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Business Analyst I (Provider Enrollment) - Palmetto GBA

Palmetto GBA
Carolina, SC Full Time
POSTED ON 4/1/2025 CLOSED ON 4/4/2025

What are the responsibilities and job description for the Business Analyst I (Provider Enrollment) - Palmetto GBA position at Palmetto GBA?

Summary

Assists in formulating and defining systems scope and objectives using research and basic understanding of business systems and industry requirements. Learns to conduct business process analyses, needs assessments and cost/benefits analyses for aligning operations solutions with business initiatives. Provides assistance in testing efforts and may provide security administration to application supported by area when the appropriate written and approved request is received.

Description

Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies.

Location: This role is a remote position based out of South Carolina

Work Environment: The work hours are Monday - Friday 8:00AM – 4:30PM.

SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.

What You'll Do

  • Obtains a detailed understanding of the major operations and functions in effect within the areas being supported. Reviews basic system enhancements/upgrades to determine applicability of customer file modification requirements. Following clearly defined procedures, assists in facilitating timely and accurate updates to reference files based on customer requests. Documents system problems and assists in their resolution. Reviews and completes various daily reports to ensure system is performing as expected. Prepares written reports and analysis, including recommendations pertaining to system functionality and testing progress
  • Prepares and reviews test data, test plans and test matrices for system changes. Develops test matrices to accurately reflect changes and detail expected outcome. Executes test cases and evaluates test results for errors. Reports problems through appropriate channels and suggests corrections for a successful implementation
  • Under the guidance of an advanced business analyst or manager, learns to define business requirements, perform tests, and may lead small projects.
  • Learns how to prepare and review data for analysis in order to evaluate the activities, performance and systems within a specific area for standards and workflow simplification.
  • Communicates with management and departmental personnel to document workflow procedures. Assists in preparing verbal and written communication about business changes with management or other staff members. Functions as liaison between the operations testers and information systems to facilitate communications. In addition, assists customer testers with issues that arise during projects.

To Qualify For This Position, You'll Need

  • Required Education: Bachelor's
  • Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
  • Required Work Experience:
  • Required Software and tools: Microsoft Office

Required Skills And Abilities

  • Basic knowledge of business support and systems concepts.
  • Strong teamwork, communication and interpersonal skills.
  • Good analytical and conceptual skills.
  • Good organizational and problem solving abilities.
  • Understands how projects and implementations affect an organization and is able to link it to business processes.

We Prefer That You Have The Following

  • Bachelor's degree-in Computer Science, Business Administration, or other job related field.
  • 1 year-of business systems analysis, research, and customer support experience.
  • Knowledge of procedures for the supported business unit. Computer programming skills. Able to express basic technical/business concepts to management, peers, and the business units.
  • Working knowledge of BCBS/subsidiary systems. Knowledge of programming languages and/or concepts. Easytrieve, DB2 or related.

Our Comprehensive Benefits Package Includes The Following

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

  • Subsidized health plans, dental and vision coverage
  • 401k retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • On-site cafeterias and fitness centers in major locations
  • Education Assistance
  • Service Recognition
  • National discounts to movies, theaters, zoos, theme parks and more

What We Can Do For You

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

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 our recruiter to verify resume specifics and salary requirements.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Some states have required notifications. Here's more information.

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 minorities, females, disabled individuals and 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 physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, 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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