Business II Analyst- Palmetto GBA

BlueCross and BlueShield of South Carolina; Columbia (SC); On-site; USD 65,000 - 90,000; Full time

Job summary

BlueCross and BlueShield of South Carolina is seeking a Medicare Tech Support QA professional to test CMS (Medicare) release changes and support operational reporting. The role collaborates across departments, ensuring accurate testing, data analysis, and workflow improvements.

Responsibilities include evaluating systems, coordinating tests, developing test plans, and documenting changes. Requires a Bachelor's degree or equivalent experience and strong communication and analytical skills.

Qualifications

• Bachelor's degree in a related field.
• Associates degree plus 2 years extra job-related experience (4 years total).
• Or 6 total years of required work experience.
• Ability to communicate effectively with technical and non-technical audiences.
• Good teamwork and interpersonal skills.
• Strong analytical and conceptual skills.
• Understanding of user acceptance test plans and test matrices, project plans, and design documents.
• Knowledge of how projects impact business processes and related systems.

Responsibilities

• Evaluates 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 had the desired effect.
• Identifies and documents systems problems and assists in their resolution.
• Researches system problems and identifies potential solutions; defines business requirements and tests corrections.
• Leads small to moderate projects; performs business reviews; ensures productivity remains high.
• Communicates with management to document workflow procedures and prepares written communications about business changes.
• Prepares written reports and analyses pertaining to testing results and recommendations for customers.

Skills

Communication skills

Fluent in English

Teamwork

Analytical thinking

UAT planning

Business process understanding

Mainframe knowledge

Education

Bachelor's degree

Associates degree plus 2 years experience (4 years total)

6 total years of work experience

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!

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.

To Qualify for This Position, You'll Need the Following :

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.