Offer summary

Qualifications:

Bachelor's degree or 4 years of job-related experience, or an Associate's degree with 2 years of job-related experience., 6 years of professional business systems analysis, research, or customer support experience with Medicare systems., Knowledge of Medicare and FISS systems is preferred., Familiarity with MCS and VMS system maintainers is advantageous..

Key responsibilities:

Research, analyze, and document business processes for Medicare systems development or enhancement.

Assist with needs assessments to align operational solutions with government initiatives.

Perform testing of applications and enhancements, ensuring correct functionality and documenting defects.

Act as a liaison between operations and Medicare system maintainers, facilitating communication and meetings.

Job description

Summary

Researches, analyzes and documents business processes for developing or enhancing Medicare systems. Assists with needs assessments to align operation solutions with government initiatives. Create and review test data for system changes. Identify, document and assist in the resolution of system-related problems. Coordinate activities for implementation of changes, as well as debugging and retesting of system changes.

Description

Location:

This role is remote, full time M-F 8am-5pm

What You Will Do:

Researches, analyzes and documents business processes for developing or enhancing Medicare systems
Assists with needs assessments to align operations solutions with government initiatives
Participates in the investigation and resolution of business process analysis problems
Perform testing of applications and enhancements to ensure correct functionality and note defects
Perform Quality reviews of testing results, programming defects and status to ensure consistent and accurate work
Acts as a facilitator or leader for government mandated changes
Develops, executes and documents test plans for Medicare system changes based on specifications and government requirements
Review and report system enhancements, changes, issues and other processing components to the Medicare system support staff
Ensures implemented system enhancements meet government initiatives
Serves as liaison to Medicare system maintainer and ensures the communication process between operations and Medicare system maintainers is positively maintained and occurs as should
Facilitate and/or attend meeting with government representatives, contractors and Medicare system maintainers
Prepares verbal and/or written communication regarding statistics gathered, analysis, changes, projects, and procedures including lessons learned and process improvements.

To Qualify For This Position, You Will Need:

Required Education: Bachelors degree OR 4 years job related work experience or Associate's and 2 years job related work experience
Required work experience: 6 years job related professional business systems analysis, research and/or customer support experience with Medicare systems

We Prefer You Have The Following:

Medicare and FISS experience
MCS and VMS (system maintainers) knowledge

What We Can Do For You:

401(k) retirement savings plan with company match
Subsidized health plans and free vision coverage
Life insurance
Paid annual leave – the longer you work here, the more you earn
Nine paid holidays
On-site cafeterias and fitness centers in major locations
Wellness programs and healthy lifestyle premium discount
Tuition assistance
Service recognition
Incentive Plan
Merit Plan
Continuing education funds for additional certifications and certification renewal

What To Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

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