Senior Application System Analyst

Job Description

Responsible for the elicitation, prioritization, and conversion of business/functional requirements to system requirements, as well as provision of analysis for applications in production (large and/or more complex initiatives). Responsible for the development of functional designs for new, customized, or enhanced systems. The ultimate outcome of this role is the production of clear, timely, precise and accurate technical designs that are traceable to documented business/functional requirements and guide the successful design, development and deployment of IT Solutions.

What You’ll Do

• Partner with business stakeholders and technical teams to gather, analyze, prioritize, and document business and functional requirements.
• Translate business needs into functional system designs and technical requirements for new, enhanced, or customized solutions.
• Analyze end-to-end business processes, system workflows, and technical dependencies to identify impacts, risks, and opportunities for improvement.
• Conduct gap analyses and provide recommendations for system enhancements, process improvements, and solution strategies.
• Ensure traceability between business requirements, functional designs, development efforts, and delivered solutions.
• Leverage SQL, Facets data structures, and analytical tools to support functional analysis, testing, troubleshooting, and production support activities.
• Collaborate with developers, architects, analysts, and business teams to evaluate solution alternatives and balance business needs, usability, performance, and technical constraints.
• Provide subject matter expertise for system functionality, business processes, and application design.
• Support implementation, testing, and production readiness activities for system enhancements and releases.
• Mentor junior analysts and provide guidance on analysis, documentation, and solution design best practices.

What You Bring

• Bachelor's degree or advanced degree (where required)
• Strong understanding of healthcare claims processing and healthcare payer operations.
• Strong understanding in Facets Claims process, IPP(BlueCard) and FEP is preferred
• 5+ years of experience in systems analysis, business analysis, Facets, Blue Card (IPP) or a related field
• In lieu of degree, 7+ years of related experience

Bonus Points

• Experience gathering requirements, developing functional designs, and supporting technology implementations
• Strong analytical, problem-solving, and communication skills
• Experience using SQL for data analysis and system investigation
• 5+ years of hands-on experience with TriZetto Facets, Blue Card(IPP) and FEP is preferred
• Experience with Facets Claims modules and IPP Claims process
• Experience configuring, customizing, integrating, and supporting Facets applications
• Knowledge of healthcare payer operations and related business processes
• Experience evaluating upstream and downstream system impacts in complex enterprise environments

What You’ll Get

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community
• Work-life balance, flexibility, and the autonomy to do great work
• Medical, dental, and vision coverage along with numerous health and wellness programs
• Parental leave and support plus adoption and surrogacy assistance
• Career development programs and tuition reimbursement for continued education
• 401k match including an annual company contribution
• Learn more

Where You’ll Work

Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused.

In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter.

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$98,092.00 - $156,947.00

Skills

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