Specialist, Business Systems Analyst II
Job in
Newark, Essex County, New Jersey, 07175, USA
Listed on 2026-07-13
Listing for:
Horizon Blue
Full Time
position Listed on 2026-07-13
Job specializations:
-
IT/Tech
Business Systems & Technology Analysis, IT Business Analyst, Systems Analyst, Data Analyst
Job Description & How to Apply Below
Newark, NJ - Hybrid time type:
Full time posted on:
Posted 2 Days Agojob requisition :
** Horizon Blue Cross Blue Shield of New Jersey
** empowers our members to achieve their best health. For over
** 90 years**, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the
** 3.5 million
** people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.
** About the Role
** This position is responsible for independently analyzing and having oversight for the analysis and translation of business needs into business/technical requirements. Leads and coordinates teams of other resources to ensure alignment of technical solutions with business requirements for complex issues/projects (quantity and magnitude). Conduct requirements interviews with stakeholders to capture and validate information provided in elicitation sessions and Joint Application Development (JAD) sessions.
Support the translation of business requirements into the estimation and business case development process. Subject matter expert in using tools and methodologies (e.g. SIPOC) to identify process and operational efficiencies in business current and future state models.
** What You'll Do
*** Serve as the primary Business Systems Analyst for Blue Card, Blue Card Modernization (BCM), National Program Releases (NPR), Inter-Plan Teleprocessing System (ITS), Blue2, Blue Card Portal, RTM, and related BCBSA initiatives.
* Leads and owns the analysis of complex issues/projects.
* Coordinates the documentation of business needs including understanding and documenting business process flow documents.
* Transitions the requirements and user stories to designers/developers and ensures a clear and complete understanding of the requirements.
* Oversees the creation of technical documents, high level solution designs, development, testing and implementation of system specifications, when required. Acts as Subject Matter Expert in systems and technologies and recommends best practices for delivering business solutions.
* Analyze BCBSA, NASCO, and Horizon requirements to identify business, operational, and technical impacts across Host and Home claims processing environments
* Manages the process for identifying stakeholders and ensuring requirements across the project portfolio align to the enterprise and business unit strategy.
* Manages the appropriate use of various analysis techniques to requirements and the organization, including the synthesis of large amounts of information provided by stakeholders, to identify opportunity for improvements.
* Manages a diverse set of stakeholders and integrated complex current state structures to effectively optimize the future state process; understanding organizational culture, structure and impact on the business capabilities.
* Lead requirement elicitation, impact assessments, and solution design discussions with business stakeholders, NASCO, BCBSA, and internal technology teams
* Coordinate and facilitate reviews of BRDs, CSRs, TRDs, user stories, and functional requirements to ensure alignment with enterprise standards and BCBSA Mandates.
* Partner with NASCO, BCBSA, and cross-functional teams to evaluate release enhancements, regulatory changes, and modernization initiatives impacting Blue Card operations.
* Provide subject matter expertise for Host/Home claim processing, Inter-Plan Programs, ITS, Blue2, Real-Time Messaging (RTM), and Blue Card Modernization initiatives.
* Develop and manage traceability from requirements through testing, implementation, and post-production validation.
* Support SIT, UAT, Model Office, and production validation activities by creating test scenarios, reviewing test cases, coordinating defect resolution, and obtaining business…
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