Platform Administrator, Consultant

Blue Cross and Blue Shield Association

Long Beach, CA

JOB DETAILS
SKILLS
Analysis Skills, Automation, Best Practices, Business Analysis, Business Solutions, Claims Processing, Communication Skills, Consulting, Cross-Functional, Data Modeling, Electronic Data Interchange (EDI), Health Plan, Healthcare, Identify Issues, Information Technology & Information Systems, Leadership, Mentoring, Performance Metrics, Problem Solving Skills, Process Development, Process Improvement, Quality Assurance, Quality Management, Requirements Management, Root Cause Analysis, SQL (Structured Query Language), Scripting (Scripting Languages), Service Level Agreement (SLA), Systems Administration/Management, Systems Analysis, Technical Operations, Traceability, Unit Test, Writing Skills
LOCATION
Long Beach, CA
POSTED
2 days ago

Your Role

The Business Configuration Oversight team is responsible for Overseeing Configuration and delivery of Projects by vendor. The Platform Administrator, Consultant will report to the IT Development Manager. In this role you will also provide Facets application domain expertise, story refinement, design approvals and act as liaison between IT and business areas.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

  • Requires a bachelor's degree or equivalent experience
  • Requires a minimum of 7 years of prior relevant experience
  • Requires at least 7 years performing complex business analysis and/or technology healthcare operations
  • Requires at least 3 years of experience in leading and mentoring the team
  • Preferred knowledge of EDI 270/271 configuration, transaction rules and Claim Processing Rules (Procedure and Diagnosis Codes)
  • Preferred at least 5 years of experience in a configuration analyst role, configuring health plan business applications

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Your Work

In this role, you will:

  • Analyze complex business requirements and software/product objectives to perform Oversight of the Configuration vendor
  • Provide input in cross-functional work sessions to assess requirements and propose out-of-the-box platform solution options
  • Ensure traceability of solutions back to performance goals and metrics
  • Be responsible for end-to-end business solutions, including all areas of platform configuration and working with IT partners on interfaces, extracts or extensions, following established processes, standards and procedures (with manager oversight)
  • Review and approve system configuration analysis, design, coding, and unit testing following established processes, standards, and procedures
  • Be responsible for configuration and quality assurance of low to highly complex solutions using best practice and low-code platform configuration
  • Facilitate resolution of escalated issues in the appropriate manner with appropriate timeframe by Configuration Vendor. Ensure traceability of solutions back to performance goals and metrics.
  • Lead troubleshooting and root cause analysis, including meeting SLAs and stakeholder communication
  • Act as the liaison between IT and business areas in support of extensions and service packs
  • Work with team to identify process improvements and automation opportunities to improve quality and timeliness of configuration builds
  • Be proficient with Facets Configuration with emphasis on Product Config and Shared Advantage line of business
  • Be proficient in SQL scripts and Facets Data Model and should be able to write complex queries to pull Facets backend data
  • Demonstrate effective communication with other business leaders and IT leaders regarding configuration capabilities

Your Work

In this role, you will:

  • Analyze complex business requirements and software/product objectives to perform Oversight of the Configuration vendor
  • Provide input in cross-functional work sessions to assess requirements and propose out-of-the-box platform solution options
  • Ensure traceability of solutions back to performance goals and metrics
  • Be responsible for end-to-end business solutions, including all areas of platform configuration and working with IT partners on interfaces, extracts or extensions, following established processes, standards and procedures (with manager oversight)
  • Review and approve system configuration analysis, design, coding, and unit testing following established processes, standards, and procedures
  • Be responsible for configuration and quality assurance of low to highly complex solutions using best practice and low-code platform configuration
  • Facilitate resolution of escalated issues in the appropriate manner with appropriate timeframe by Configuration Vendor. Ensure traceability of solutions back to performance goals and metrics.
  • Lead troubleshooting and root cause analysis, including meeting SLAs and stakeholder communication
  • Act as the liaison between IT and business areas in support of extensions and service packs
  • Work with team to identify process improvements and automation opportunities to improve quality and timeliness of configuration builds
  • Be proficient with Facets Configuration with emphasis on Product Config and Shared Advantage line of business
  • Be proficient in SQL scripts and Facets Data Model and should be able to write complex queries to pull Facets backend data
  • Demonstrate effective communication with other business leaders and IT leaders regarding configuration capabilities

About the Company

B

Blue Cross and Blue Shield Association

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.
COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Insurance
WEBSITE
https://www.bcbs.com/about-us/careers