Business Analyst III

Premera Blue Cross Premera Blue Cross · Insurance · Telecommuter

This role focuses on designing and implementing automation and AI-enabled workflow solutions within a healthcare claims processing context. The Business Analyst III will translate business needs into requirements, identify automation opportunities, build performance dashboards, and ensure successful implementation of digital decisioning systems to improve efficiency and accuracy.

What you'd actually do

  1. Translates ambiguous business needs into solid business and functional requirements for small to large projects with moderate complexity.
  2. Effectively elicits information to create concise, organized Business Requirement Documents (BRD) and Functional Requirement Documents (FRD) using standard, industry recognized tools and best practices. Manages requirements across the lifecycle of a project to ensure end user satisfaction, business stakeholder buy-in, and scope integrity.
  3. Identifies opportunities and contributes recommendations based on analysis of requirements and future impacts.
  4. Partners with business unit and IT or other departments as needed to ensure successful implementation and ongoing business and / or systems support when appropriate.
  5. Creates detailed Use Cases, User Stories and other documents to illustrate business needs.

Skills

Required

  • Bachelor's degree or four (4) years’ work experience.
  • Three (3) years of analytical experience in a technical or business environment, including at least 2 years performing business analysis functions (gathering business requirements, documenting process/data flows, and performing gap analyses).

Nice to have

  • Experience scaling automation across multiple workflows or operational areas using repeatable delivery patterns.
  • Familiarity with claims operations or similar process‑driven domains.
  • Experience building dashboards and operational reporting using Power BI, Tableau, or equivalent BI tools.
  • Experience using SQL for data analysis
  • Fluency using AI tools such as Copilot for drafting requirements, analyzing data, summarizing stakeholder input, or accelerating documentation workflows.
  • Experience with Lean methodology or Six Sigma.
  • Experience with Azure DevOps, Visio, or Sharepoint.
  • Experience in healthcare or other regulated industries.
  • Experience in a project environment that utilizes Agile or Waterfall methodologies.

What the JD emphasized

  • AI-enabled workflow solutions
  • automation
  • digital decisioning
  • performance dashboards
  • data-driven improvements
  • redesigning workflows
  • automate manual business analyst activities
  • define high-quality business requirements
  • acceptance criteria
  • UAT
  • production stabilization
  • Claims Optimization
  • scaling automation
  • claims operations
  • AI tools such as Copilot