Business Systems Analyst, Senior (Enterprise Mandates Delivery)

Your Work 

In this role, you will: 

• Conduct routine data analysis, needs assessments, and cost/benefit analysis to align information technology solutions with business initiatives

•  Formulate and define routine systems scope and objectives through research combined with an understanding of applicable business systems and industry requirements

• Develop or modify information systems. Includes analysis of business and user needs, documenting requirements and revising existing systems 

• Identify a desired future state that addresses a mandate utilizing multiple analytic methodologies and business process modeling.

• Manage requirements and analysis to the smallest set that will provide the biggest impact in advancing business objectives to meet a mandate.

• Conduct research, impact analysis and determine the level of effort to complete requirements elicitation to meet State, Federal and/or Association mandates. 

• Support the business through User acceptance testing with the development and support of testing scenarios.

• Drive and support continued process improvements for internal and enterprise initiatives.

Your Knowledge and Experience 

• Requires a bachelor’s degree or equivalent experience and 5 years of relevant experience 

• Healthcare knowledge & experience required

• Experience with Mandates and Medi-Cal or Medicaid preferred

• Analyzes the business need and validates potential solutions/approaches to meet regulatory compliance with the business community. Represents requirements using alternative views, such as analysis models (diagrams), prototypes, process flows or member journey scenarios. Conduct research interviews prior to the elicitation of requirements to ensure all business needs are accounted for to meet the mandate.

• Partners and leads requirements analysis and verification with business and technology partners to elicit, analyze and translate business requirements into consumable requirements for the technical teams and ensuring that requirement statements are complete, consistent, concise, comprehensible, traceable, feasible, unambiguous, and verifiable, and that they conform to Blue Shield of CA standards

• Partners with business to coordinate user acceptance testing. Proven track record to assess and influence process improvement activity to support the mandate.

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. 

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. 

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!  

Our Values: 

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short. 
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. 

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail. 

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.