scale process improvement initiatives supporting business customers or services.
Analyze and evaluate business requirements, current processes, and interfaces to identify gaps and improvement opportunities.
Develop process requirements and recommendations and communicate them for implementation of technical business solutions.
Design and develop reports and data delivery to meet changing business requirements.
Adhere to audit-supporting policies and procedures to ensure regulatory compliance.
Train and educate users on new and existing tools; coach and transfer knowledge to less experienced team members.