Systems Analyst II

Key Responsibilities

• Support the implementation of benefit policy changes for multiple healthcare customers.
• Analyze and assess business requirements, system enhancements, and regulatory changes.
• Perform detailed systems analysis within the NASCO benefits and claims processing environment.
• Create and maintain benefit file Customer Service Requests (CSRs).
• Develop comprehensive test cases based on system requirements and benefit design specifications.
• Execute claims testing, validate system changes, and ensure accurate implementation of enhancements.
• Interpret and analyze business documentation including BDDs, SERs, and PCRs.
• Collaborate with business stakeholders, developers, testers, and project teams to ensure successful delivery of benefit changes.
• Identify, document, and communicate system impacts, risks, and recommendations.
• Support troubleshooting, issue resolution, and post-implementation validation activities.
• Maintain detailed documentation of requirements, testing results, and implementation activities.
• Ensure adherence to quality standards while delivering projects within established timelines.

Required Qualifications

• Must have 2–3 years of NASCO system experience.
• Strong knowledge of benefit file configuration and claims testing within NASCO.
• Proven experience performing benefit file system analysis.
• Experience creating detailed test cases based on system requirements.
• Experience writing and maintaining benefit file CSRs.
• Ability to read and interpret business documents, including: Business Design Documents (BDDs), System Enhancement Requests (SERs), Project Change Requests (PCRs).
• Working knowledge of NASCO, BFAST, BFM, and related NASCO application tools.
• Knowledge of medical insurance claims processing.
• Strong written and verbal communication skills.
• Demonstrated organizational skills with exceptional attention to detail.
• Able to work independently while managing multiple priorities.
• Self-starter with a strong sense of accountability and commitment to delivering high-quality results.
• Proficiency with Microsoft Office Suite, including: Word, Excel, PowerPoint, Project.
• Minimum 3 years of relevant technical work experience.

Preferred Qualifications

• Experience supporting BCBSM claims, benefits, or healthcare-related projects.
• Advanced proficiency with BFAST and Benefit File tools.
• Experience working with SharePoint.
• 3+ years of healthcare systems experience.
• Experience supporting large-scale healthcare benefit implementations.
• Bachelor's degree in Information Systems, Business, Healthcare Administration, or a related field preferred.