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Job Profile

Business Design Analyst

Omaha, NE
Posted 09/09/21

Job Description

Blue Cross and Blue Shield of Nebraska (BCBSNE) is more than just an insurance company; we exist to be there for people in the best and hardest moments of their lives.

Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward-thinking professionals like you to join us in delivering on it!

As a member of Team Blue, you'll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.

Blue Cross and Blue Shield of Nebraska (BCBSNE) is more than just an insurance company with a solid foundation; our sights are set on reinventing what health care can and should be. As the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward-thinking professionals like you to join us.

Our employees champion change and are inspired to transform the communities we serve every day. As a member of "the Blues Crew," you'll find purpose, opportunities and the support you need to build a meaningful career. Learn more about our culture and what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

Our Information Services teams work with new technologies, designing and implementing highly-scalable, complex integrations that improve usability and increase performance. You'll find opportunities rather than boundaries in this role!  We are focused on serving our customers, acting as trusted partners who deliver high-quality, effective solutions. We are positive, collaborative, committed, engaged and fun.

Create and execute functional test cases for product builds and claim related projects;  Conduct user acceptance testing to validate CoreLink test case results and to ensure modification to claim adjudication systems do not have adverse impacts.  Provide sign-off to CoreLink prior to implementation. 

What you'll do:

  • Create and execute functional test cases for product builds and claim related projects.
  • Perform product user acceptance testing and end-to-end claims testing. Provide sign-off to CoreLink prior to implementation
  • Provide claim processing production support for various departments within the organization.
  • Create and analyze claim processing reports and provide direction to adjustment auditors on proper adjudication.
  • Identify system problems with claim processing and open tickets to resolve issues as needed.
  • Review and test system changes related to claims adjudication systems.

To be considered for this position, you must have:

  • 3+ years of experience in the health care industry with claims auditing, reimbursement, and/or managed care experience, as well as technical knowledge.
  • Proficiency in Excel
  • The ability to meet or exceed the attendance and timeliness requirements of their departments.
  • The ability to work well in a team environment, and be capable of building and maintaining positive relationships with other staff, departments, and customers.

The strongest candidates for the position will possess:

  • A Bachelor's degree
  • Proficiency in SQL

 

We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.

Blue Cross and Blue Shield of Nebraska is an Equal Opportunity /Affirmative Action Employer - Minorities/Females/Disabled/Veterans

 

Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.

Blue Cross and Blue Shield of Nebraska is an Equal Opportunity /Affirmative Action Employer - Minorities/Females/Disabled/Veterans

 

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