IT Business Systems Analyst II; Medicare​/Medicaid - CGS Administrators, LLC

Position: IT Business Systems Analyst II (Medicare/Medicaid) - CGS Administrators, LLC
Summary
Working at CGS Administrators
CGS Administrators, LLC (CGS) is part of BCBSSC 's Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states, supporting the needs of over 8.7 million Medicare beneficiaries and 103,000 healthcare professionals nationwide.

This is an onsite full-time position located at 26 Century Blvd., Ste. ST610 Nashville, TN . If you have IT Business Analysis Healthcare experience and leadership capabilities, this could be the perfect role for you. Join a mission-driven organization making a national impact in healthcare. Be part of a collaborative, forward-thinking team where your work truly matters. Apply now and help shape the future of Medicare services.
Description

Logistics: CGS
-one of Blue Cross Blue Shield's South Carolina subsidiary companies.

Sponsorship:
This position is not eligible for sponsorship now or in the future.

Work Environment:

• Fast-paced, high demand environment. Work is frequently performed against mandated deadlines.
• Knowledge of when and what to delegate is essential in order to balance multiple high-priority tasks.
• Fast paced, multi-platformed environment which may require action and response 24X7 to support the technical business needs of the customer.

Position

Purpose:



Defines customer needs in technical and business contexts. Ensure the proposed technical and business solutions meet the customer's objectives for the work effort. Provide guidance with planning and prioritization of business support-related activities.

What you'll do:

• Elicit and document user requirements to meet a business objective. Identify and validate requirements and organize the information into a logical document that is understood by the customer and Information Systems.
  
  Guide both technical and customer departments in the development of the systems that support the business solution.
• Facilitate the transfer of knowledge about the direction of the business units to others who support them.
• Ensure the accurate deployment of solutions through review of problem logs, assisting with test plans and test matrices, and other analysis activities.
• Provide input on the business direction for system changes.
• Validate the business need for solutions to business problems and process improvements.
• Assist in the development and documentation of training materials. Mentor or train less experienced staff.

To Qualify for This Position, You'll Need:

Required

Education:

• Bachelor's degree

Degree Equivalency:

• Associates degree plus an extra 2 years job-related experience for a total of 6 years of required work experience (see "required work experience")

OR

• 8 total years required work experience.

Required

Work Experience:

• 4 years of IT business analysis experience.

Required Software and Other Tools:

• Microsoft Office.

We Prefer That You Have:

• Proficiency in Visio and Excel.
• Agile and Waterfall methodology experience.
• Demonstrated IT Business Analysis experience within the Healthcare domain, with a preference for Medicare and/or Medicaid systems.
• Two or more active professional certifications: PMP certification, CBAP certification, and/or SAFe Scaled Agile Certification
• Experience supporting or integrating Automated Processing Systems (API).
• Familiarity with AWS and/or Cloud-based platforms and services.
• Experience with Electronic Data Systems, including Electronic Medical Records (EMR) solutions.
• Exposure to AI tools or solutions, particularly in process automation, analytics, or decision support.

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have access and opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

Our comprehensive benefits package includes:

• Subsidized health plans, dental and vision coverage
• 401K retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• Nine paid holidays
• On-site cafeterias and fitness centers in major locations
• Wellness program and healthy lifestyle premium discount
• Tuition assistance
• Service recognition
• Employee Assistance
• Discounts to movies, theaters, zoos, theme parks and more

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify with prioritization given to those candidates who demonstrate the preferred qualifications.

Equal Employment Opportunity Statement

Blue Cross Blue Shield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability,…