Note: The job is a remote job and is open to candidates in USA. Blue Cross NC is a health care organization focused on health care delivery and community support. The Principal Facets Application System Analyst leads requirements elaboration, systems analysis, and functional design for complex enterprise-wide solutions involving payer systems, enrollment, billing, and claims. The role also coordinates teams, advises business and technology partners, and mentors less experienced staff.
Responsibilities
- Facilitate and influence the design, construction, deployment, and ongoing maintenance of specific complex technical solutions through design documents, gap analysis, business rule and data mapping management, risk assessment, traceability mapping and financial and timeline constraints to balance ROI
- Elaborate business requirements, rules, and data elements into functional designs that are both complex in nature and enterprise oriented. Applicable business requirements and processes are reviewed, analyzed, and translated into system function points
- Conduct systems analysis to validate designs. Perform or facilitate reverse engineering of code when required. Create functional designs that meet systems analysis standards and are aligned with the Enterprise Business Process Architecture
- Prioritize requirements through negotiation, release and phase management techniques and systems analysis techniques and tools
- Create and document functional designs of business solutions. Ensure end-to-end traceability through appropriate artifacts. Determine and manage enterprise wide, upstream and downstream system impacts of proposed changes and enhancements
- Maintain and utilize detailed system, application, and component analysis and design knowledge related to the construction of broad based and highly complex solutions, which requires detailed knowledge of the processes, technologies, and people components
- Serve as a trusted, expert advisor or a Subject Matter Expert for systems analysis and process design services
- Provide consultancy and advice to business partners on the applicability and usability of alternative technology to help address business requirements, problems or issues
- Review documents and models produced by Business Analysts, Architects, and Developers to ensure end to end quality of the product
- Support program and portfolio management goals through assessment of business solutions for decomposition of projects into multiple production releases to meet business owner needs. Recognize and manage technical synergies and conflicts across concurrent project activity
- Participate in the development and support of scope and implementation strategies, including definition, development, and planning of incremental or iterative phasing for design, construction and implementation
- Interpret and translate impacts, risks, and gaps across technical and non-technical audiences to ensure a holistic understanding of business and user requirements
- Coordinate work of teams to effectively define, analyze, and develop enterprise solutions
- Lead and mentor less experienced staff to influence the maturation of the practice
Skills
- 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 with payer systems and enrollment functions, processing and automation
- Proven experience migrating enrollment platforms and supporting end-to-end deployment activities
- EDI 834 experience preferred but not required
Benefits
- Work-life balance, flexibility, and the autonomy to do great work
- Medical, dental, and vision coverage along with numerous health and wellness programs
- Parental leave and support plus adoption and surrogacy assistance
- Career development programs and tuition reimbursement for continued education
- 401k match including an annual company contribution
- Annual Incentive Bonus, based on annual corporate goal achievement and individual performance
- Paid Time Off (PTO)
- Competitive health benefits and wellness programs
- Hybrid Flex: flexibility to work remotely with intentional in-person connection; in-office at least two days a week
- Remote Flex: work virtually, with a few in-office visits each year for meaningful moments that matter
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