Job Description

The Senior Business Systems Analyst serves as a liaison between business stakeholders, operational teams, and IT to analyze business requirements, support system solutions, and drive operational improvements. This role leverages data analysis, business process expertise, and technical knowledge to improve provider experience, optimize claims operations, and support strategic business initiatives.

What You’ll Do 

• Analyze business processes, system functionality, and operational data to identify trends, root causes, and opportunities for improvement.

• Partner with business stakeholders and IT teams to gather, document, and translate business requirements into technical solutions.

• Utilize SQL, reporting tools, and claims processing systems to extract, validate, and analyze data that supports business decisions and operational performance.

• Investigate production and system-related issues, perform root cause analysis, and implement effective corrective actions.

• Develop and maintain reports, dashboards, and key performance metrics related to provider experience, claims operations, productivity, and system performance.

• Support projects and initiatives by defining requirements, assessing business impacts, coordinating activities, and driving process improvements.

• Lead and coordinate business testing activities, including test planning, test execution, validation, and user acceptance testing.

• Evaluate and support system configurations, enhancements, upgrades, and implementations to ensure alignment with business objectives.

• Collaborate with operational teams, vendors, and IT partners to improve service delivery, operational efficiency, and provider satisfaction.

• Ensure data integrity, compliance with change management processes, and adherence to regulatory and business requirements.

What You Bring

• Bachelor's degree or advanced degree (where required)

• 5+ years of experience in a related field

• In lieu of a degree, 7+ years of experience in a related field

Bonus Points 

• Strong analytical and problem-solving skills with experience using SQL for data analysis and reporting

• Experience gathering business requirements, supporting system implementations, and driving process improvements

• Experience developing reports, dashboards, KPIs, and operational metrics

• Ability to communicate effectively with business and technical stakeholders

• Experience within healthcare payer operations

• Knowledge of claims processing, provider operations, benefits administration, and payment workflows

• Experience with Power BI, Snowflake, Excel, or similar reporting and analytics tools

• Experience supporting provider experience or claims servicing initiatives

What You’ll Get 

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community  

• Work-life balance, flexibility, and the autonomy to do great work   

• Medical, dental, and vision coverage along with numerous health and wellness programs   

• Parental leave and support plus adoption and surrogacy assistance   

• Career development programs and tuition reimbursement for continued education  

• 401k match including an annual company contribution   

• Learn more   

Where You’ll Work

Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused.

In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter.

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

 

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.
 

$89,174.00 - $142,679.00

Skills

Business Processes, Business Process Improvements, IT Service Management (ITSM), Problem Management, Process Improvements, Requirements Analysis, Requirements Gathering, Solutions Development, Systems Analysis, Technical Development

_____________________________________________________________________

JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected].