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BlueCross BlueShield of North Carolina Sr. Business Systems Process Analyst in Durham, North Carolina

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Job Description

This role will facilitate collaboration efforts with the Quality Management Office (QMO) and other key business stakeholders and ensure that the business impact testing efforts will focus on desired business areas of concern to determine if objectives will be met and desired outcomes achieved. This role will ensure that the business impact testing efforts will focus on the claims area and outline best possible testing scenarios to achieve the desired outcome. This role will lead more complex projects and ensure that all enterprise business impact testing occurs, and results are analyzed and shared, ensure that business stakeholders are provided key business findings and impacts in order to make key determinations with respect to changes in the organizations needed as a result of impacts found.

  • Identify improvement opportunities through data analytics, stakeholder and customer interactions

  • Provide management with reporting/analytics on problem resolutions and test progress.

  • Provide mentoring and guidance to Business Impact Tester Associate & Business Impact Tester.

  • Lead complex enterprise projects

  • Evaluate incoming requests to produce BIT scope, Impact Analysis, resource needs, level of effort, etc.Participate with impacted stakeholders to obtain requirements and objectives needed to create test scenarios and test cases

  • Participate on projects throughout the SDLC to understand the changes and the impact to testing and the business

  • For all defects moving into production, host a formal Transition Meeting with Business Stakeholders and Business Partners, to provide knowledge share on business impact assessment, risk treatment plan (Accept, Avoid, Transfer, Mitigate), Plan of Action for Stop-Gap, Historical Corrective Plan and Solutions Plan

  • Provide status reports to QMO and impacted Stakeholders

  • Translate and review with business the requirements that will result in test cases and scenarios and obtain all approvals

  • Collect and evaluate test results from testing performed by Business SMEs against pre-defined expectations/outcomes

  • Act as an escalation point for complex projects

Hiring Requirements:

  • Bachelor’s degree and 5 years job related experience in business process and workflow or prior test execution experience

  • In lieu of degree, 7 years combined analysis, testing, auditing and/or quality assurance experience

  • Extensive knowledge and applicable work experience within related business area including claims management and membership

  • Experience with PowerMHS or current business systems knowledge

  • Experience with FACETS®

Hiring Preferences:

  • Experience with test methodologies or test automation

  • Experience working with HP’s testing suite of tools including Quick Test Pro, Performance Center and Quality Center.

  • Experience working on waterfall and AGILE delivery required.

  • Experience in or knowledge of the health care industry is required

  • Excellent consultative skills needed, with ability to effectively present options and risks and escalate issues as needed to management.

  • Excellent oral and written communication and facilitation skills that include work group leadership, problem resolution across multiple groups, etc.

  • Excellent PC Skills to include Word, Excel, PowerPoint.

  • Ability to lead complex project teams and work well independently.

  • Excellent time management and organizational skills with ability to manage work to deadlines.

  • Strong research, analytical and problem-solving skills, including ability to interpret and present quantitative data.

  • Excellent presentation skills.

  • Knowledge of data collection, analysis, and reporting procedures

  • Knowledge of multiple systems/wrappers and distributed applications and/or solid working knowledge of multiple platforms

  • Commitment to excellent customer service

  • Prefer certification in business analysis ((i.e. IIBA (CBAP, AAC), Scrum Alliance (CSPO))

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina. Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.

Our company is a not-for-profit with headquarters in Durham and major operations in Winston-Salem and Fayetteville. In all we employ more than 4,900 North Carolinians and serve more than 3.9 million customers.

Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.

Third Party Staffing Agencies

Blue Cross NC does not accept unsolicited resumes from any source other than directly from candidates. For the protection of all parties involved in the recruiting process, resumes will only be accepted from recruiters/agencies if a signed agreement is in place at the inception of the recruiting effort and authorized for a specific position. Unsolicited resumes sent to Blue Cross NC from recruiters/agencies do not constitute any type of relationship between the recruiter/agency and Blue Cross NC and do not obligate Blue Cross NC to pay fees if we hire from those resumes.