Principal Facets Application System Analyst

🔥 15 hours ago

🏈 Alabama, Arizona, +21 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $118.7k - $189.9k / year

⏰ Full Time

🔴 Lead

🧐 Analyst

👻 Ghost score 0%

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Blue Cross NC

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1933

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross NC is a health insurance provider that offers a range of health plans and services to individuals and groups. The company focuses on delivering quality healthcare coverage and improving health outcomes for its members through innovative health programs and services. Blue Cross NC is committed to enhancing access to affordable healthcare while supporting the health and wellness of the communities it serves.

📋 Description

• Complete requirements elaboration and system functional design for complex enterprise-wide business demands • Discern business needs and facilitate work sessions • Document, elaborate, and prioritize requirements and specifications • Manage scope as input to functional, architectural, and technical design • Facilitate design, construction, deployment, and maintenance of complex technical solutions • Perform gap analysis, business rule and data mapping, risk assessment, traceability mapping, and ROI balancing • Translate business requirements and processes into complex, enterprise-oriented functional designs • Conduct systems analysis and facilitate reverse engineering of code when required • Prioritize requirements through negotiation, release and phase management, and systems analysis techniques • Create and document functional designs and manage upstream and downstream system impacts • Serve as an expert advisor or subject matter expert for systems analysis and process design • Advise business partners on alternative technology solutions • Review Business Analyst, Architect, and Developer documents and models for end-to-end quality • Support program and portfolio management through project decomposition and production release planning • Develop scope and implementation strategies, including incremental or iterative phasing • Translate impacts, risks, and gaps across technical and non-technical audiences • Coordinate teams defining, analyzing, and developing enterprise solutions • Lead and mentor less experienced staff

🎯 Requirements

• 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 • Trizetto Facets enrollment, billing and/or claims required • Strong knowledge of payer systems and enrollment functions, processing, and automation • EDI 834 experience preferred but not required

🏖️ Benefits

• Work-life balance, flexibility, and autonomy • Medical, dental, and vision coverage • Health and wellness programs • Parental leave and support • Adoption and surrogacy assistance • Career development programs • Tuition reimbursement for continued education • 401k match including an annual company contribution • Annual Incentive Bonus • Paid Time Off (PTO) • Remote Flex arrangement with a few in-office visits each year