Provider Enrollment Business Analyst - CGS

Summary

As a Provider Enrollment Business Analyst, you will conduct business process analyses, needs assessments, and preliminary cost / benefit analyses to align operations solutions with business initiatives. You will prepare functional, system, and program specifications. You will provide management support in review of various internal / external reports / data. You will also provide assistance with testing efforts and may provide security administration to application supported by area when the appropriate written and approved request is received.

Description

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we have been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are committed to the same philosophy, consider joining our team!

Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.

Logistics

This position is onsite at 26 Century Boulevard, Nashville, TN, 37214. The hours are 8:00 a.m. – 5:00 p.m. Monday – Friday.

What You’ll Do

• Support provider enrollment staff development, skill inventory analysis, and workforce management.
• Evaluate the activities, performance, and systems within a specific area for standards and workflow simplification.
• Compile data for analysis and prepare reports and presentations for management using applicable programming languages and / or software products.
• Review system enhancements / upgrades to determine applicability of customer file modification requirements.
• 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 to verify that changes to the systems' operational process had the desired effect.
• Identify and document systems problems and assists in their resolution.
• Research system problems and identify potential solutions.
• Investigate and diagnoses system problems, formulates solutions, initiates change sheets, defines business requirements, and tests corrections.
• Research any questionable standard system or local component problematic situations to assure compliance and accuracy.
• Under general direction, define business requirements, tests, and leads small to moderate projects.
• Assist management in performing business reviews by analyzing internal / external projects and changes.
• Ensure changes do not have a negative impact on productivity and procedures.
• Make recommendations to improve productivity, cost effectiveness, and timeliness.
• Communicate with management and departmental personnel to document workflow procedures.
• Assist in preparing verbal and written communication about business changes with management or other staff members.
• Prepare written reports and analyses pertaining to testing results and related data, including recommendations for customers on improving operational workflows.
• May provide security administration to application supported by area when the appropriate written and approved request is received.
  
  

To Qualify For This Position, You’ll Need

• Bachelor's degree OR Four (4) years of job-related work experience OR Associates degree and two (2) years job related experience.
• Two (2) years of job-related business systems analysis, research and / or provider enrollment experience.
• Working knowledge of business support and systems concepts.
• Able to communicate effectively with technical and non-technical audiences, including the ability to express basic technical and business concepts to management, peers, and the 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 and understanding of how projects and implementations affect an organization and can effectively link it to business processes.
• Working knowledge of mainframe electronic data processing system change methodology.
• Microsoft Office knowledge.
  
  

What We Prefer

• Bachelor's degree-in Computer Science, Business Administration, or other job-related field.
• Three (3) years-of job-related business systems analysis, research, and/or provider enrollment experience.
• In-depth knowledge of procedures for the supported business unit.
• Computer programming skills.
• Proficiency with BCBSSC / subsidiary systems.
• Knowledge of programming languages and / or concepts. PECOS, iflow, or related.
  
  

What We Can Do For You

• 401(k) retirement savings plan with company match.
• Subsidized health plans and free vision coverage.
• Life insurance.
• Paid annual leave – the longer you work here, the more you earn.
• Nine paid holidays.
• On-site cafeterias and fitness centers in major locations.
• Wellness programs and healthy lifestyle premium discount.
• Tuition assistance.
• Service recognition.
• Incentive Plan.
• Merit Plan.
• Continuing education funds for additional certifications and certification renewal.
  
  

What To Expect Next

After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with the most qualified candidates, with prioritization give to those candidates who demonstrate the preferred qualifications.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

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Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.