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Blue Cross Blue Shield of Michigan Systems Analyst II in Detroit, Michigan

Description

BLUE CROSS BLUE SHIELD OF MICHIGAN

SYSTEMS ANALYST II

KEY AND LARGE SHARED PROCESSING

DETROIT, MICHIGAN

BCBSM IT Key & Large Shared Processing team is currently seeking a Systems Analyst II position for our Detroit / Jefferson facility. This role will be responsible for completing NASCO benefit file coding requests for group benefit changes, new group implementations and corporate projects, as well as supporting benefits defect root cause identification and resolution.


Strong background in NASCO healthcare benefit file coding and system analysis skills. Knowledge of NASCO claim processing, 3270 Mainframe, NASCO Flex Plan Table experience, NASCO NC3 application experience, detailed knowledge of Medical, Dental, Vision & Hearing benefits, experience with membership/eligibility and working knowledge of Microsoft Office software, specifically Excel, Access and Word with job related experience preferred.

*Plan, develop, test and implement IT system solutions that improve business efficiency and productivity as well as support business strategies and goals. Identify and communicate business needs and translate business requirements into technical system and functional specifications. Support one or more moderately to highly complex business processes/systems for multiple business units. Project team member for projects medium to large in scope and high complexity. *

  • Participate in business short-term planning sessions to ensure understanding of business goals, direction and business requirements; provide input from an IT systems perspective. Participate in the estimation of costs for the planning of new systems/enhancements for assigned systems. Serve as a liaison between business area and the IT organization and vendors in coordination with project managers to provide technical solutions that address user needs.

  • Translate business requirements into technical requirements. Formulate and define system scope and objective based on user needs and understanding of business processes. Develop, write, and communicate systems design, functional system specifications and functional architecture analysis. Identify gaps or issues.

  • Analyze customer’s systems and capabilities to understand strengths and weaknesses for the identification of opportunities for system improvement.

  • Develop user and/or system test cases and validate test results during testing, as needed. Document system modifications. Develop system manuals, system training materials and system enhancement communication.

  • Identify, investigate, resolve and escalate problems, as needed. Gather data to support recommendations to address problems. Procure technical assistance to help in problem resolution.

  • Work closely with developers and end users to ensure technical compatibility and user satisfaction.

  • Provide factual content to feasibility study for standard development projects and enhancements. Stay abreast of new and emerging technologies. Analyze technology trends to determine impact to the achievement of business goals. Identify issues based on impact of new/emerging technology or modifications to existing systems.

  • Provide input for the development of Service Level Agreements (SLAs) and/or forecasting activities as needed. Review performance against SLAs. Identify areas for improvement. Support achievement of SLAs.

  • Coach and mentor less experienced team members.

  • Other duties as assigned.

Qualifications
  • Bachelor's degree in related field preferred.

  • Three (3) years of relevant system solution development, testing and implementation work experience required.

  • Strong analytical, technical, interpersonal and communication skills.

  • Knowledge of business operations, systems requirements and IT processes.

  • Ability to work independently, or within a team environment.

  • Other related skills and/or abilities may be required to perform this job.



_DEPARTMENTAL REQUIREMENTS:_

  • _ Strong background in healthcare benefits coding minimum 3 years’ experience._

  • Minimum 3 years’ experience in NASCO Benefit File Coding.

  • Minimum 3 years claims processing system experience.

  • Ability to perform claims unit testing.

  • Working knowledge of claims processing.

  • Excellent analytical and organizational skills, including ability to manage multiple concurrent assignments.

  • Excellent verbal and written communication skills.

  • Great interpersonal skills and team spirit attitude.

  • NASCO system knowledge.

  • 3270 Mainframe experience.

_DEPARTMENT PREFERENCES:_

  • _ Knowledge of NASCO Flex Plan Rules Table coding._

  • Experience in NASCO NC3 application.

  • __BFM/BFAST experience.__

  • ____Working knowledge of SharePoint____

  • ______Detailed knowledge of Medical, Dental, Vision & Hearing benefits.______

  • ________Experience with membership/eligibility.________

  • ___________Working knowledge of Microsoft Office software, specifically Excel, Access and Word.___________

**

All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

Job: Information Technology

Primary Location: Detroit

Organization: IT Serv & End User Exp-7120

Schedule: Full-time

Req ID: BCB005S0

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