Dice
Urgent hiring-Inter Plan Claims Processing Business Analyst-Philadelphia, PA/ Ne
Dice, Phila, Pennsylvania, United States, 19117
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Hi,
I hope this email finds you well.
My name is Shivam kumar and I am a Technical Recruiter from Empower Professionals Inc. I came across your profile and wanted to reach out regarding a Inter Plan Claims Processing Business Analyst role with one of our clients based in Philadelphia, PA/ New Jersey/ New York (Hybrid Onsite). Please let me know if you are available in the job market and interested in this role (see job description below) - if so, we can connect and speak further.
I would need your updated resume to proceed and can give you a call as soon as I have it.
Role: Inter Plan Claims Processing Business Analyst
Locations: Philadelphia, PA/ New Jersey/ New York (Hybrid Onsite)
Duration: 12+ Months Contract
Note: Candidate needs to be in the office 3 Days every week. Local or candidates from Adjacent states only.
Must Have
It s not a plain BA role, we are looking for Analyst with good hand on experience with Inter-Plans claims
Claims experience not benefits, Inter-plan experience and Data analyst experience, Blue Card
Job Description:
Claims Operations is hiring a Sr. Inter-Plan Business Systems Analyst to join our Shared Services BlueCard and Operations Support Team.This professional will be responsible for supporting the Inter-Plan BlueCard business for all Independence product lines across multiple processing platforms performing as subject matter expert.
Responsibilities:
Work with business partners to identify business systems requirements and develop business solutions working closely with internal IT and/or external vendors.Perform as senior level business contact to define business system requirements for areas of expertise.Build strong, collaborative working relationships with internal customers, management, external partners including Inter-Plan partners, outsourced IT solution providers, and other teams.Assist in developing systems criteria and project scope.Identify potential problems/defects, perform business analysis, and assist in defining system enhancements, modifications/change requests, and upgrades to meet business process objectives as defined by BCBSA National Program releases, BCBSA mandated initiatives, and internal processing enhancements.Collaborate with internal IBC Test Team and associated vendor teams to assist in creating thorough Test Plans and identify appropriate Test Case Scenarios supporting defect fixes, enhancements, and projects as required. Provide business validation of testing results.Coordinate testing with Inter-Plan partners and execute required Inter-Plan Release Global Certification testing, reporting milestone status to the assigned PM and/or Blue Cross Blue Shield Association (BCBSA).Support production business checkout as required including identification of post-implementation defect tracking.Identify opportunities for business process improvement and efficiencies to re-evaluate processes and operations workflows.Attend BCBSA workgroups representing Independence Blue Cross Family of Companies as required.Perform any other duties as may be assigned.
The ideal candidate will possess:
A working knowledge and experience with BCBSA BlueCard processing and Inter-Plan Program policies.An understanding of the business environment and associated system platforms.Demonstrated effective organizational, analytical, technical (with business perspective) and interpersonal skills with detail-oriented focus. Must be able to present findings to management.Proven communication and analytical skills required to address and present most complex ideas and concepts to users, business systems analysts, and management.Ability to work with multiple business system platforms and have an extensive understanding of business process and system design.Effective facilitation and presentation skills necessary to demonstrate and train in business systems solutions in a clear and concise manner.Clearly define desk level procedures as required.Coordinate with internal and external project management staff as required.Knowledge of health insurance/health care/managed care environment preferred.Education and ExperienceBachelor s degree in business administration preferred.In addition to degree, minimum 6+ years proven working experience in a business unit necessary or equivalent external work experience. Demonstrated effective project management skills necessary.Strong demonstrated experience using Microsoft office products (Word, PowerPoint, Excel and Visio).Knowledge of project management tools and business systems methodology.
Awaiting your quick response. Thanks!
P.S. Empower is a top vendor to clients such as Apex Systems LLC, Sogeti, Randstad, CapGemini, UST and more.
Shivam Kumar
Technical recruiter
|
Empower Professionals
| Phone: x 336 | | Fax:
100 Franklin Square Drive Suite 104 | Somerset, NJ 08873
Urgent hiring-Inter Plan Claims Processing Business Analyst-Philadelphia, PA/ New Jersey/ New York (Hybrid Onsite)-CH
#J-18808-Ljbffr
Hi,
I hope this email finds you well.
