Overview
On Site
Full Time
Skills
Government Contracts
Data Processing
Information Systems
Mentorship
Business Systems
Process Improvement
Business Analysis
Management
Collaboration
Teamwork
Business Process
Analytical Skill
Test Plans
Project Management
Microsoft Office
Electronic Data Interchange
ASC X12
Data Analysis
Technology Assessment
Medicaid
Medicare
Life Insurance
Expect
Recruiting
Communication
Requirements Management
EXT
SAP BASIS
ProVision
Job Details
Summary
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've 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 dedicated to the same philosophy, consider joining our team!
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 analysis activities in support of large, high-visibility project and support efforts. Provide guidance for less experienced staff to ensure they remain on target for meeting customer requirements.
Description
What you'll do
To Qualify for This Position, You'll Need:
Required Education:
Degree Equivalency:
OR
Required Work Experience :
Required Skills and Abilities:
Required Software and Tools:
We Prefer That You Have:
- Previous experience supporting the CSFES contract.
- Strong EDI X12 data analysis including 837, 999, 277 and TA1.
- Extensive experience with Medicare and Medicaid claims processing.
- Experience with Dental claims within Medicare.
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:
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 .
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've 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 dedicated to the same philosophy, consider joining our team!
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 analysis activities in support of large, high-visibility project and support efforts. Provide guidance for less experienced staff to ensure they remain on target for meeting customer requirements.
Description
What you'll do
- Elicit and document user requirements to meet a business objective. Sets customer expectations on feasibility. Identify and validate requirements and organize the information into a logical document using business analysis models that are understood by the customer and Information Systems.
- Act as the Subject Matter Expert for one or more lines of business on various projects. Mentor less experienced business systems analysts.
- Ensure understanding of why the business solution was chosen and guide both technical and customer departments in the development of the systems.
- Facilitate the transfer of knowledge about the "big picture" direction of the business units to others who support them. Provide guidance to less experienced team members so they can transfer this knowledge to technical departments.
- Ensure the accurate deployment of solutions through review of problem logs, assisting with test plans and test matrices, and other analysis activities.
- Provide the business direction for system changes.
- Validate the business need for solutions to business problems and process improvements.
To Qualify for This Position, You'll Need:
Required Education:
- Bachelor's degree
Degree Equivalency:
- Associate's degree plus an extra 2 years job-related experience for a total of 10 years of required work experience (see "required work experience")
OR
- 12 total years required wor k experience.
Required Work Experience :
- 8 years-of IT business analysis experience.
Required Skills and Abilities:
- Demonstrated expertise in the concepts of the supported business unit.
- Demonstrated knowledge of standard industry practices and 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.
- Able to act as a liaison between the business unit and I/S.
- Able to influence and negotiate solutions to business problems.
- Strong teamwork and interpersonal skills.
- Understands how IT affects an organization and is able to link it to business processes.
- Excellent analytical and conceptual skills.
- Able to read and comment on test plans and test matrices, project plans, and scope and design documents.
- Has a conceptual understanding of project management techniques.
Required Software and Tools:
- Microsoft Office.
We Prefer That You Have:
- Previous experience supporting the CSFES contract.
- Strong EDI X12 data analysis including 837, 999, 277 and TA1.
- Extensive experience with Medicare and Medicaid claims processing.
- Experience with Dental claims within Medicare.
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:
- 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 a healthy lifestyle premium discount
- Tuition assistance
- Service recognition
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.