Job Information
BlueCross BlueShield of North Carolina Principal Business Systems Analyst in Remote, North Carolina
Job Description
Utilizing top level functional/technical area knowledge and global expertise with relevant systems/applications, the incumbent will define, evaluate, and validate requirements, business functional design, and technical design for highly complex and various business issues with broader enterprise impacts. In this role, you will work as a strategic liaison representing the department and the processes and workings within it to ensure the development and implementation of comprehensive, efficient technical solutions that are focused on current and future state needs while minimizing operational and system/application impacts. Proactively consults with the business, IT and/or relevant vendors with a focus on system/application considerations needed for the highly complex problems, highly visible and critical corporate projects with significant impacts, and for the overall broad system/application assessments.
Technical Support/Business Expertise
Provide significant business acumen (breadth and depth) and global technical expertise in critical systems/applications to support proactive technical solutioning for highly complex and varied business issues, while considering broader impacts of technical decisions to the current and future state business environment.
Depending on business area needs, may also be the “Superuser” expert for the business unit on a system or application supporting core business processes with added criticality.
Lead the review, analysis and development of solutions for highly critical business systems, which may have impacts across multiple business areas or systems/applications.
Identify and quantify the business impact of possible solutions and make appropriate recommendations to the business area supported.
Coordinate ongoing user support for the most advanced and/or complex ad hoc questions, inquiries, and service requests.
Assist with maintaining renewal mapping logic in PIL
Lead or coordinate highly advanced data and trend analysis and proactively consults with and provides feedback to business areas and IT in order to ensure ultimate system/application performance
Mentor and coach less senior staff members to increase system/application knowledge and enhance business consulting abilities on the team as a whole.
Issue Resolution
Leads work groups in assessment of business issues and facilitates the resolution of most complex or broad system/application problems by:
Coordinating initial triage for severity and business impact of system/application failures.
Leading the troubleshooting and analysis necessary to determine root cause of issues.
Coordinating the development of applicable business processes and solutions, to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met.
Coordinating with IT, other teams and vendors as needed to devise, test and implement immediate and long-term remedies.
Independently resolve escalations without management involvement.
Lead the development of system support processes with IT; coordinate daily to resolve production support issues, including application failures and user errors; document, track and report all system support activities
Project/Program Support
Leads and directs discussions with the business and IT on projects and initiatives to elicit and document business requirements and prepare appropriate functional specifications while considering technical capabilities of the system/application and ensuring an integrated approach is used.
Act as Business Lead/Coordinator on broad, highly complex corporate projects or initiatives.
Facilitates project intake, including scheduling of projects.
Review and approve technical specifications
Assist with maintaining Medical and Rx pairing rules in PIL
Problem solve issues across teams to quickly diagnose root cause and move to resolution factoring in trade-offs on speed, scalability and quality
Coordinates with IT on implementation and post implementation support
Business Testing
Lead the development of testing plans with Business area and IT
Serve as point of contact for business testing activities and influence testing strategy to ensure testing appropriately meets business requirements
Develop, document and may, in some cases, execute test plans and scenarios
Analyze and verify results for accuracy, relevance and completeness.
Assist with Product grid testing with QTD
Ensuring Data synch between B1 and PIL
Provide impact assessments and make recommendations to the business owner regarding issues, risks, etc.
Train/coach others on appropriate testing protocol, execution and test plan creation.
Collaborate with developers, product managers, and operations partners to gather insights on business needs to drive efficient PIL configuration
Coordinate with IT and plan for business area impacts for hardware and software upgrades, security changes, and architectural enhancements as needed.
System Configuration
Lead the configuration and maintenance of most complex and highly critical system tables and data elements across multiple system environments
Lead the analysis, development and implementation of configuration changes to improve system performance and user efficiency
Coordinate and monitor configuration for accuracy and compliance to change control processes.
Configuration/Maintenance of B1 attributes in PIL Year over Year
What You'll Bring
Bachelor's degree or advanced degree (where required)
8+ years of experience in related field.
In lieu of degree, 10+ years of experience in related field.
Nice to Have
Database and SQL experience
Configuration experience
Experience with Data Validation and setting up the process
Collaborative
Salary Range
$91,100.00 - $164,000.00
About Us
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.
Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.
Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.
Authorization to Work in the United States
We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español.
For most roles, you can choose where to work - fully remote in one of the states listed below, in the office, or a hybrid of the two:
Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming
Much more than a paycheck
The total value of working at Blue Cross NC goes far beyond your paycheck. We offer benefits and perks (https://careers.bluecrossnc.com/global/en/benefits) that help you thrive, such as competitive health benefits, bonus plans based on performance, 401(k) with employer match, paid time off (plus two well-being days), and a variety of career development and wellness programs.