Manager - Application Solutions Facets Operations & Technical Support
BlueCross BlueShield of TennesseeAbout the role
Job Description:
Job Responsibilities
- Monitoring and maintaining adherence and compliance to quality standards on an ongoing basis.
- Overseeing multiple application programming and analysis projects which include development, installation and maintenance of application programs.
- Maximizing staff contribution through professional growth and development, to increase teamwork and more effectively meet business needs.
- Analyzing applications to ensure that all systems that are developed, meeting business needs and specifications.
Job Qualifications
Education
- Bachelor's Degree in a Computer Sciences related field or equivalent work experience
Experience
- 8 years - Extensive systems analysis, design and project management experience required.
- 3 years - Management and/or leadership experience required
Skills\Certifications
- Proven technical background with a history of relational database and data warehousing technologies.
- Ability to design and develop using service oriented architecture and object oriented architecture design patterns
- Proven skill with information technology in use at BCBST is required
- Ability to conceive and deliver innovative solutions
- Proven analytical and problem solving skills and ability to perform non-routine analytical tasks
- Strong interpersonal and organizational skills
- Ability to establish and maintain a high level of customer trust and confidence
- Must be able to communicate effectively with both technical and non-technical co-workers
- Demonstrated competency in strategic thinking, with strong abilities in relationship management
- Demonstrated ability to work with vendors, including discussions for contracts, price negotiation, and budgeting
Job Specific Requirements:
Oversight of multiple teams and their related functions including:
- Upgrading and maintaining core Facets across all environments, including coordinating releases.
- Developing, upgrading, maintaining ancillary applications that are tightly coupled with Facets. These include: NetworX, Workflow, Optum Claim Editing System (CES), Configuration Migration Utility (CMU), Mass Load Utility (MLU), Facets Extensions (Benefit Summary Viewer, ITS Home (FLIC), FEP, Imaging, XCOM), Real-Time Claims Adjudication (RTCA), Fee Schedules, Federal Employee Program (FEP) applications.
- Electronic claims adjudication for all lines of business, in all Facets environments, across both verticals.
Experience working with the following would be preferred:
- Facets
- Object-Oriented Programming (C#, Java)
- Claims Adjudication
- SQL Server (stored procedures, CRUD)
- Team Building
Additionally:
- Strong business focus
- Excellent communication skills, both written and verbal
Preferred Skills:
Number of Openings Available:
1Worker Type:
EmployeeCompany:
BCBST BlueCross BlueShield of Tennessee, Inc.Remote-First Statement:
BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based.
BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the applicant moves to Chattanooga, TN, they may be eligible for relocation benefits.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST is an Equal Opportunity employer (EEO), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for thi
Apply for this role
Generate a tailored application kit with a matched cover letter, interview prep, and CV highlights — in under 60 seconds.
Apply Now →Generate Application KitFree account required — sign up in 30s