Claims Bus Tech Analyst II

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About the Role This technical analyst position is required in order to create a critically needed Service Division Claims Business Technical team to support the successful implementation of automation and efficiency projects/programs to ensure the achievement of claims timeliness and quality goals. Responsible for coordination throughout the Service Division of all Claims Operations' technical requirements including global inventory reporting and aged claims analysis; claims stop governance, monitoring and maintenance; NASCO issue coordination and system request prioritization, submission and installation; files and table management; BRD review and subject matter expertise; Open Connect and BPM opportunity assessment and execution; EDI gateway claim edit project assessment and completion; general business level technical support for CSRs, PLogs, configuration, file updates and other projects. What You'll Do Provides business technical support to operations across the Service Division to ensure successful implementation of automation and efficiency projects/programs to ensure the achievement of claims timeliness and quality goals. Works with Service departments to coordinate prioritization of projects and works with IT and Claims System vendors (NASCO) for implementation and maintenance. May conduct User Acceptance Testing (UA