Business Analyst II

Premera Blue Cross is dedicated to improving healthcare and enhancing customer experiences. They are looking for a Business Analyst II to modernize health solutions through data, AI, and automation, translating business needs into clear requirements and optimized solutions for various initiatives.

Responsibilities:

• Drive implementation and coordinate projects involving medical policy transformation using multiple new systems
• Manage the increasing number and proliferating complexity of medical policy formats and versions using new tools. (Every policy must have a digital version and AI modeling in addition to the source version, with all historical versions accessible.)
• Be the link between appropriate clinical policy content and the technical manifestation of digital policies for use access, ensuring version integrity on all platforms
• Manage FEP policy incorporation and code management in Coding and Medical Policy System (CAMPS) and export code list reports
• Partner with Payment Integrity and external vendors to manage Routine Test Management policy versions
• Partner with IT, other departments, and external vendors to ensure successful implementation and ongoing business and system support
• Ensure business requirements are met
• Maintain system training materials
• Monitor and report on system testing
• Generate and maintain reports on transformation activities, as needed
• Investigate system problems, process flow concerns, and new enhancements
• Provide recommendations for improvement based on system knowledge

Requirements:

• Bachelor's degree or four (4) years' work experience
• Two (2) years' analytical experience in a technical or business environment, which includes: One (1) year performing business analysis functions (gathering business requirements, documenting process/data flows, or performing gap analyses)
• Demonstrated ability to aggregate and summarize disparate information, requirements, and/or data in a coherent manner
• Experience in applying analytical, problem solving and / or technical abilities to daily responsibilities
• Effective communication skills both verbally and in writing
• Effective interpersonal and presentation skills
• Demonstrated experience working on multiple concurrent tasks while meeting deadlines
• Experience in facilitating small group meetings and/or individual sessions to effectively meet the established objectives
• Proven ability to work both independently and as a member of a team
• Experience establishing and maintaining effective work relationships
• Demonstrated proficiency in Microsoft Word, Excel, and Outlook and process flow/modeling software
• Previous AI/Automation project experience
• Exposure with Lean methodology or Six Sigma
• Extensive Project Management experience
• Experience with Microsoft Project, Visio, or SharePoint
• Experience in healthcare or other regulated industries
• Exposure in a project environment that uses an Agile methodology