
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.
🔥 5 minutes ago
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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.
• Elicit, prioritize, and convert business/functional requirements into system requirements • Analyze applications in production for large and/or complex initiatives • Develop functional designs for new, customized, or enhanced systems • Partner with business stakeholders and technical teams to gather, analyze, prioritize, and document requirements • Translate business needs into functional system designs and technical requirements • Analyze end-to-end business processes, system workflows, and technical dependencies • Conduct gap analyses and recommend system enhancements, process improvements, and solution strategies • Ensure traceability between requirements, functional designs, development efforts, and delivered solutions • Use SQL, Facets data structures, and analytical tools for functional analysis, testing, troubleshooting, and production support • Collaborate with developers, architects, analysts, and business teams to evaluate solution alternatives • Provide subject matter expertise on system functionality, business processes, and application design • Support implementation, testing, and production readiness activities • Mentor junior analysts and guide analysis, documentation, and solution design best practices
• Bachelor's degree or advanced degree (where required), or 7+ years of related experience in lieu of degree • Strong understanding of healthcare claims processing and healthcare payer operations • Strong understanding in Facets Claims process, IPP (BlueCard), and FEP is preferred • 5+ years of experience in systems analysis, business analysis, Facets, Blue Card (IPP), or a related field • Experience gathering requirements, developing functional designs, and supporting technology implementations • Strong analytical, problem-solving, and communication skills • Experience using SQL for data analysis and system investigation • 5+ years of hands-on experience with TriZetto Facets, Blue Card (IPP), and FEP is preferred • Experience with Facets Claims modules and IPP Claims process • Experience configuring, customizing, integrating, and supporting Facets applications • Knowledge of healthcare payer operations and related business processes • Experience evaluating upstream and downstream system impacts in complex enterprise environments
• 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 • 401(k) match including an annual company contribution • Paid Time Off (PTO) • Annual Incentive Bonus
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