Systems Analyst, Senior

Your Role

The Operations Portfolio team within Blue Shield of California provides robust solutions for our business partners, providers and members which improve the overall health care experience from membership, enrollment and Providers. The Billing and Payment Systems Analyst, Senior will report to the Senior Manager, Applications Services Lead in the Operations Portfolio. In this role you will help define and deliver solutions that meet business objectives and will serve as a facilitator between the business and IT in understanding the business needs. In partnership with Product Managers, Scrum Masters, Business Product Owners, and IT interfacing groups you will lead the eliciting, analyzing, validating, and managing of requirements, business processes and high-level solution designs. An individual in this role is a proactive member of an Agile product team, working in tandem with the Product Managers and Product Owners and design and development team members to ensure the product continuously delivers value to users.

 

Your Work

In this role, you will:

• Formulate/define system scope and objectives based on user needs for the highest complexity changes
• Analyze and evaluate existing or proposed systems and devices to process data
• Prepare charts and diagrams to assist in problem analysis and submits recommendations for solution
• Analyze all aspects of business unit functions to determine application, integration and optimal use of information systems
• Work directly with the Product Owner and additional business stakeholders to understand the business domain and upcoming required features
• Assist in creating, refining, and maintaining user stories and associated deliverables such as process flows and test cases to meet development and stakeholder needs
• Quickly grasp the existing product designs and implementations to troubleshoot and make recommendations for future capabilities
• Write acceptance criteria and ensure criteria comes to fruition during product demos
• Support the team to populate, groom, and prioritize the backlog

 

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires at least 5 years of directly related professional experience and deep technical abilities in one or more primary products, programs or technologies
• Strongly prefers Healthcare experience with knowledge of Facets Billing & Payment including 820 and other EDI transactions
• Excellent oral and written communication skills; excellent problem solving and consulting skills
• Experience documenting agile workflows and process documentation
• Proven ability to function in a fast moving and rapidly evolving environment