Business Senior Analyst (BluesNet)

The role develops strategies and solutions to address emerging product service requirements for national healthcare delivery for BCBSA programs. Provide product owner leadership to and interface between areas of BCBSA, Blue Plans and their customers, vendors and other business partners. Support the analysis and design of business models which address national market requirements, including operational processes, organization, human performance and financial impacts. Lead product integration activities and product owner activities for large, complex, national scale project implementations. In support of BluesNet and Network Business Services, this role provides business analysis and operational coordination for fee-for-service network offerings.

Responsibilities

Conducts research and analysis to determine feasibility of emerging business opportunities; Conducts requirements gathering and analysis to support business needs; Develops strategy, policy and operational recommendations; Develops business case and vision; Develops communication materials to obtain direction from sr. management, governance and other forums; Leads implementations of enhancements and facilitates integration between BCBSA areas, data and inputs; Directs individuals, teams and workgroups, and drives decisions; Provides support to Product Manager and consultants on business use cases and high-level business focused non-functional requirements; Works with business and technical teams to assure effective development, testing and implementation of inter-Plan capabilities; Develops support and training materials for Plans and internal staff; Conducts training for Plan and internal staff; Coaches and mentors team members; Serves as a consultant to Plans to assist in implementing changes and national scale programs; Keeps current on divisional, Association and industry trends; Provides business analysis and operational coordination for fee-for-service network offerings, including service governance, onboarding and offboarding, vendor and contract support, billing and financial activities, stakeholder engagement, and process improvement; Partners with network engineering leadership to translate business needs into network architecture and strategic engineering design requirements

Requirements

Required Bachelor's Degree in business, management, computer science, information systems, related field or equivalent work experience; Required 5+ years related business experience; Experience managing business requirements for large, complex projects in healthcare industry; Experience working with Blue Plans; Experience working in a healthcare setting, e.g. healthcare association, healthcare delivery site; Experience supporting network services, telecommunications, managed services, or other technology-enabled service operations; Experience with vendor and contract coordination, billing or financial operations, customer onboarding and offboarding, and operational process improvement; Excellent Business Analyst skills, including ability to lead and perform requirements elicitation; Technical proficiency with Microsoft Office; Working knowledge and understanding of health insurance industry, national health care delivery and/or Plan operations; Effective interpersonal and communication (verbal and written) skills, including ability to develop and communicate materials for sr. management audience; Project management/lead skills, including ability to lead system-wide teams and build consensus in a decentralized decision-making structure; Relationship management skills, including working with internal and external stakeholders; Analytical skills, including ability to acquire and organize data, deliver analysis and identify major findings; Knowledge of service governance, vendor performance management, contractual obligations, service-level agreements, and issue escalation practices; Ability to support billing and financial operations; Ability to coordinate complex customer onboarding and offboarding activities; Ability to translate business and stakeholder needs into clear requirements for network services, architecture, and engineering teams; Proficiency with collaboration, workflow, and reporting tools

Nice to have

Master's Degree; AI literacy and understanding of generative AI tools, including appropriate business applications and limitations

Benefits

Eligible for annual bonus incentive pay; Paid time off; 11 holidays; Medical/dental/vision insurance; Generous 401(k) matching; Lifestyle spending account; Other benefits for eligible employees