Business II Analyst- Palmetto GBA

Posted 2 Days Ago
2 Locations
In-Office
Mid level
Insurance
The Role
Evaluates business systems and workflows, analyzes data, prepares management reports, and tests software changes. Develops test matrices and formal test plans, researches system issues, defines business requirements, validates corrections, and leads small to moderate projects. Documents procedures, communicates business changes, and recommends improvements to productivity, cost effectiveness, and operational accuracy. The role supports Medicare systems, including CMS and FISS, and requires collaboration with technical and business teams.
Summary Generated by Built In

Summary
 
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Medicare Tech Support is responsible for providing testing for CMS (Medicare) release changes for the MCS (Part B)/FISS (Part A) throughout the year. We also research production issues and assist operational areas with reporting issues for correction.
The culture of the team is positive and supportive of each other and collaborates well with other departments. It’s a group of very knowledgeable and hardworking individuals.
Description
 
This position is not eligible for sponsorship now or in the future.

Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies.


SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). As a Service Contract Act (SCA) employee, you are required to enroll in our health insurance, even if you already have other health insurance. Until your enrollment is complete, you will receive supplemental pay for health coverage. Your coverage begins on the first day of the month following 28 days of full-time employment.


Work Environment:

  • Typical work environment.
  • May provide security administration to application supported by area when the appropriate written and approved request is received.

What you’ll do

  • Evaluates the activities, performance and systems within a specific area for standards and workflow simplification. Compiles data for analysis and prepares reports and presentations for management using applicable programming languages and/or software products. Reviews system enhancements/upgrades to determine applicability of customer file modification requirements. Facilitates timely and accurate updates to reference files based on customer requests.
  • Coordinates testing and debugging of new or modified software. Creates test matrices and supporting documentation. Develops and executes formal test plans to ensure delivery of quality software applications. Monitors software implementations for exceptions and to verify that changes to the systems' operational process had the desired effect. identifies and documents systems problems and assists in their resolution.
  • Researches system problems and identifies potential solutions. Investigates and diagnoses system problems, formulates solutions, initiates change sheets, defines business requirements, and tests corrections. Researches any questionable standard system or local component problematic situations to assure compliance and accuracy.
  • Under general direction, defines business requirements, tests, and leads small to moderate projects. Assists management in performing business reviews by analyzing internal/external projects and changes. Ensures changes do not have a negative impact on productivity and procedures. Makes recommendations to improve productivity, cost effectiveness and timeliness.
  • Communicates with management and departmental personnel to document workflow procedures. Assists in preparing verbal and written communication about business changes with management or other staff members.
  • Prepares written reports and analyses pertaining to testing results and related data, including recommendations for customers on improving operational workflows.

To Qualify for This Position, You’ll Need the Following:


Required Education:

  • Bachelor's degree

Degree Equivalency:

  • Associates degree plus an extra 2 years job-related experience for a total of 4 years of required work experience (see "required work experience")

OR

  • 6 total years required work experience

Required Skills and Abilities:

  • Working knowledge of business support and systems concepts.
  • Able to communicate effectively with technical and non-technical audiences, including the ability to express basic technical and business concepts to management, peers, and the business units.
  • Good teamwork and interpersonal skills.
  • Good analytical and conceptual skills.
  • Fundamental understanding of user acceptance test plans and test matrices, project plans, and scope and design documents.
  • Working knowledge and understanding of how projects and implementations affect an organization and can effectively link it to business processes.
  • Working knowledge of mainframe electronic data processing system change methodology.

Required Software and Tools:

  • Microsoft Office.

We Prefer That You Have The Following:

  • CMS Experience
  • FISS Experience

Our Comprehensive Benefits Package Includes The Following: 


We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have access and opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

 

Our comprehensive benefits package includes:

  • Subsidized health plans, dental and vision coverage
  • 401K retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • Nine paid holidays
  • On-site cafeterias and fitness centers in major locations
  • Wellness program and healthy lifestyle premium discount
  • Tuition assistance
  • Service recognition
  • Employee Assistance
  • Discounts to movies, theaters, zoos, theme parks and more

 

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify with prioritization given to those candidates who demonstrate the preferred qualifications.

Equal Employment Opportunity Statement


BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.


We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.


If you need special assistance or an accommodation while seeking employment, please email [email protected] or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.


We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.

Some states have required notifications. Here's more information. 

Skills Required

  • Bachelor's degree
  • Associate's degree plus two additional years of job-related experience, for four total years of required work experience
  • Six total years of required work experience as an alternative to the degree requirement
  • Working knowledge of business support and systems concepts
  • Effective communication with technical and non-technical audiences
  • Teamwork and interpersonal skills
  • Analytical and conceptual skills
  • Understanding of user acceptance test plans, test matrices, project plans, and scope and design documents
  • Understanding of how projects and implementations affect organizational business processes
  • Working knowledge of mainframe electronic data processing system change methodology
  • Microsoft Office proficiency
  • CMS experience
  • FISS experience

BlueCross BlueShield of South Carolina Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about BlueCross BlueShield of South Carolina and has not been reviewed or approved by BlueCross BlueShield of South Carolina.

  • Healthcare Strength — The package includes multiple medical and dental plan options, free vision, company‑paid life insurance, and short‑/long‑term disability, plus wellness programs and an EAP. On‑site clinics and fitness centers at major locations complement core health coverage.
  • Leave & Time Off Breadth — Paid time off starts at about four weeks per year alongside nine paid holidays. This provides substantial baseline leave from day one.
  • Wellbeing & Lifestyle Benefits — Wellness discounts, coaching, and incentives are emphasized, with on‑site fitness resources where available. Additional tools and services support day‑to‑day wellbeing.

BlueCross BlueShield of South Carolina Insights

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The Company
HQ: Columbia, SC
10,001 Employees
Year Founded: 1946

What We Do

For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state. We are the largest insurance company in South Carolina. We are also the only one that has an A+ Superior A.M. Best rating. We are one of the nation's leading government contract administrators. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies. Our full-time employees enjoy benefits like a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave and holidays, wellness programs and education assistance. If you are a full-time employee in the National Guard or reserves, we will cover the difference in your pay if you are called to active duty. BlueCross has a dedicated corporate culture of community support. Our employees are some of the most giving in the country. They support dozens of nonprofit organizations every year. If you're ready to join a diverse company with secure, community roots and an innovative future, apply for a position now!

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