Systems Analyst I

With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust.

Detroit, MI (Hybrid)

Blue Cross Blue Shield of Michigan

When you think of <a href="https://www.bcbsm.com/" target="_blank" rel="noopener noreferrer">Blue Cross Blue Shield of Michigan</a> for health insurance, you can know you&rsquo;re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future.&nbsp;<br /><br />We offer:<br />Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyle<br />The largest network of doctors and hospitals in the state<br />Lower health care costs Higher quality health care<br />Award-winning diversity practices<br />Grants and programs that promote better health throughout Michigan<br /><strong><br />Mission:&nbsp;</strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><a href="http://www.bcbsm.com/index/about-us/our-company.html" target="_blank" rel="noopener noreferrer"><strong>Click here</strong></a> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.<br /><br />For Application Timeline &amp; Selection Process:&nbsp;<a href="https://s3.amazonaws.com/data.vizirecruiter.com/Images/BCBSMCareers+-+Quick+Reference+Guide.pdf" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="https://ejko.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_3/requisitions" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions. http://www.bcbsm.com

keywords: position summary,teamwork,develop,analysis,management,education,experience,knowledge,skills

Non-Manager

Competitive Total Compensation Package

Overview: <strong>Plan, develop, test and implement IT system solutions that improve business efficiency and productivity as well as support business strategies and goals.&nbsp; Identify and communicate business needs and translate business requirements into technical system and functional specifications.&nbsp; Support one or more low to moderately complex business processes/systems for one business unit.&nbsp; Serve as a project team member for projects of small to medium scope and moderately complex or sub-projects within a large or highly complex projects.</strong>
Responsibilities: <ul> <li>Participate in business short-term planning sessions to ensure understanding of business goals, direction and business requirements; provide input from an IT systems perspective. Provide data on cost projections for own work.</li> <li>Serve as a liaison between business areas and the IT organization and vendors in coordination with project managers to provide technical solutions that address user needs.</li> <li>Translate business requirements into technical requirements.&nbsp; Formulate and define system scope and objective based on user needs and understanding of business processes.&nbsp; Develop, write, and communicate systems design, functional system specifications and functional architecture analysis.</li> <li>Develop user and/or system test cases and validate test results during testing, as needed. Document system modifications.&nbsp; Support/develop system manuals.&nbsp; Support and may develop system enhancement communication.</li> <li>Identify, investigate, resolve and escalate problems as needed.&nbsp; Gather data to support recommendations to address problems.&nbsp;</li> <li>Procure technical assistance to help in problem resolution. Work closely with developers and end users to ensure technical compatibility and user satisfaction, as needed. Provide assistance in business case development (i.e., research, data collection, systems), as needed.</li> <li>Stay abreast of new and emerging technologies.</li> <li>Ensure understanding of Service Level Agreements (SLAs) and impact of work on the achievement of the service levels.&nbsp; Support achievement of SLAs.</li> <li>Other duties as assigned.&nbsp;</li> </ul>
Requirements: <p><strong>EDUCATION AND/OR EXPERIENCE</strong></p> <ul> <li>Bachelor's degree in related field preferred.</li> <li>One (1) year of relevant system solution development, testing and implementation work experience required.</li> </ul> <p><strong>OTHER SKILLS AND ABILITIES</strong></p> <ul> <li>&nbsp;Strong analytical, technical, interpersonal and communication skills.</li> <li>Knowledge of business operations, systems requirements and IT processes.</li> <li>Ability to work independently, or within a team environment.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul> <p><em><strong><u>Departmental Preferences:</u></strong></em></p> <ul> <li>Three (3) years&rsquo; experience with claims processing on NASCO processing system (NPS) platform for all lines of business is preferred.</li> <li>Previous experience preparing/executing test plans and product development within the NPS platform is preferred.&nbsp;</li> <li>Knowledge of Medical, Benefit and Payment Policy is preferred.&nbsp;&nbsp;</li> <li>NASCO 3270 mainframe experience &amp; system knowledge is preferred.&nbsp;</li> <li>Experience in BFM/BFAST environment &amp; testing is preferred.</li> <li>Knowledge of JIRA &amp; Confluence in support of CSR creation, updates &amp; development is preferred.</li> <li>Good medical and facility claims processing knowledge is preferred.</li> <li>Previous experience preparing/executing test plans and product development within the NPS platform is preferred.</li> <li>Self-starter with the ability to read/interpret Benefit File code, GENO tables, Procedure &amp; Diagnosis Files is preferred.</li> <li>Self-disciplined with the flexibility to effectively handle multiple roles and responsibilities and work drivers is preferred.</li> <li>Knowledge of business operations, systems requirements, and configuration processes is preferred.</li> <li>Ability to understand/interpret business documents and develop requirements for new/existing products is preferred.</li> </ul> <div>&nbsp;</div> <div><em>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.</em></div>