Job Description

We are hiring a Business Analyst in Operational Oversight – Compliance at BCBST!

In this role, you will support Operational Oversight and Compliance initiatives through operational reporting, data analysis, process oversight, and Excel-based reporting , with a focus on TennCare CHOICES and Long Term Services and Supports (LTSS) . As a key member of the Operational Oversight – Compliance team, you will monitor data for timeliness and compliance standards, assist with external audits, identify potential issues, and support the development of solutions and process improvements that enhance efficiency and resource utilization. This role is focused on operational reporting and analysis rather than advanced data development or business intelligence functions.

The Business Analyst partners closely with internal teams and stakeholders to support compliance activities, audit reviews, reporting, and ongoing operational improvement efforts. You will help identify and investigate issues, analyze data and trends, recommend process improvements, and ensure work is completed accurately and within established deadlines.

To be successful in this role, you'll bring 3+ years of experience in data analysis, compliance, or audit review, along with strong analytical, organizational, and time management skills. Ideal candidates are detail-oriented, self-motivated, and comfortable working independently in a fast-paced environment while managing multiple priorities and deadlines. Previous team lead experience is highly preferred, along with professional conduct and auditing credentials. CHOICES/LTSS experience is also preferred.

We foster a culture where innovation is encouraged. That includes using AI-enabled tools responsibly to support everyday work, guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we work, strengthen compliance efforts, and increase operational efficiency.

Note:

• This is a remote, Monday-Friday position with candidates needing to be able to work either 6:45 AM – 3:15 PM CST or 7:00 AM – 3:30 PM CST .
• Candidates must reside in the State of Tennessee .
• The role requires strong attention to detail and the ability to work independently while effectively prioritizing multiple deadlines and supporting operational reporting, data analysis, compliance, audits, process oversight, and process improvement initiatives.
• This is not an advanced data development or business intelligence role. Candidates should have a solid foundation in Excel and be comfortable using it for day-to-day reporting and analysis.

Job Responsibilities

• Design, development, assessment, and implementation of organizational management projects, policies, and/or procedures.
• Identifying business process improvement projects for internal business groups, and making recommendations to management on efficiencies.
• Conducting cost/benefit evaluations on various external and internal resources.
• Analyzing business requirements and production specifications to improve the effectiveness of the organization's management operations.

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

• 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, Access and PowerPoint)
• Must be a team player, be organized and have the ability to handle multiple projects
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills

Number of Openings Available

Worker Type:

Company:

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.

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