Senior Business Systems Analyst – Provider Network Pricing

Role Overview

• Provide Network Pricing knowledge and support in system/application and procedural issues to the business and IT.
• Use judgment and initiative to review, analyze and develop solutions and applicable business processes for business systems while identifying and quantifying the business impact of those solutions.
• Provide systems (Facets, NetworX, Optum) analysis expertise and regularly consider the business implications of the application of technology to the current business environment.
• Coordinate ongoing user support for ad hoc questions, inquiries, and service requests.
• Ensure efficiency of reporting and data tools for supported business area use and for trend analysis.
• Work collaboratively on projects and initiatives with the business and IT to test and implement long-term solutions by eliciting and documenting business requirements.

Requirements

• Bachelor's degree or advanced degree (where required)
• 5+ years of experience in related field
• In lieu of degree, 7+ years of experience in related field
• Intermediate expertise with Facets, NetworX, and Optum
• Strong PC skills with intermediate expertise with Microsoft Excel
• Blue Cross NC claims processing, audit, and pricing experience
• Understanding of provider contractual terms regarding pricing
• Understanding of UB04 and HCFA1500 billing practices
• Strong interpersonal skills.

Benefits

• 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.