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Looking for - Sr. Inter-Plan Business Systems Analyst at Philadelphia, PA (Hybrid Onsite) at Philadelphia, Pennsylvania, USA
Email: [email protected]
Hi,

This is Kamal with Empower Professionals Inc; We are sourcing for Sr. Inter-Plan Business Systems Analyst at Philadelphia, PA (Hybrid Onsite). Please find the detailed job description below.

Role: Sr. Inter-Plan Business Systems Analyst

Locations: Philadelphia, PA (Hybrid Onsite)

Duration: 12+ Months Contract

Note: Candidate needs to be in the office 3 Days every week. Local or candidates from nearby states Only.

Must Have: Direct Host experience processing Host claims or someone who has the deep understanding of BCBS policy around Host processing.

Job Description:

Claims Operations is hiring a Sr. Inter-Plan Business Systems Analyst to join our Shared Services BlueCard and Operations Support Team.

This professional will be responsible for supporting the Inter-Plan BlueCard business for all Independence product lines across multiple processing platforms performing as subject matter expert.

Responsibilities:

Work with business partners to identify business systems requirements and develop business solutions working closely with internal IT and/or external vendors.

Perform as senior level business contact to define business system requirements for areas of expertise.

Build strong, collaborative working relationships with internal customers, management, external partners including Inter-Plan partners, outsourced IT solution providers, and other teams.

Assist in developing systems criteria and project scope.

Identify potential problems/defects, perform business analysis, and assist in defining system enhancements, modifications/change requests, and upgrades to meet business process objectives as defined by BCBSA National Program releases, BCBSA mandated initiatives, and internal processing enhancements.

Collaborate with internal IBC Test Team and associated vendor teams to assist in creating thorough Test Plans and identify appropriate Test Case Scenarios supporting defect fixes, enhancements, and projects as required. Provide business validation of testing results.

Coordinate testing with Inter-Plan partners and execute required Inter-Plan Release Global Certification testing, reporting milestone status to the assigned PM and/or Blue Cross Blue Shield Association (BCBSA).

Support production business checkout as required including identification of post-implementation defect tracking.

Identify opportunities for business process improvement and efficiencies to re-evaluate processes and operations workflows.

Attend BCBSA workgroups representing Independence Blue Cross Family of Companies as required.

Perform any other duties as may be assigned.

The ideal candidate will possess:

A working knowledge and experience with BCBSA BlueCard processing and Inter-Plan Program policies.

An understanding of the business environment and associated system platforms.

Demonstrated effective organizational, analytical, technical (with business perspective) and interpersonal skills with detail-oriented focus. Must be able to present findings to management.

Proven communication and analytical skills required to address and present most complex ideas and concepts to users, business systems analysts, and management.

Ability to work with multiple business system platforms and have an extensive understanding of business process and system design.

Effective facilitation and presentation skills necessary to demonstrate and train in business systems solutions in a clear and concise manner.

Clearly define desk level procedures as required.

Coordinate with internal and external project management staff as required.

Knowledge of health insurance/health care/managed care environment preferred.

Education and Experience:

Bachelor's degree in Business Administration preferred.

Minimum 6+ years proven working experience in a business unit necessary or equivalent external work experience.

Demonstrated effective project management skills necessary.

Strong demonstrated experience using Microsoft office products (Word, PowerPoint, Excel and Visio).

Knowledge of project management tools and business systems methodology.

Thanks & Regards

Kamal Singh Savaner

Empower Professionals

F [email protected]  

100 Franklin Square Drive Suite 104 | Somerset, NJ 08873

LinkedIn : https://www.linkedin.com/in/kamal-singh-savaner-a4556112b/

www.empowerprofessionals.com

Certified NJ and NY Minority Business Enterprise (NMSDC)

Empower Professionals firmly opposes e-mail "spamming". We apologize to those who do not wish to receive this e-mail and also to those who have accidentally received it again. Please reply with REMOVE in the subject listing, with all aliases email addresses that you would want removed and any inconvenience caused is highly regretted. We appreciate your patience and cooperation. This e-mail and any files transmitted with it are for the sole use of the intended recipient(s) and may contain confidential and privileged information. If you are not the intended recipient(s), please reply to the sender and destroy all copies of the original message. Any unauthorized review, use, disclosure, dissemination, forwarding, printing or copying of this email, and/or any action taken in reliance on the contents of this e-mail is strictly prohibited and may be unlawful.

Kamal Singh Savaner

Empower Professionals 100 Franklin Square Drive Suite 104 | Somerset, NJ 08873,
Somerset,
NJ
08873

Keywords: information technology New Jersey New York Pennsylvania
Looking for - Sr. Inter-Plan Business Systems Analyst at Philadelphia, PA (Hybrid Onsite)
[email protected]
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Mon Jun 03 20:32:00 UTC 2024

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