Business Analyst

BlueCross BlueShield of Tennessee, Inc.; Nashville (TN); À distance; USD 65 000 - 90 000; Plein temps

Résumé du poste

BlueCross BlueShield of Tennessee, Inc. is seeking a Business Analyst in Operational Oversight – Compliance who will support reporting, data analysis, and process oversight focused on TennCare CHOICES and LTSS.

This remote, Monday–Friday role requires 3+ years in data analysis, compliance or audit and strong Excel skills. You will collaborate with internal teams, assist with audits, identify issues, and help implement improvements to drive efficiency and better resource use, while maintaining

Qualifications

• 3+ years of experience in data analysis, compliance, or audit review.
• Strong analytical, organizational, and time management skills.
• Detail-oriented, self-motivated, able to work independently in a fast-paced environment.

Responsabilités

• Design, development, assessment, and implementation of organizational management projects, policies, and procedures.
• Identify business process improvement projects for internal groups and recommend efficiencies.
• Conduct cost/benefit evaluations of external and internal resources.
• Analyze business requirements to improve management operations.

Connaissances

Data analysis

Excel

Access/Cognos

Office tools

Communication

Formation

Bachelor's Degree

Outils

Access

Cognos

Data warehouse

Description du poste

We are hiring a Business Analyst in Operational Oversight – Compliance at BCBST! In this role, you will support Operational Oversight and Compliance initiatives through operational reporting, data analysis, process oversight, and Excel-based reporting, with a focus on TennCare CHOICES and Long Term Services and Supports (LTSS). As a key member of the Operational Oversight – Compliance team, you will monitor data for timeliness and compliance standards, assist with external audits, identify potential issues, and support the development of solutions and process improvements that enhance efficiency and resource utilization. This role is focused on operational reporting and analysis rather than advanced data development or business intelligence functions. The Business Analyst partners closely with internal teams and stakeholders to support compliance activities, audit reviews, reporting, and ongoing operational improvement efforts. You will help identify and investigate issues, analyze data and trends, recommend process improvements, and ensure work is completed accurately and within established deadlines. To be successful in this role, you'll bring 3+ years of experience in data analysis, compliance, or audit review, along with strong analytical, organizational, and time management skills. Ideal candidates are detail-oriented, self-motivated, and comfortable working independently in a fast-paced environment while managing multiple priorities and deadlines. Previous team lead experience is highly preferred, along with professional conduct and auditing credentials. CHOICES/LTSS experience is also preferred. We foster a culture where innovation is encouraged. That includes using AI-enabled tools responsibly to support everyday work, guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we work, strengthen compliance efforts, and increase operational efficiency. Note: This is a remote, Monday-Friday position with candidates needing to be able to work either 6:45 AM – 3:15 PM CST or 7:00 AM – 3:30 PM CST. Candidates must reside in the State of Tennessee. The role requires strong attention to detail and the ability to work independently while effectively prioritizing multiple deadlines and supporting operational reporting, data analysis, compliance, audits, process oversight, and process improvement initiatives. This is not an advanced data development or business intelligence role. Candidates should have a solid foundation in Excel and be comfortable using it for day-to-day reporting and analysis.

Job Responsibilities

• Design, development, assessment, and implementation of organizational management projects, policies, and/or procedures.
• Identifying business process improvement projects for internal business groups, and making recommendations to management on efficiencies.
• Conducting cost/benefit evaluations on various external and internal resources.
• Analyzing business requirements and production specifications to improve the effectiveness of the organization's management operations.

Job Qualifications

• Education Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment Experience 3 years - Technical or operational experience required Skills\Certifications Database reporting skills utilizing Access, Cognos and data warehouse Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. Analytical and decision-making abilities. Proficient in Microsoft Office (Outlook, Word, Excel, Access and PowerPoint) Must be a team player, be organized and have the ability to handle multiple projects Excellent oral and written communication skills Strong interpersonal and organizational skills

Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST. We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members. BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based. BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance.