About The Position

CGS Administrators, LLC (CGS) is part of BCBSSC™'s Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 8.7 million Medicare beneficiaries and 103,000 healthcare professionals nationwide. This is an onsite full-time position located at 26 Century Blvd., Ste. ST610 Nashville, TN 37214-3685. If you have IT Business Analysis Healthcare experience and leadership capabilities, this could be the perfect role for you. Join a mission-driven organization making a national impact in healthcare. Be part of a collaborative, forward-thinking team where your work truly matters. Apply now and help shape the future of Medicare services. CGS provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health care providers, and medical equipment suppliers in 33 states, supporting the needs of more than 20 million Medicare beneficiaries nationwide. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Want to work for a growing company with an innovative eye towards the future? Join us today!

Requirements

  • Bachelor's in a job-related field
  • Associates degree plus an extra 2 years job-related experience for a total of 6 years of required work experience OR 8 total years required work experience.
  • 4 years of IT business analysis experience.
  • Demonstrated understanding of concepts of the supported business unit.
  • Basic knowledge of standard industry practices.
  • Demonstrated knowledge of procedures for the business unit.
  • Able to communicate effectively with technical and non-technical audiences, including the ability to express complex technical and business concepts to all management levels, peers, and the business units.
  • Strong teamwork and interpersonal skills.
  • Understands how IT affects an organization and is able to link it to business processes.
  • Excellent analytical skills.
  • Good conceptual skills.
  • Able to read and comment on test plans and test matrices, project plans, and scope and design documents.
  • Microsoft Office.

Nice To Haves

  • Proficiency in Visio and Excel.
  • Agile and Waterfall methodology experience.
  • Demonstrated IT Business Analysis experience within the Healthcare domain, with a preference for Medicare and/or Medicaid systems.
  • Experience supporting or integrating Automated Processing Systems (API).
  • Familiarity with AWS and/or Cloud-based platforms and services.
  • Experience with Electronic Data Systems, including Electronic Medical Records (EMR) solutions.
  • Exposure to AI tools or solutions, particularly in process automation, analytics, or decision support.
  • SAFe Scaled Agile Certification.
  • CBAP and/or demonstrated continuous learning in the Business Analysis profession.

Responsibilities

  • Elicit and document user requirements to meet a business objective.
  • Identify and validate requirements and organize the information into a logical document that is understood by the customer and Information Systems.
  • Guide both technical and customer departments in the development of the systems that support the business solution.
  • Facilitate the transfer of knowledge about the direction of the business units to others who support them.
  • Ensure the accurate deployment of solutions through review of problem logs, assisting with test plans and test matrices, and other analysis activities.
  • Provide input on the business direction for system changes.
  • Validate the business need for solutions to business problems and process improvements.
  • Assist in the development and documentation of training materials.
  • Mentor or train less experienced staff.

Benefits

  • Subsidized health plans, dental and vision coverage
  • 401K 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
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