Business Technical Operations Consultant

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NASCO

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1987

We deliver the capabilities and develop the products and solutions that create healthier outcomes for healthier lives. Born from the Blues, for the Blues, our common goals are so tightly aligned with health plan strategies that when our customers succeed, we succeed.

📋 Description

• Interfaces with Plan resources to define Plan business requirements, translating those into NASCO system requirements language, and collaborating with more senior team members in advising Plan teams on relative complexity of anticipated enhancements • Creates quality artifacts in the appropriate time frame, with input from more experienced team members by following NASCO’s project management or system development life cycle methodologies for projects and enhancements • Provides input for Plan and NASCO resources, including documentation, project turnover information and steady state staffing required to support new functionality and products • Reviews and provides input to Technical Design documentation prior to review with Plan stakeholders, including understanding of Plan operational impacts of the proposed system change • Collaborates with Plan and NASCO vendors and technical teams to resolve system processing or performance issues by performing initial evaluation of the reported issue, facilitating fact finding meetings, managing issue workload, conducting discussions to determine root cause analysis for each performance issue and providing communication to Plan stakeholders on status and resolution of issues • Provides input into impact analysis for procedure changes, product enhancements or system integration to inform the Project and Plan teams team of requirements that could impact existing operational or downstream system functionality within the assigned business area • Identifies opportunities to create automated short term solutions external to core system processing that meet audit requirements to assist Plan or NASCO clerical or system operations support • Identifies and implements process improvements to gain efficiency for internal or Plan teams • Recommends configuration of NASCO systems and solutions to optimize system or workforce performance • Monitors and maintains documentation, spreadsheets, flowcharts, and other artifacts related to the content and purpose of assigned application components including but not limited to Plan operational metrics, cycle flows, processing sequencing, integration points, integration vendors and other pertinent information for Plan and NASCO steady state operations • Focus on benefit code review and analysis. Research benefit code to determine why claims act the way they do. Take that information and mine customer databases for work drivers that are applicable.

🎯 Requirements

• Knowledge of the Healthcare Insurance industry and Health Care payer functions • Knowledge of business and NASCO System Area • Ability to lead by example • Knowledge of TSO, file transfer and other Mainframe and Mid-Tier server technologies, including JCL • Knowledge of project management processes, system change request and change management processes • Knowledge of Microsoft Office Suite including Outlook, Excel, Word, PowerPoint, and Visio • Proven written and verbal communication skills including meeting facilitation with internal/external customers • Proven analytical, critical thinking and decision making skills • Proven problem solving skills • Demonstrated flexibility to adapt to shifting priorities • Ability to create trusted relationships with customers and garner their agreement with and level of engagement on our joint work priorities • Ability to manage and prioritize workload based on impacts to the customer or internal demands • Ability to translate business needs into technical requirements • Ability to assimilate information quickly and accurately, work independently and be self-motivated • Ability to create and present information to internal and customer team members in formal and informal setting • 3 years of experience related to software development lifecycle methodology • 1 year of experience with Healthcare Insurance Industry • Bachelor’s degree in computer science, business technology, or fields related to analytical thinking or logic, or equivalent work experience

🏖️ Benefits

• Physical and Mental Health Benefits • Choice of Blue Cross Blue Shield Medical, Dental, and Vision Plans • Telehealthcare – for Medical and Behavioral visits • Generous PTO with buy/sell options • 9 Company holidays, a floating day off, and a day off for volunteering • Employee Assistance Program • Wellness program - earn insurance discounts or credit towards health-related items • Financial Health Benefits • 401K Plan with employer matching contributions • Company-funded spending/reimbursement accounts to help with out-of-pocket medical expenses • Bonus and Recognition programs • Tuition Assistance • Consultation with financial planner • Basic Life & AD&D Insurance, Short and Long-Term Disability Insurance provided, and Supplemental Term Life Insurance is available • Group Discount programs - mobile, technology services, etc., to help you save money • E-Learning – Comprehensive and current library of e-learning and performance support assets, available on demand and at no cost