Operations Specialist, Associate

Blue Shield of CA; Los Angeles (CA); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Blue Shield of CA is seeking an Operations Specialist to support claims teams by performing end-to-end testing of new code prior to deployment. You will create test cases to identify defects, validate logic, and anticipate downstream impacts in claims processing.

The role requires collaboration with cross-functional teams and independent work to develop efficient solutions in line with healthcare policies. This position operates in a hybrid office model with in-person collaboration.

Qualifications

• Understanding of healthcare claims processing is required.
• Experience with user acceptance testing is preferred.
• Familiarity with Agile methodology is preferred.

Responsibilities

• Perform end-to-end testing of new code before production to identify defects and downstream impacts.
• Create test cases to prevent incorrect logic and output issues in claims processing.

Skills

User acceptance testing

Agile methodology

Independent work

Critical thinking

Problem solving

Prioritization

Healthcare claims processing

Education

Bachelor's degree or High School Diploma/GED with 4 years of experience

Tools

Jira

Job description

Your Role

The Operations Specialist supports claims operational teams by performing end-to-end testing to identify defects of new code being introduced to the production environment. Creating test cases that will prevent or identify incorrect logic, claims downstream impacts, output concerns or other claim processing issues. The Operations Specialist will report to the manager. In this role, you will work both independently and collaborate within the team and other teams to develop solutions that will enhance and create efficiencies in accordance with policies and provisions set forth by state, federal or local entities.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Understanding of healthcare claims processing required
• Experience with user acceptance testing preferred
• Knowledge and experience of Agile methodology, including Jira preferred
• Ability to work independently
• Requires critical thinking and problem solving
• Strong prioritization skills

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.