My name is Shivam kumar and I am a Technical Recruiter from Empower Professionals Inc. I came across your profile and wanted to reach out regarding a Inter Plan Claims Processing Business Analyst role with one of our clients based in Philadelphia, PA/ New Jersey/ New York (Hybrid Onsite). Please let me know if you are available in the job market and interested in this role (see job description below) - if so, we can connect and speak further.
I would need your updated resume to proceed and can give you a call as soon as I have it.
Role: Inter Plan Claims Processing Business Analyst
Locations: Philadelphia, PA/ New Jersey/ New York (Hybrid Onsite)
Duration: 12+ Months Contract
Note: Candidate needs to be in the office 3 Days every week. Local or candidates from Adjacent states only.
Must Have
It s not a plain BA role, we are looking for Analyst with good hand on experience with Inter-Plans claims
Claims experience not benefits, Inter-plan experience and Data analyst experience, Blue Card
Job Description:
Claims Operations is hiring a Sr. Inter-Plan Business Systems Analyst to join our Shared Services BlueCard and Operations Support Team.This professional will be responsible for supporting the Inter-Plan BlueCard business for all Independence product lines across multiple processing platforms performing as subject matter expert.
Responsibilities:
Work with business partners to identify business systems requirements and develop business solutions working closely with internal IT and/or external vendors.Perform as senior level business contact to define business system requirements for areas of expertise.Build strong, collaborative working relationships with internal customers, management, external partners including Inter-Plan partners, outsourced IT solution providers, and other teams.Assist in developing systems criteria and project scope.Identify potential problems/defects, perform business analysis, and assist in defining system enhancements, modifications/change requests, and upgrades to meet business process objectives as defined by BCBSA National Program releases, BCBSA mandated initiatives, and internal processing enhancements.Collaborate with internal IBC Test Team and associated vendor teams to assist in creating thorough Test Plans and identify appropriate Test Case Scenarios supporting defect fixes, enhancements, and projects as required. Provide business validation of testing results.Coordinate testing with Inter-Plan partners and execute required Inter-Plan Release Global Certification testing, reporting milestone status to the assigned PM and/or Blue Cross Blue Shield Association (BCBSA).Support production business checkout as required including identification of post-implementation defect tracking.Identify opportunities for business process improvement and efficiencies to re-evaluate processes and operations workflows.Attend BCBSA workgroups representing Independence Blue Cross Family of Companies as required.Perform any other duties as may be assigned.
The ideal candidate will possess:
A working knowledge and experience with BCBSA BlueCard processing and Inter-Plan Program policies.An understanding of the business environment and associated system platforms.Demonstrated effective organizational, analytical, technical (with business perspective) and interpersonal skills with detail-oriented focus. Must be able to present findings to management.Proven communication and analytical skills required to address and present most complex ideas and concepts to users, business systems analysts, and management.Ability to work with multiple business system platforms and have an extensive understanding of business process and system design.Effective facilitation and presentation skills necessary to demonstrate and train in business systems solutions in a clear and concise manner.Clearly define desk level procedures as required.Coordinate with internal and external project management staff as required.Knowledge of health insurance/health care/managed care environment preferred.Education and ExperienceBachelor s degree in business administration preferred.In addition to degree, minimum 6+ years proven working experience in a business unit necessary or equivalent external work experience. Demonstrated effective project management skills necessary.Strong demonstrated experience using Microsoft office products (Word, PowerPoint, Excel and Visio).Knowledge of project management tools and business systems methodology.
Awaiting your quick response. Thanks!
P.S. Empower is a top vendor to clients such as Apex Systems LLC, Sogeti, Randstad, CapGemini, UST and more.
Shivam Kumar
Technical recruiter
|
Empower Professionals
| Phone: x 336 | | Fax:
100 Franklin Square Drive Suite 104 | Somerset, NJ 08873
Urgent hiring-Inter Plan Claims Processing Business Analyst-Philadelphia, PA/ New Jersey/ New York (Hybrid Onsite)-CH
#J-18808-Ljbffr