Functional Analyst I (Remote)

CareFirst BlueCross BlueShield; Baltimore (MD); On-site; USD 47,000 - 94,000; Full time

Job summary

CareFirst BlueCross BlueShield is seeking an Operations Support professional to obtain facts, analyze problems and design solutions, and develop testing methods for operating information. You will help create SOPs, document processes, and assist with training.

Qualifications include a Bachelor's in Business Administration or equivalent experience, plus at least 2 years in an operational role. Knowledge of 834 Enrollment and Edifecs is a plus.

Qualifications

• Bachelor's degree in Business Administration or equivalent via 4 extra years of relevant work experience.
• 2 years experience in an operational role (level 2 or above).
• Knowledge of 834 Enrollment and Maintenance transactions; ability to read EDI segments, loops, and element.

Responsibilities

• Research and improve operations by examining systems problems, obtaining facts, analyzing problems, and recommending resolutions.
• Support operations systems by providing information to customers and delivering training.
• Contribute to operations analysis and SOP/documentation development by handling new requests and assisting others.
• Verify operations systems by developing testing methods and documenting tests.
• Enhance knowledge through training and reading technical publications.

Skills

Microsoft Office proficiency

Analytical thinking

Excellent communication skills

Education

Bachelor's Degree in Business Administration

Additional 4 years of relevant work experience in lieu of a Bachelor's degree

Tools

Facets

Edifecs

EDI basics

Job description

Resp & Qualifications

Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers.

Purpose

Resp & Qualifications

Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers.

Essential Functions

• Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems/identifying root cause recommending and facilitating resolution.
• Supports operations systems by providing operating information to customers; answering questions; providing training.
• Contributes to operations analysis and organization success by welcoming related, different, and new requests; helping others accomplish job results, development of Standard Operating Procedures (SOP) and other essential documentation.
• Verifies operations systems by developing testing methods; conducting and documenting tests.
• Improves operations analysis job knowledge by attending training sessions; reading technical publications.

Qualifications

Education Level: Bachelor's Degree in Business Administration OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 2 years experience in (level 2 or above) operational role.

Preferred Experience: Knowledge of 834 Enrollment and Maintenance transactions. Ability to read and interpret EDI segments, loops, and element. Facets and Edifecs Knowledge (EDI user perspective )

Knowledge, Skills And Abilities (KSAs)

• Ability to recognize, analyze, and solve a variety of problems.
• Highly proficient in Microsoft Office and similar applications.
• Organized, detail-oriented while meeting strict deadlines.
• Excellent communication skills both written and verbal.
• Demonstrate ability to work independently.

Salary Range: $47,448 - $94,237

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Enrollment and Account Install

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

Physical Demands

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.