Senior Business Systems Analyst: Healthcare Data & Ops

Blue Cross NC; North Carolina; Hybrid; USD 89,000 - 143,000; Full time

Job summary

Blue Cross NC, a leading U.S. health plan in North Carolina, seeks a Senior Business Systems Analyst to bridge business, operations, and IT.

You will analyze requirements, translate them into technical solutions, and drive improvements across provider experience and claims operations. Responsibilities include data extraction and reporting, root-cause analysis, testing, and enhancing system configurations to meet business objectives.

Qualifications

• Bachelor's degree or advanced degree (where required).
• 5+ years of experience in a related field.
• In lieu of a degree, 7+ years of experience in a related field.

Responsibilities

• Analyze business processes, system functionality, and data to identify trends and opportunities for improvement.
• Collaborate with stakeholders and IT to translate requirements into technical solutions.
• Extract, validate, and analyze data to support decisions and performance.
• Investigate issues, perform root cause analysis, and implement corrective actions.
• Develop reports, dashboards, and KPIs related to provider experience and claims operations.
• Lead and coordinate testing activities and user acceptance testing.
• Evaluate system configurations and enhancements to align with business objectives.
• Collaborate with vendors and IT to improve service delivery and provider satisfaction.
• Ensure data integrity and compliance with change management and regulatory requirements.

Skills

SQL

Business analysis

Data analysis

Requirements analysis

Education

Bachelor's degree or advanced degree

Job description

Blue Cross NC, a leading U.S. health plan in North Carolina, seeks a Senior Business Systems Analyst to bridge business, operations, and IT.

You will analyze requirements, translate them into technical solutions, and drive improvements across provider experience and claims operations. Responsibilities include data extraction and reporting, root-cause analysis, testing, and enhancing system configurations to meet business objectives.