We are hiring an eBusiness Product Analyst on our Document Management Administration team at BCBST!
In this role, you will serve as a Product Owner supporting EDI front-end electronic transactions, with a strong focus on healthcare claims as they move into adjudication processes. You’ll act as a key connector between business stakeholders and EIT, gathering and refining requirements, translating business needs into system criteria, and ensuring alignment from concept through execution. Day-to-day, you’ll dive deep into data to uncover insights, identify opportunities for process improvement, and communicate findings clearly to drive decision-making. Your work will directly influence the efficiency and accuracy of critical transaction flows, helping to ensure seamless operations across the organization.
To be successful in this role, in addition to core job requirements, you’ll bring strong database and analytical skills, with the ability to gather, interpret, and communicate data effectively and proactively. You’ll be a strong candidate if you have experience with EDI transactions, particularly within healthcare claims, and are comfortable working with data visualization tools such as Tableau or Power BI. Additionally, you should demonstrate curiosity, a value-driven mindset, and the ability to collaborate across technical and business teams.
Note:
- This is a remote, work-from-home position aligned to Eastern Time hours.
- This is a remote, work-from-home position, but the final round of interviews will take place on-site in our Chattanooga, TN office.
- Sponsorship is not available for this role.
Job Responsibilities
- Analyzing features such as feasibility, associated costs, time, and the compatibility of new programs with existing programs; ensuring that expected application performance levels are achieved.
- Leading efforts in discovering, eliciting, and documenting business requirements, and assessing and communicating impact and risks of changes to enterprise stakeholders and leadership.
- Performing complex application programming activities, including coding, testing, debugging, documenting, maintaining, and modifying complex applications programs. Leads sprint review meetings and prioritization discussions with development teams and provider stakeholders across the enterprise.
- Coordinating coding, testing, implementation and documentation of application and paperless transaction solutions.
Job Qualifications
Education
- Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment.
Experience
- 2 years - Experience in the analysis and design of enterprise networks, as well as in troubleshooting and providing technical support for these system required
- 3 years - Technical or operational experience required
Skills\Certifications
- Database reporting skills utilizing Access, Cognos and data warehouse
- Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
- Analytical and decision making abilities.
- Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
- Proficient oral and written communication skills
- Proficient interpersonal and organizational skills
- Must be a team player, be organized and have the ability to handle multiple projects
- Understanding of ANSI format, institutional and Professional claims billing
- Project management experience preferred.
- Presentation experience preferred.
- Experience with ANSI preferred.
- Upper level tech experience preferred.
Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
