Technical Advisor II - Provider Data Quality

Blue Cross Blue Shield of Nebraska

Omaha, NE Quality Assurance

The insurance industry is rapidly changing – you’ve seen the headlines and experienced the change yourself.  While BCBSNE has a solid foundation, we are continually evolving and there’s no greater time for innovative, forward-thinking professionals to join us.  We are more than just an insurance company; our sights are set on reinventing what health care can and should be.

Our employees are our most important asset at BCBSNE. We champion change and are inspired to transform the communities we serve every day. As a member of the Blues Crew, you’ll find purpose, meaningful opportunities and the support you need to build a meaningful career. Learn more about our culture and what makes BCBSNE such an exceptional place to work by visiting www.nebraskablue.com/careers.

This position supports the assigned team by providing strategic direction to optimize business processes.  The role is accountable to provide guidance and to communicate the technical and business changes with internal and external customers.  The individual will provide analysis and direction, where subject matter expertise is required.

 

What you'll do:

  • Operates as a Subject Matter Expert (SME) with extensive business and technical knowledge on the feasibility and implementation of system and process changes, including post deployment operational support. 
  • Engages the appropriate individuals, teams and/or groups regarding technology/platform changes that affect the business.
  • Provides final approval for requirements, functional specs and user acceptance test scenarios.
  • Participates on internal and external cross-function work groups and provides guidance and shared knowledge on technical and interpersonal escalated issues.
  • Provides accurate provider data analytics to the assigned administration team and collaborative partnerships as appropriate.
  • Works on association releases, complex special projects, and provides training/mentoring to assigned team.

 

To be considered for this position, you must have:

  • A Bachelor’s degree from an accredited college or university in healthcare, technology, business, or a related field OR 2+ years experience in relative field
  • Proficient in SQL server
  • A minimum of 3-5 years of experience in building business requirements, health insurance, insurance claims processing, or analytical reporting
  • Previous experience with performing test cases that correctly define system functionality within a given context and report analytics is required
  • Ability to demonstrate leadership and positively influence others within the scope of the role is expected
  • Very strong communication skills

 

The strongest candidates for this position will also possess:

  • Previous experience with facilitation, training or agile/scrum processes
  • Previous insurance/healthcare industry experience

 

We strongly believe that diversity of experience, perspectives, and background will lead to a better workplace for our employees and a better product for our customers and members.

Blue Cross and Blue Shield of Nebraska is an Equal Opportunity /Affirmative Action Employer - Minorities/Females/Disabled/Veterans

Job ID: 1343

Posted 7 days ago

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