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CareFirst BlueCross BlueShield
Lead Business Analyst - (Remote)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: The Lead Business Analyst will have the responsibility to ensure that the business need for changes to processes, policies and/or information systems are identifie...
Jul 3, 2025
Reston, VA
CareFirst BlueCross BlueShield
Client Relations Management Intern (Hybrid)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: Interns assist the company with tasks set out by various teams, such as research, data capturing and working closely with different team members to learn more abou...
Jul 2, 2025
Baltimore, MD
CareFirst BlueCross BlueShield
Broker Services Management Intern (Hybrid)
CareFirst BlueCross BlueShield
Resp & Qualifications MD, DC, VAPURPOSE:This is a Year-Round Internship. We are looking for students who can commit to work up to 15-20 hours per week during regular business hours (M-F 8-5PM)&n...
Jul 2, 2025
Baltimore, MD
CareFirst BlueCross BlueShield
Resp & Qualifications This is a year-round internship. The ideal candidate is someone who can commit to work throughout the year (Spring/Fall - minimum 15-20 hours per week and 30-40 hours per week i...
Jun 25, 2025
Baltimore, MD
CareFirst BlueCross BlueShield
Director, Risk Adjustment (Hybrid)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: The Director, Risk Adjustment oversees the outcomes and operations of risk adjustment across the organization within Medicare Advantage, Medicaid & ACA markets...
Jun 19, 2025
Baltimore, MD
Lead Business Analyst - (Remote)
Reston, VA
Jul 3, 2025

Resp & Qualifications

PURPOSE: 
The Lead Business Analyst will have the responsibility to ensure that the business need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user.  The incumbent is accountable for leading the gathering and synthesizing of business requirements for high complexity software, systems, processes and/or services and translating them into specifications ensuring the business objectives are met.  As the functional expert, the incumbent serves as a strategic conduit between the business area and the technical or software development team through which requirements flow. 

ESSENTIAL FUNCTIONS:

  • Interprets business needs and issues by gathering, eliciting, creating, analyzing, documenting and validating the Business areas user and/or technical (functional/non-functional) requirements. Key contributor in the creation of project plans to define, organize and schedule requirements management and development activities. Provides oversight and strategic direction to lower-level analysts which includes coaching, mentoring, and delegating tasks and deliverables. Facilitates requirements analysis and verification sessions. Accountable in the tracking and management of open issues and assists in planning for resolution. Responsible for successful development sessions and design reviews in order to ensure design meets user requirements.
  • Responsible for overall success of user acceptance testing, including documentation, verification and release. Implement practices and procedures for end user test plans. Identifies and documents gaps in requirement adherence or system deficiencies/defects and coordinates appropriate action through issue resolution. Leads in creating formal communication to be delivered to relevant stakeholders. Providing guidance and training to application end users.
  • Identifies, documents and troubleshoots problems with their in-depth knowledge of the relationships in systems, software and processes. Collaborate with appropriate stakeholders to monitor, report and resolve issues. Participates in the development of solutions and workarounds that solve high complexity technical, system and/or business issues.
  • Reviews, analyzes and creates detailed documentation of business systems, processes, software and user needs. Responsible for writing all documentation to established standards, in a clear and well-organized manner. Develops and/or collaborates in key projects and requirement deliverables for projects of high complexity.
  • Monitors and reports project status to identify and mitigate risks and to ensure quality and timely deliverables. Coordinates assigned projects from concept through implementation.
  • Prioritize and manage new work requests.
  • Answers policy-related questions for business processes, systems and software which require research and consultation with others internally and externally.

SUPERVISORY RESPONSIBILITY:
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Business Administration, Business Management, Finance 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: 8 years progressive experience in business analysis, systems analysis, testing or other analytical experience.

Preferred Qualifications:

  • Master's Degree MBA
  • Demonstrated ability to have led the delivery of high quality, effective deliverables on-time and be a significant contributor to the development of cost-effective solutions.
  • Expert understanding of business analysis core competencies 
  • Prior business analysis coaching and mentoring experience 

Knowledge, Skills and Abilities (KSAs)

  • Strong time management and organizational skills.
  • Excellent communication skills both written and verbal.
  • Ability to organize stakeholder meetings.
  • Use of Microsoft Office applications.
  • Ability to train and mentor others.
  • The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs.
  • 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: $85,320 - $169,455

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

Benefit Administrator

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 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.

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Lead Business Analyst - (Remote)
CareFirst BlueCross BlueShield
Reston, VA
Jul 3, 2025
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