ICS Analyst I- Hybrid

Blue Cross Blue Shield of Arizona•Phoenix, AZ

13d•Hybrid

About The Position

On behalf of internal and external customers, gather and document business requirements, provide research and analysis related to project deliverables or production (break/fix) issues, conduct user acceptance testing (UAT), and act as a liaison between business customers, external customers, project teams and IT. This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.

Requirements

2 years of experience in healthcare or insurance field with emphasis on Business Analysis including Healthcare EDI (levels 2 – 4)
2 years of experience in a role with demonstrated ability to communicate with diverse groups of people inside and outside of the business (levels 2 – 4)
2 years of experience triaging complex issues from member and/or providers or experience as a ICS Triage Analyst. (lev 1)
High-School Diploma or GED in general field of study (All Levels)
Strong analytical skills to support independent and effective decisions based on customer input and research
Strong problem-solving skills
Strong time management skills
Basic skills with core MS products: Word, Excel, IE, Outlook, Visio, 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
Prioritize tasks and work mulitple priorities, sometimes under strict time constraints
Ability to build synergy with a diverse team in an ever-changing environment
Ability to exercise independent judgment and demonstrate creative problem solving techniques
Anticipates downstream impacts and factors in those considerations appropriately
Perseverance in the face of resistance or setbacks
Support priorities and direction of corporate leadership
Ability to apply sound management decision making skills to perform effectively in the absence of management
Effectively deal with conflict
Ability to present concepts effectively to varying levels of staff (Applies to Levels 2 - 4)

Nice To Haves

5 years of experience in healthcare or insurance field with an emphasis on Business Analysis including Healthcare EDI.
5 years of experience in a role with a demonstrated ability to communicate with diverse groups of people inside and outside of the business
1 year testing experience
1 year of experience in project management
Bachelor’s Degree in Computer Science, Information Systems, Business, or related field (All levels)
Business Analyst Certification (All levels)
Demonstrates an advanced knowledge of and experience with the development of business requirements, user acceptance testing and their supporting toolsets.
Familiar with HIPAA compliance validation tools such as EDISM, Specbuilder or ClarEDI.
Familiar with claims and customer service processes
Experience with web portal business user support and change management activities
Formal business analyst training
Driven to identify solutions to meet customer needs.
Ability to work with ambiguous and conflicting information while keeping focused on the end goal.
Performs public speaking presentations within the industry

Responsibilities

Write and review business requirements, flow specifications or change requests
Write test scripts, perform testing and post-production validation
Conduct research and analysis for issue resolution relating to electronic transactions, customer service applications, claim adjudication systems including reporting, process efficiencies.
Track all items through to resolution.
Provide first or second level support for internal/external customers
Utilize problem-solving skills to improve procedures and processes, resolve system deficiencies and implement enhancements
Act as a liaison between external/internal customers and IT; communicate system and process changes to business areas
Develop moderate complex (e.g. multiple departments/systems) business requirements on large projects and flow specifications with limited management direction.
Provide support to external customers to onboard Healthcare EDI processing and achieve HIPAA Transaction and Code Set compliance.
Provide subject matter expert (SME) advice related to electronic transactions and other corporate systems in the prioritization of workload or issue research.
Facilitate and/or create new operational procedures and processes resulting from advancing technologies or capabilities.
Lead small to medium size projects; act as UAT Coordinator including test strategy and plan development
Interpret design specifications for comparison against defined business needs to ensure compatibility, consistency and completeness
Resolve differences between customers and other team members in order to achieve organizational and project goals
Utilize existing reporting tools to develop and execute data queries for ad hoc requests; understand data source structures
Understand EDI formats/syntax and file transfer protocols
Support multiple segments of business
Mentors Level 1 Analysts
Develop complex (e.g. multiple departments/systems) business requirements on large projects and flow specifications with little to no management direction.
Decompose high-level project information and evaluates project components to forecast work effort required
Act as lead business analyst for large or complex projects
Interpret business and technical design specifications and resolve conflicts that arise when compared against the defined needs of the business.
Fully support all business segments
Mentors Level 1 and 2 Analysts
Ensures Service Level Agreements between department and operational or technical areas are met
Act as lead business analyst for large or complex projects with minimal guidance from lead or manager
Mentors all level of analysts
Proactively seeks opportunities to improve processes and procedures in support of customer satisfaction and corporate goals
Each progressive level includes the ability to perform the essential functions of any lower levels and mentor employees in those levels.
Participate in on-call rotation
Perform all other duties as assigned