Configuration Enterprise Analyst - Hybrid

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:

• Hybrid People Leaders: must reside in AZ, required to be onsite at least once per week

• Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month

• Onsite: daily onsite requirement based on the essential functions of the job

• Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per month.

PURPOSE OF THE JOB

The Configuration Enterprise Analyst is able to support Configuration Services in any BCBSAZ project as a single resource representing corporate wide knowledge of business and functional processes.  This combines the skillsets of a Project Manager, Business Analyst, Healthcare EDI Analyst, Software Development Analyst, Data/Reporting Analyst, Process Improvement Analyst, External Vendor Management Liaison, and Consultant.

REQUIRED QUALIFICATIONS

Required Work Experience

• 2 years' experience doing benefits or pricing configuration in the Health Rules Payor claims adjudication system
• 2 years of experience in healthcare or insurance field in at least three of the following areas:
  • Project Management, including scope/schedule/cost documentation, analysis and reporting
  • Business Analysis, including Business Requirements Documents and User Stories, Test Strategies, Test Scripts, Defects, etc.
  • Healthcare EDI Analysis, including experience working with 270/271, 276/277, 278, 834, 835, 837, etc. file formats
  • Software Development Analysis, including Business Requirement, Functional Design/Specification, QA/UAT Testing, Implementation and Post-Implementation processes
  • Data/Reporting Analysis using Excel, Access, SQL or SAS
  • Process Improvement, including Business Process Engineering (Current State vs. Future State Analysis, Gap Analysis, and Workflow Diagrams)
  • External Vendor Management, including working with and/or managing External Vendor relationships
  • Consulting, including Sponsor/Business Lead management and the ability to identify and resolve business or technical problems in a variety of team and organizational environments
• 1 year experience with either Jira or DevOps work tracking systems

Required Education

• High-School Diploma or GED in general field of study (All Levels)

Required Licenses

• N/A

Required Certifications

• N/A

PREFERRED QUALIFICATIONS

Preferred Work Experience (All levels)

• 3 years' experience doing benefits or pricing configuration in the Health Rules Payor claims adjudication system
• 5 years of demonstrated experience in healthcare or insurance field in four or more of the following areas:
  • Project Management, including scope/schedule/cost documentation, analysis and reporting
  • Business Analysis, including Business Requirements Documents and User Stories, Test Strategies, Test Scripts, Defects, etc.
  • Healthcare EDI Analysis, including experience working with 270/271, 276/277, 278, 834, 835, 837, etc. file formats
  • Software Development Analysis, including Business Requirement, Functional Design/Specification, QA/UAT Testing, Implementation and Post-Implementation processes
  • Data/Reporting Analysis using Excel, Access, SQL or SAS
  • Process Improvement, including Business Process Engineering (Current State vs. Future State Analysis, Gap Analysis, and Workflow Diagrams)
  • External Vendor Management, including working with and/or managing External Vendor relationships
  • Consulting, including Sponsor/Business Lead management and the ability