IT Business Systems Analyst II (Medicare/Medicaid)- CGS Administrators, LLC

Nashville, TN, US • Posted 6 hours ago • Updated 4 hours ago

Full Time

On-site

BlueCross BlueShield Of South Carolina

Fitment

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Job Details

Skills

Business Systems
Medicaid
STE
Leadership
Medicare
Logistics
Information Systems
Process Improvement
Documentation
Training
Mentorship
Management
Collaboration
Teamwork
Business Process
Analytical Skill
Test Plans
Microsoft Office
Microsoft Visio
Microsoft Excel
Waterfall
Health Care
SAFE
Agile
Certified Business Analysis Professional
Business Analysis
Life Insurance
Expect
Recruiting
Communication
Requirements Management
EXT
SAP BASIS
ProVision

Summary

Summary
Working at CGS Administrators
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.

Position Purpose:
Defines customer needs in technical and business contexts. Ensure the proposed technical and business solutions meet the customer's objectives for the work effort. Provide guidance with planning and prioritization of business support-related activities.
Description

Logistics: CGS -one of BlueCross BlueShield's South Carolina subsidiary companies.

Sponsorship: This position is not eligible for sponsorship now or in the future.

Work Environment :

Fast-paced, high demand environment.
Work is frequently performed against mandated deadlines.
Knowledge of when and what to delegate is essential in order to balance multiple high-priority tasks.
Fast paced, multi-platformed environment which may require action and response 24X7 to support the technical business needs of the customer.

What you'll do :

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.

To Qualify for This Position, You'll Need:

Required Education:

Bachelor's degree

Degree Equivalency:

Associates degree plus an extra 2 years job-related experience for a total of 6 years of required work experience (see "required work experience")

8 total years required work experience.

Required Work Experience:

4 years of IT business analysis experience.

Required Skills and Abilities:

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.

Required Software and Other Tools:

Microsoft Office.

We Prefer That You Have:

Proficiency in Visio and Excel.
Agile and Waterfall methodology experience.
IT Business Analysis Healthcare experience.

Preferred Licenses and Certificates:

SAFe Scaled Agile Certification.
CBAP and/or demonstrated continuous learning in the Business Analysis profession.

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have access and opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

Our comprehensive benefits package includes:

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

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you 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 those candidates who qualify with prioritization given to those candidates who demonstrate the preferred qualifications.

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 individuals with disabilities and protected 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 disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email or call , 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.

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

Some states have required notifications. Here's more information .

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: BCBSSC
Position Id: R1048718
Posted 6 hours ago

Company Info

About BlueCross BlueShield Of South Carolina

When you hear "BlueCross BlueShield of South Carolina," you'll see people nodding in recognition. Most everyone knows who we are. As the only South Carolina-owned and operated health insurance carrier, we have been offering security to Palmetto State citizens for more than 75 years. We are also one of South Carolina's largest employers.

Our financial stability is on record. In December 2021, AM Best reaffirmed our A.M. Best rating of A+ (Superior) - making us the only health insurance company in South Carolina with that rating. One of the few companies nationwide to achieve this distinction, this year also marks the 20th consecutive year that BlueCross met this high standard. For the latest ratings, access www.AMBest.com.

We offer the largest provider networks in the state, offering members the greatest choice in doctors, hospitals and other health care providers.
Our extensive menu of health plans, discounts, added values and online services means more choices for our members, with plans to fit every budget and lifestyle.

What you may not know is just how diverse our company is. Included in our family of companies is BlueChoice HealthPlan of South Carolina, our managed care subsidiary, which also includes Healthy Blue^SM, our Medicaid health plan. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association.

But there is also a lot more to us than health insurance. We have many affiliated companies that are not licensed with the Blue Cross and Blue Shield Association. These companies are located in South Carolina, Georgia, Ohio, Tennessee and Texas. Some offer other insurance products, such as life insurance and behavioral health benefits and administration. Others administer contracts for the federal government. Some even focus on technology.

BlueCross is also a major supporter of community and charitable causes. We support health care-related research, education and service in South Carolina through the BlueCross BlueShield of South Carolina Foundation.

We're BlueCross BlueShield of South Carolina.

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BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association.

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