Job Description
Identify business requirements and solutions related to the support of the specific business area for implementation of a packaged system software. Lead configuration and administration of the Packaged Software, and participating in process design, and system testing.What You'll Do
- 5+ years of hands-on experience with Facets medical plan product configuration, including benefits, accumulators, and effective-date driven changes.
- Product Component - PDBC
- Product Variable Components - PDVC
- Service Payment – SEPY
- Limits – LTLT
- Deductible – DEDE
- Benefit Management
- Working knowledge of SQL, including the ability to run basic queries to validate data, perform analysis, and support troubleshooting efforts.
- Serve as the subject matter expert for application areas, including data definitions, usage and file structure, technical structure of the code and the business rules, and structure of requirements that governs the functionality of the system.
- Lead development of Package Software modification requirements and Interface Design Specifications. Configure necessary tables in Packaged Software to support the specific business areas.
- Establish and maintain all Packaged Software file configuration, including complex tasks
- Plan and serve as a key liaison with business areas during development and implementation.
- Independently analyze business problems or opportunities; develop recommendations and solutions for those problems/opportunities, implement those solutions, and provide communications on the associated actions, business impacts, and results. Facilitate completion of projects within the allocated time and budget
- Provide direction and assistance to junior staff members
- Provide technical leadership and application expertise to at least one business project team and non-project related activities.
- Provide detailed configuration expertise to customers and business partners. This includes verbal, written, and electronic communication, and delivering presentations when needed.
- Provide consultative support in analyzing business requirements / use cases / functional requirements in order to ensure the development of efficient enterprise solutions
- Perform analysis of current usage of Package Software and reports back to business areas regarding improvements in process, data quality and results.
- Fulfillment Team:
- Perform key components of the System Development Life Cycle (SDLC):
- Designing –building solutions that support business needs
- Code Development and Maintenance
- Unit Testing – creating sample data sets to validate that the code is developed to perform as intended
- Documentation – writing system/technical specifications to ensure solution supports functional requirements.
What You'll Bring
- Bachelor's degree or advanced degree (where required)
- 5+ years of experience in related field
- In lieu of degree, 7+ years of experience in related field
What You'll Get
The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community
Work-life balance, flexibility, and the autonomy to do great work
Medical, dental, and vision coverage along with numerous health and wellness programs
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for continued education
401k match including an annual company contribution
Learn more
Where You’ll Work
Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused.
In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter.
Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
Skills
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Skills Required
- 5+ years hands-on experience with Facets medical plan product configuration (including PDBC, PDVC, SEPY, LTLT, DEDE, Benefit Management)
- Working knowledge of SQL with ability to run queries for validation, analysis, and troubleshooting
- Bachelor's degree or advanced degree (or in lieu of degree, 7+ years related experience)
- 5+ years of experience in related field
- Experience performing SDLC activities: solution design, code development and maintenance, unit testing, and technical documentation
- Proven ability to serve as subject matter expert, lead configuration, develop interface/design specifications, and guide junior staff
What We Do
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina. Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians. Our company is a not-for-profit with headquarters in Durham and major operations in Winston-Salem and Fayetteville. In all we employ more than 4,500 North Carolinians and serve more than 3.7 million customers. Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives. Blue Cross NC is an independent licensee of the Blue Cross and Blue Shield Association.
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