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CareFirst BlueCross BlueShield
Functional Analyst II - CFA Claims (Remote)
Fairfax, VA
Nov 24, 2024
Full Job Description

Resp & Qualifications

PURPOSE: 
Accomplishes Operations Objectives by analyzing operations; identifying project phases and elements, describing requirements in a work-flowchart and diagram; studying system capabilities; preparing system requirements; reporting analysis, conducting training; writing business requirements for scripting/documentation, data validation for internal/external audits.

ESSENTIAL FUNCTIONS:

  • Prepares operations information and reports by collecting, analyzing, and summarizing data and trends for internal/external audits, root cause analysis to identify efficiencies and opportunities for improvement.
  • Identifies operations project requirements by interviewing customers (both internal/external); analyzing operations; determining project scope; documenting results; identifying phases and elements, 
  • Prepares customers to use system by conducting training; writing documentation; providing support and help.
  • Develops operation problem solutions by describing requirements in a work-flowchart and diagram; studying system capabilities; analyzing alternative solutions; preparing functional specifications.
  • Review/Research operations systems by analyzing and resolving problems; reviewing system integrity and security; establishing and enforcing operation standards.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Business Administration or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 2 years experience as a Functional Analyst OR 4 years experience in (level 2 or above) operational role.

Preferred Qualifications:

  • 7-9 years experience in an operations role preferred.

Knowledge, Skills and Abilities (KSAs)

  • Highly proficient in Microsoft Office and similar applications.
  • Ability to create graphics and report to non-technical audiences.
  • Self-starter and ability to collaborate in a team environment.
  • Excellent communication skills both written and verbal.
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

    Salary Range: $52,344 - $103,961

    Salary Range Disclaimer

    The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

    Department

    Claims

    Equal Employment Opportunity

    CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

    Where To Apply

    Please visit our website to apply: www.carefirst.com/careers

    Federal Disc/Physical Demand

    Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

    PHYSICAL DEMANDS:

    The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

    Sponsorship in US

    Must be eligible to work in the U.S. without Sponsorship

    PDN-9d8ff092-5d60-4081-8d62-c3c8ecd2b076
Job Information
Job Category:
Other
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Functional Analyst II - CFA Claims (Remote)
CareFirst BlueCross BlueShield
Fairfax, VA
Nov 24, 2024
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