Support Services Business Systems Analyst or SR

Business Systems Support Analysts or Senior (Audit)

Work Hybrid: a hybrid schedule within Oregon, Washington, Idaho or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Every day, Cambia’s dedicated team of Business Systems Support Analysts is living our mission to make health care easier and lives better. As a member of the Business System Analyst Support Services team, our Business Systems Analysts participates in the daily support, maintenance, and enhancement of existing systems, as well as the development, configuration, and delivery of new systems to directly support Cambia Core Strategies and Key Initiatives – all in service of creating a person-focused health care experience.

Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

The Business Systems Analyst Support Services would have a college degree in Computer Sciences, Mathematics, Business Administration, or related fields. A college degree may be substituted by sufficient years of experience in the health care industry. One year experience in defining and analyzing business requirements, process modeling, functional systems design, or configuration and/or acceptance testing is required. Experience with a business area that is supported by this position is required (i.e., Provider Network and Contract Management, Digital Solutions, Pricing, Membership, Claims, etc.).

The Business Systems Analyst Support Services Senior would have a college degree in Computer Sciences, Mathematics, Business Administration, or related fields. A college degree may be substituted by sufficient years of experience in the health care industry. Three years' experience in defining and analyzing business requirements, process modeling, functional systems design, or configuration and/or acceptance testing is desired. Experience with a business area that is supported by this position is required.

• Previous auditing experience, within or outside health insurance/care
• Benefit Configuration experience within Facets
• Health Insurance terminology familiarity
• Proficient skills: QA - SQL Queries

• Demonstrated ability to develop general and detailed functional requirements.
• Demonstrated ability to create and perform system testing, along with the ability to report on the results of such testing.
• Ability to facilitate and carry out system configuration decisions.
• Ability to facilitate communication between technical and business staff with the goal of finding the best solutions to meet the business requirements of various projects.
• Ability to work in a team environment along with the self-motivation to work independently and demonstrate ability to tolerate and manage ambiguity.
• Proven analytical skills.
• Proven communication skills with an ability to be both clear and concise.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.

• Ability to work independently or with minimal supervision.
• Ability to answer questions from Level I team members and provide support.
• Demonstrated ability to facilitate communication between technical and business staff by providing functional requirements and/or working with software developers to find the best solutions to meet the business requirements of various projects within deadlines.
• Demonstrated competency in one or more business area that is supported by this position (i.e., claims processing, membership processing, product configuration, enrollment, and eligibility, etc.).
• Demonstrated ability to develop general and detailed functional requirements, create and perform system testing on such requirements, facilitate system configuration decisions and report progress in various formats for project management purposes.
• Must have advanced SQL knowledge and report-writing capabilities.
• Basic understanding of software development lifecycle from conception to delivery.

• Accountable for functional system design and configuration.
• Write and execute ad-hoc reports and queries.
• Conduct unit testing, user acceptance testing and end-to-end testing for configuration along with regression testing of fixes, enhancements, and system upgrades.
• Perform post-implementation quality assurance, troubleshooting and issue resolution.
• Respond to customer inquiries regarding system functionality, modification, and status of issue resolution.
• Review, analyze and resolve sustainment issues associated with systems and/or processes.
• Develop scripts that move data or update data in a manner that replicates online functionality.
• Review and approve high-level data flows, functional and technical specifications, system implementation staging, change control, design alternatives and…