Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process
Schedule: Hybrid
Compensation: $51,300- $77,000
Jump into the new world of health insurance: At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that is large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you.
Join others who know diversity is strength: We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression. Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode Island population.
Why this job matters: Analyzes and synthesizes medical policy information to elicit the actual business needs of stakeholders with monitoring and guidance from management. Facilitates business requirements gathering and documentation and offers support for Utilization Management activities and initiatives. Plays a role in aligning the needs of business units with the capabilities delivered by medical management platforms.
What you will do:
- Assist with planning business analysis deliverables and problem scope definition.
- Plan, structure and maintain medical policy and utilization management requirements traceability.
- Prepare for requirements elicitation by clarifying scope, exploring existing documentation, scheduling analysis activities, and notifying stakeholders.
- Assist with business requirement elicitation sessions using shadowing, or other tools as needed.
- Confirm and document results of elicitation sessions.
- Analyze requirements by prioritizing, organizing, specifying and validating.
- Assist with modeling requirements.
- Manage and communicate requirements, specifically within medical management applications such as MHK and InterQual Connect.
- Assist with solution assessment and validation process.
What you need to succeed:
- Bachelor’s degree or an equivalent combination of education and applicable work experience.
- 1 - 2 years business analysis experience or transferable business experiences.
- Awareness of business analysis industry trends and best-practices.
- Awareness of elicitation tools and techniques and how they are used.
- Functional versus non-functional (quality of service) requirements.
- Fundamentals of a Traceability Matrix.
- Good verbal and written communication skills.
- Good business writing skills.
- Analytical skills.
- Organizational skills.
- Interpersonal skills.
- Awareness of MS Visio.
- Ability to navigate in ambiguous situations with some guidance and mentoring.
- Ability to deal with situations holistically.
- Self-starter.
- Delivers high quality service to customers.
- Applies expertise to get results.
- Seeks out different points of view to gain complete understanding the problem to be addressed.
- Ability to identify the “root cause” of problem to identify an effective solution.
- Gets quality deliverables quickly out the door.
- Changes work activities based on business needs and deadlines.
- Finds needed information in a timely manner.
- Monitors and communicates progress toward meeting goals.
- Work in a fast-paced environment.
- Handle multiple priorities.
- Exercise sound judgment.
- Take initiative in finding solutions to difficult and/or sensitive problems.
- Perform other duties as assigned.
Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:
- In-office: onsite 5 days per week
- Hybrid: onsite 2-4 days per week
- Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Florida, Georgia, Louisiana, North Carolina, Oklahoma, South Carolina, Texas, Rhode Island, Massachusetts, Connecticut and Virginia.
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity, affirmative action employer. We provide equal opportunities without regard to race, color, religion, gender, age, national origin, disability, veteran status, sexual orientation, genetic information and gender identity or expression.
The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression. Please visit https://www.eeoc.gov/employers/eeo-law-poster to view the "EEO is the Law" poster.
