Blue Cross Blue Shield of Michigan

IT Analyst II-EDI

Blue Cross Blue Shield of Michigan  •  Michigan (Onsite)  •  1 day ago
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Job Description

Departmental Preferences:

  • Proficiency in healthcare EDI standards (HIPAA X12)
  • Strong understanding of XML, JSON, SQL, REST, and SOAP-based web services
  • Strong knowledge of healthcare processes including enrollment, eligibility, claims, payments, and prior authorizations

The IT Analyst is responsible for helping business partners implement technology solutions by determining the requirements of a business unit, project, initiative, or program, and assisting teams in translating these requirements into user stories and features. The IT Analyst provides general analytical support across projects, initiatives, and business units, as well as the entire organization, and understands key business processes, key business drivers, short and long-term strategy, and related technologies. During development, the IT Analyst deals with issues and questions and provides support in implementing required changes. Additionally, the IT Analyst participates in planning and supports quality efforts.

  • Align technology solutions with business strategies comprised of moderate to complex business processes.
  • Work with business unit managers, project managers, agile teams, and business stakeholders to identify and capture business problems and non-functional requirements.
  • Clearly communicates the organization’s options through the business case making full use of external research and industry-specific trends.
  • Develop materials and present results from pulled reports.
  • Translate business requirements and user stories into functionality and features.
  • Aid team in performing technological assessments and assist in developing recommendations based on business relevance, appropriate timing, and deployment.
  • Develop recommendations for resolution of problems and review recommendations with team.
  • Work closely with developers and end users to ensure technical compatibility and user satisfaction.
  • Assist in agenda setting and project prioritization efforts for planning sessions.
  • Serve as a key partner with business units, identify requirements and facilitate and manage requirements and user story discovery sessions and drive the development of session documentation.
  • Collaborate with team on systems and process automation planning to align with industry best practices and meet business / IT needs.
  • Coach employees to make use of technology and information when necessary.

QUALIFICATIONS

  • Bachelor’s degree preferred. Or equivalent work experience.
  • Four (4) to six (6) years of relevant system solution development, testing and implementation work experience required.
  • In-depth knowledge of business operations, systems requirements, development methodologies, and IT processes and technologies.
  • Requires technical, analytical, and interpersonal skills.
  • Familiarity with standard and emerging IT processes, tools, and frameworks.
  • In-depth knowledge of the insurance industry (e.g., members, eligibility, claims, etc.).
  • Experience in eliciting requirements and performing testing.
  • Knowledge of Agile, DevSecOps, and Design Thinking Methodologies.
  • Experience translating customer journeys into user stories.
  • Knowledge of information gathering, planning, and organizing methods and principles.
  • Experience in analyzing data to draw business-relevant conclusions and in data visualization techniques and tools.
  • The ability to influence stakeholders and work closely with them to determine acceptable solutions.
  • Fundamental analytical and conceptual thinking skills.
  • Excellent planning, organizational, and time management skills.
  • Strong written and verbal communication skills including technical writing skills.
  • Ability to conduct research into a wide range of computing issues as required.
  • Ability to absorb and retain information quickly, specifically complex technical information.
  • Good understanding of the organization’s goals and objectives.
  • Enthusiasm for working with technical teams producing complex solutions.
  • Applies original thinking to produce new ideas and innovate.
  • Desired technical skills Systems Development Life Cycle (SDLC), Structured Query Language (SQL), Quality Assurance (QA), Requirements Gathering, Functional Specifications, and Advanced Analysis.
  • Other related skills and/or abilities may be required to perform this job.
Blue Cross Blue Shield of Michigan

About Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of Michigan is a nonprofit corporation and an independent licensee of the Blue Cross and Blue Shield Association.

BCBSM's commitment to Michigan is what differentiates it from other health insurance companies doing business in the state. That mission has never changed. Nearly 70 years ago, Blue Cross Blue Shield of Michigan started with a purpose to provide people with the security of knowing they have health care when they need it.

Today, that nonprofit mission is the same and the company is accomplishing it in many ways, including:

Offering access to health care coverage for everyone, regardless of circumstances

Never dropping your coverage for health reasons

Partnering with the state to cover more than 32,000 children through MIChild

Providing financial support to 30 free clinics statewide

Contributing more money than any other company to provide Michigan with better health and health care

Advocating and educating through Alliance for Advancing Nonprofit Health Care

For more on the history of BCBSM, please visit our section on historical highlights: http://www.bcbsm.com/home/bcbsm/1930.shtml

Industry
Finance & Insurance
Company Size
10,000+ employees
Headquarters
Detroit, Michigan
Year Founded
Unknown
Website
bcbsm.com
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