Business II Analyst- Palmetto GBA

033 Palmetto GBA; Columbia (SC); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Subsidized health plans

Dental and vision coverage

401K retirement savings plan with公司匹配

Job summary

Palmetto GBA, a BlueCross BlueShield of South Carolina subsidiary, is seeking a Medicare Tech Support analyst to test CMS release changes for MCS (Part B) and FISS (Part A). You will research production issues and assist with reporting and debugging, collaborating across departments to improve processes and deliver reliable software updates.

The role emphasizes building test plans, matrices, and documentation, plus coordinating testing activities and ensuring changes align with business

Qualifications

• Knowledge of business support and systems concepts.
• Ability to communicate technical and business concepts to management and peers.
• Strong teamwork and interpersonal skills.
• Good analytical and conceptual skills.
• Understanding of user acceptance test plans and test matrices, project plans, and scope/design documents.
• Understanding of how projects affect business processes and mainframe change methodology.

Responsibilities

• Evaluates activities, performance and systems for standards and workflow simplification.
• Compiles data for analysis and prepares reports for management.
• Reviews system enhancements for applicable customer file changes.
• Coordinates testing and debugging of new or modified software.
• Creates test matrices and supporting documentation.
• Develops and executes formal test plans to ensure quality software deliveries.
• Monitors software implementations for exceptions and impacts on processes.
• Identifies and documents system problems and assists in resolution.
• Researches issues and proposes solutions.

Skills

Business concepts

Clear communication

Teamwork

Analytical skills

UAT & test matrices

Mainframe change methods

Education

Bachelor's degree

Degree equivalency considerations

Tools

Microsoft Office

Job description

Summary

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Job Description

Medicare Tech Support is responsible for providing testing for CMS (Medicare) release changes for the MCS (Part B)/FISS (Part A) throughout the year. We also research production issues and assist operational areas with reporting issues for correction. The culture of the team is positive and supportive of each other and collaborates well with other departments. It’s a group of very knowledgeable and hardworking individuals.

Description

This position is not eligible for sponsorship now or in the future.

Logistics

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

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). As a Service Contract Act (SCA) employee, you are required to enroll in our health insurance, even if you already have other health insurance. Until your enrollment is complete, you will receive supplemental pay for health coverage. Your coverage begins on the first day of the month following 28 days of full-time employment.

Work Environment

Typical work environment. May provide security administration to application supported by area when the appropriate written and approved request is received.

What you’ll do

• Evaluates the activities, performance and systems within a specific area for standards and workflow simplification.
• Compiles data for analysis and prepares reports and presentations for management using applicable programming languages and/or software products.
• Reviews system enhancements/upgrades to determine applicability of customer file modification requirements.
• Facilitates timely and accurate updates to reference files based on customer requests.
• Coordinates testing and debugging of new or modified software.
• Creates test matrices and supporting documentation.
• Develops and executes formal test plans to ensure delivery of quality software applications.
• Monitors software implementations for exceptions and to verify that changes to the systems' operational process had the desired effect.
• identifies and documents systems problems and assists in their resolution.
• Researches system problems and identifies potential solutions.
• Investigates and diagnoses system problems, formulates solutions, initiates change sheets, defines business requirements, and tests corrections.
• Researches any questionable standard system or local component problematic situations to assure compliance and accuracy.
• Under general direction, defines business requirements, tests, and leads small to moderate projects.
• Assists management in performing business reviews by analyzing internal/external projects and changes.
• Ensures changes do not have a negative impact on productivity and procedures.
• Makes recommendations to improve productivity, cost effectiveness and timeliness.
• 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.
• Prepares written reports and analyses pertaining to testing results and related data, including recommendations for customers on improving operational workflows.

Required Education and Equivalency

• Required Education: Bachelor's degree
• Degree Equivalency: Associates degree plus an extra 2 years job-related experience for a total of 4 years of required work experience (see "required work experience") OR 6 total years required work experience

Required Skills and Abilities

• Working knowledge of business support and systems concepts.
• Able to communicate effectively with technical and non-technical audiences, including the ability to express basic technical and business concepts to management, peers, and the business units.
• Good teamwork and interpersonal skills.
• Good analytical and conceptual skills.
• Fundamental understanding of user acceptance test plans and test matrices, project plans, and scope and design documents.
• Working knowledge and understanding of how projects and implementations affect an organization and can effectively link it to business processes.
• Working knowledge of mainframe electronic data processing system change methodology.

Required Software and Tools

• Microsoft Office.

Preferred Experience

• CMS Experience
• FISS Experience

Comprehensive Benefits

• Subsidized health plans
• dental and vision coverage
• 401K retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• Nine paid holidays
• On-site cafeterias and fitness centers in major locations
• Wellness program and healthy lifestyle premium discount
• Tuition assistance
• Service recognition
• Employee Assistance
• Discounts to movies, theaters, zoos, theme parks and more

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 individuals with disabilities and protected 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 disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email [e-mail] or call 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. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Palmetto GBA Overview

Palmetto GBA is a healthcare service administrator and one of the nation’s largest providers of high-volume medical claims and transaction processing. We provide services and technology solutions to improve and streamline healthcare administration not only for government but also for corporate entities. We offer a wide range of services that require a diverse workforce and expansive areas of expertise from data analytics, administrative and workflow services to advanced systems. To help our associates succeed and reach their professional goal, we offer training classes and programs that help employees prepare for leadership positions and offer tuition assistance for education advancement. Palmetto GBA acknowledges associates’ hard work and dedication with awards and financial incentives. Veterans Welcome! Palmetto GBA is a strong supporter of our veterans, and many service men and women have joined our ranks. We’ve found the dedication, work ethic and job skills that serve well in the military excel in many of our lines of business, and we proudly have veterans filling positions in Human Resources, Information Technology, Customer Service, Operations, General Services and more. If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty.