Anthem Business Analyst Job Family (All Anthem locations)- 132287 in Lubbock, Texas

/ Your Talent. Our Vision. / At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company This position collaborates with business, Enterprise Benefit Administration (EBA) and IT partners to facilitate and manage the end-to-end resolution of production issues which may impact multiple business areas, functions and system platforms. Collaborating with business partners, this position will drive timely resolution of production issues per agreed upon Service Level Agreements (SLAs)

Primary duties may include, but are not limited to:

  • Accountable for end-to-end resolution of all reported incidents and inquiries

  • Provide issue management by coordinating proper resources for resolution of high severity issues in a timely manner

  • Triage a wide range of production issues; perform research & analysis required to determine root cause

  • Analyze complex end-user needs and develop specific business application software requirements to resolve production issues

  • Route work to appropriate areas for further analysis as required or into appropriate process for resolution (e.g. LO, SSCR)

  • Perform analysis, testing and follow-up on all production support issues and/or inquiries

  • Responsible for coordination with technical teams and any other areas required for issue/inquiry resolution

  • Assess risk, ensure business partners understand risk/impact and assist in prioritization of production issues

  • Analyze system issues to evaluate root cause and design/develop solutions to mediate issue. Tests solutions and documents specifications, modifications or design changes.

  • Investigate and document escalated issues and possible solutions to complex and moderately complex problems. May consult with additional technology resources to solve issues requiring other specialized technical support.

  • Ensure the appropriate escalation process is followed including open flow of information within the organization and with business, Enterprise Benefit Administration (EBA) & IT partners.

  • Track trends and report issues to management, providing recommendations for processes and/or systematic solutions to reduce production issues

  • Participate in and/or facilitate the resolution of core issues with various team members to meet turnaround Time (TAT) performance

  • May provide training to customers on software applications and prepare operations, procedures, and methods documentation

    Level will depend on experience

    Position eligible to WFH (Work From Home)

    Required:

  • 4-7 years of hands-on experience analyzing processes in support of health care claims processing systems.

  • Bachelor’s degree from an accredited college/university preferably in information systems, computer science or engineering or equivalent experience.

  • Experience communicating with a variety of both business and technology stakeholders and cross-functional groups.

  • WGS Claims processing knowledge

    Preferred:

  • Facet processing knowledge

  • ITS processing knowledge

  • Proven and demonstrated skills in requirements development, requirements management and application of best practices.

  • Business Analyst certification from a recognized industry organization

/ Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran. /

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Job Business Support

Title: Business Analyst Job Family (All Anthem locations)- 132287

Location: texas-Lubbock

Requisition ID: 132287