Technical Analyst for BCBSAZ ITS Saas support

10 Minutes ago • 2 Years +

IT & Infrastructure

Job Description

This position involves understanding stakeholder needs and business issues for Enrollment Applications, collaborating with the Product owner on configuration, EDI Eligibility transactions, Open Enrollment, and Exchange processes. The role requires assessing requirements for new Eligibility feeds, defining UAT scope, and validating results. The analyst will act as a point of contact for release notes and enhancements, working with business and technical teams to optimize productivity. Key responsibilities include contributing to software development, collaborating on projects, providing technical expertise, solving complex challenges, defining software requirements, debugging production issues, and mentoring junior team members.

Good To Have:

EDI transactional knowledge and ability to update or audit values: 837 and 835.
Explanation of Payment knowledge/history, Financial or offset knowledge.
HRP XML transaction knowledge.
ITS system knowledge (Bluecard).
Great communication skills.

Must Have:

Understand stakeholder needs and business issues in Enrollment Applications.
Collaborate with Product owner on configuration, EDI Eligibility, Open Enrollment, and Exchange processes.
Assess requirements for new input/output Eligibility feeds.
Define UAT scope and validate results.
Act as point of contact for release notes, requirements, and test cases.
Work with business and technical teams to increase collaboration.
Ensure requirements conform to standards.
Contribute to software development by writing, testing, and debugging code.
Participate in design and code reviews.
Provide technical expertise and support.
Assist in solving complex technical challenges.
Participate in defining software requirements.
Debug and troubleshoot production issues.
Contribute to assessment and adoption of new technologies.
Mentor junior team members.
HealthRules Payer (HRP) Experience.
Mandatory Healthcare Insurance experience on Claims, configuration, and/or financial background.
TA/BA/QA experience in an Agile Methodology or Waterfall project planning.
Testing experience.

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##### Project description

This position is responsible for understanding stakeholder needs and business issues to be addressed in the Enrollment Applications. Collaborate with the Product owner to assess configuration, EDI Eligibility transactions data mapping, Open Enrollment process, Exchange (Affordable Care Act) processes. Understand Eligibility and Premium billing functions. Assess requirements associated with new input and output Eligibility feeds, define UAT scope/testing needs and validate results. Act as point of contact for release notes, requirements and test cases related to Open enrollment processes and enhancements. Work alongside business and technical teams to increase collaboration and optimize productivity and communication. Ensure requirements and solutions conform to departmental, corporate, industry and government standards as specified.

We are looking for a Claims Systems Technical Analyst that has hands on Testing experience that could run claims through the system for testing. HRP Claims experience is also a must for this role.

##### Responsibilities

Key responsibilities :
Contribute to software development projects by writing, testing, and debugging code, with an emphasis on complex and critical components.
Collaborate with team members to meet project requirements, actively participating in design and code reviews.
Provide technical expertise and support to team efforts, acting as a subject matter expert in specific domains.
Assist in solving complex technical challenges, researching and proposing solutions.
Participate in defining software requirements and specifications.
Debug and troubleshoot production issues, working closely with operations and support teams.
Contribute to the assessment and adoption of new technologies and best practices.
Mentor junior team members, providing guidance and knowledge sharing.

##### Skills

Must have

Essential Job Functions:
HealthRules Payer (HRP) Experience
mandatory Healthcare Insurance experience on Claims, configuration, and/or financial background
TA/BA/QA experience in an Agile Methodology or Waterfall project planning
Testing experience
Like to have:
EDI transactional knowledge and ability to update or audit values: 837 and 835
Explanation of Payment knowledge/history, Financial or offset knowledge
HRP XML transaction knowledge
ITS system knowledge (Bluecard)
Basic Qualifications:
Bachelor's degree in a relevant field (i.e., Computer Science) or equivalent combination of education and experience
Typically, 5+ years of relevant work experience in industry, with a minimum of 2 years in a similar role years of relevant software engineering experience
Proficiency in 1 or more software languages and development methodologies
Strong programming and debugging skills
Familiarity with software development practices and methodologies
Strong problem-solving skills
Good team collaboration and communication abilities
Willingness to take ownership of complex technical challenges