Systems Analyst, Consultant

Job Description

Your Role

The Operations team within Blue Shield of California provides robust solutions for our business partners, providers and members which improve the overall health care experience from membership, enrollment and Providers. The Finance systems analyst will report to the Director, Solutions Delivery Lead in the Operations Portfolio. In this role you will help define and deliver solutions that meet business objectives and will serve as a facilitator between the business and IT in understanding the business needs. In partnership with Product Managers, Scrum Masters, Business Product Owners, and IT interfacing groups you will lead the eliciting, analyzing, validating, and managing of requirements, business processes and high-level solution designs. An individual in this role is a proactive member of an Agile product team, working in tandem with the Product Managers and Product Owners and design and development team members to ensure the product continuously delivers value to users.

This role will also join its Agile team peers in our maturity as a DevSecOps organization, requiring the ability to contribute technically in different areas, as well as being cross-trained & adaptable to the needs of the business.

Responsibilities

Your Work

In this role, you will:

• Formulate/define system scope and objectives based on user needs for the highest complexity changes
• Analyze all aspects of business unit functions to determine application, integration and optimal use of information systems
• Contributes to technical specifications & designs, with ability to apply engineering patterns and methodologies (REST, Soap, API)
• Work directly with the Product Owner and additional business stakeholders to understand the business domain and upcoming required features
• Assist in creating, refining, and maintaining user stories and associated deliverables such as process flows and test cases to meet development and stakeholder needs
• Design and develop user interfaces, application programs using the technical specifications and design documents
• Monitor software configuration changes to anticipate and address the impact of data reliability and customer satisfaction issues
• Coordinate sustaining support for 1-2 application platforms or business processes

Qualifications

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 7 years of directly related professional experience and deep technical abilities in one or more primary products, programs or technologies
• Detailed understanding of Software Debugging and integration techniques (API, Services, SOA)
• Technical understanding and experience with SQL
• Contributes to technical design patterns, software development, and unit testing for new features, enhancements and to fix defects, based on specifications
• Excellent oral and written communication skills; excellent problem solving and consulting skills
• Experience documenting agile workflows and process documentation
• Proven ability to function in a fast moving and rapidly evolving environment
• Strongly prefers Healthcare experience with knowledge of Facets claims, billing & capitation, and provider payments
• Prefers experience with software & systems deployment in the Cloud
• Prefers experience with Oracle Revenue Management and Billing (ORMB), Oracle Cloud Infrastructure (OCI) or other Software-as-a-Service (SaaS) platforms

About the Team

About Stellarus and the Ascendiun Family of Companies

Stellarus, launched in January 2025, is designed to scale innovative healthcare solutions that support customers in creating a health care experience deserving of their family, friends, and neighbors.

Stellarus is part of a family of organizations that is overseen by a nonprofit corporate entity named Ascendiun. The Ascendiun Family of Companies also includes Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan and Altais, a clinical services company.

Stellarus' vision is to empower its customers to create a healthcare experience that is worthy of their family, friends, and neighbors. Stellarus' objective is to offer innovative, modern, scalable solutions that challenge the health care status quo. This very closely aligns with Blue Shield of California's vision by using innovation to improve quality, affordability, and experience for members.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Our Values:

At Stellarus, our core values of agility, trust, drive, courage and service shape our approach to developing innovative product offerings.

Our Workplace Model:

At Stellarus and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose - whether working in the office or through a hybrid approach - by providing clear expectations while respecting the diverse needs of our workforce.

Two Ways of Working:

• Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions:

o Member-facing and approved out-of-state roles remain remote.

o Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.

o For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

• On-Site: Work from a business unit-approved office an average of four (4) or more days a week.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.