Utilization Management Business Analyst

3 weeks ago

Williston, United States Blue Cross Blue Shield North Dakota Full time
All about us

You likely know us as an insurance company, but that’s just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It’s a mission we take seriously.

We also work with entities throughout the state to challenge the cost and complexity of health care in North Dakota. This uncompromising goal requires caring, innovative people who are ready and willing to help create a new level of health and well-being in North Dakota and beyond.

Work environment

This opportunity is eligible for an in-office, hybrid, or remote work arrangement. We empower our employees to find a work style that is best for them. Learn more at Life at Blue | BCBSND.

This position is eligible for internal and external applications.

Pay Information

Pay Level: 022

FLSA Category: Exempt-Salaried

A day in the life

The Business Analyst is responsible for supporting business initiatives by eliciting, documenting, and defining business requirements and contributing to system and/or process development for moderately complex projects and/or initiatives within the Utilization Management team. This role works closely with the business units to gain in-depth understanding of their business strategy, processes, services, roadmaps, and business operations to influence business decisions, deliver key insights, and optimize solutions.

Your responsibilities will include

  • Translates moderately complex business needs into solid business and functional requirements.
  • Identifies opportunities, contributes recommendations based on analysis of requirements and future impacts, and determines course of action.
  • Drives work for assigned initiatives including business process change/improvement, testing, training, and communication.
  • Identifies, researches, and troubleshoots a variety of information systems and process issues impacting the overall business operations of the department and division.
  • Supports business initiatives through data analysis, identification of implementation barriers and performing user acceptance testing of various systems.
  • Functions as a subject matter expert within applicable systems and/or reporting platforms.
  • Facilitates meetings and collaborates between various internal departments and external business partners in a positive way to drive cross functional stakeholders to reach agreements and effective solutions.
  • Collaborates with staff on process or system issues until full resolution, implementation and/or ongoing business or systems support is achieved and meeting operational needs.
  • Prepares and distributes reports and metrics by analyzing and summarizing the information and trends.
  • Analyzes and promotes business enhancement efforts with the goal of creating a positive impact on the customer experience and towards creating efficiencies.
  • Actively involved in enhancement and implementation efforts to ensure the solution fits the needs of our customers both internally and externally.
  • Performs work under general supervision. Handles moderately complex issues and problems and refers more complex issues to higher-level staff.
  • Assists with documenting and/or maintaining process documents for internal team members.
  • Assists Health Integration division team in authorization efforts through company initiative.
What you need to succeed
  • Bachelor’s degree in business, management, or related.
  • At least 3 years of experience in business operations, data analysis, requirements gathering, business analysis, or related.
  • Desire to learn the interworking of the organization and how the business operates.
  • Ability to communicate well and take a collaborative approach with team members.
  • Be a problem solver who enjoys thinking analytically through various situations to arrive at solutions.
Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards

Benefits and perks
  • Wellness incentives including well-being lifestyle spending accounts, employee assistance program and employee discounts.
  • Encouraged paid time off including paid holidays and flexible holidays to use as you wish.
  • 16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours.
  • Employee recognition, community initiative events and yearly company outings.
  • Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments.
  • Our core benefits include health, dental, vision and life insurance, short-term and long-term disability and paid parental leave.


Equal opportunity employment

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.

For questions, please email careers@bcbsnd.com.

This job posting will be closed 5/13/2024 at 8:00 a.m. (CT). No further applications will be considered.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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