Business Analyst
Independence Blue Cross · Philadelphia, PA
- On site
- Full-time
- $85,000 / year
- Philadelphia, PA
Job highlights
- Manage EOB processes and technical tickets.
- Coordinate with business, operations, and technology.
- Resolve system and data issues promptly.
- Ensure regulatory compliance and audit readiness.
- Drive process improvements for EOB delivery.
About the role
Job Summary
The Business Analyst supports the effectiveness and integrity of Explanation of Benefits (EOB) processes across all Lines of Business. This role manages EOB-related technical tickets, coordinates across business, operations, technology, and vendors, and represents the EOB team on cross-functional initiatives. The Business Analyst ensures timely resolution of system and data issues, maintains visibility into project deliverables and risks, and organizes team activities to support regulatory compliance, audit readiness, and process improvement. Through analysis and coordination, the role identifies defects, supports root cause analysis, and drives improvements to ensure accurate, compliant, and efficient EOB delivery.Responsibilities
- Serve as the central point of intake, triage, and tracking for all EOB-related technical tickets and production issues.
- Escalate risks, and provide regular updates to leadership and stakeholders.
- Coordinate with internal teams and vendors to ensure timely investigation, prioritization, and resolution of defects and data discrepancies.
- Maintain documentation of issue trends, root causes, and resolution outcomes to support audit and compliance needs.
- Support prioritization of team workload to ensure focus on high-risk, compliance-driven, and high-impact items.
- Develop and maintain documentation, trackers, and reporting tools to enhance transparency and organization.
- Facilitate team routines such as status meetings, action item tracking, and follow-ups.
- Support audit readiness by ensuring documentation, defect tracking, and remediation activities are organized and accessible.
- Contribute to improving workflows, documentation standards, and cross-team coordination.
- Partner with leadership to provide insights into EOB performance, risks, and operational impacts.
- Ensure stakeholder alignment on priorities, timelines, and issue resolution strategies.
- Represent the EOB team in cross-functional projects, including system enhancements, regulatory updates, and new product implementations.
Qualifications
- 3+ years of experience in healthcare operations, claims processing, business analysis, or equivalent work experience.
- Experience managing tickets, production issues, or defect tracking processes.
- Strong organizational and project coordination skills with the ability to effectively manage multiple priorities.
- Demonstrated analytical and problem-solving skills with high attention to detail.
- Effective communication skills, with the ability to translate complex data for non-technical stakeholders a plus.
- Ability to interpret business and technical requirements a plus.
Key skills/competency
- Business Analysis
- Explanation of Benefits (EOB)
- Claims Processing
- Healthcare Operations
- Technical Tickets
- Defect Tracking
- Root Cause Analysis
- Process Improvement
- Project Coordination
- Stakeholder Management
Skills & topics
- Business Analyst
- Healthcare Operations
- Claims Processing
- EOB
- Technical Tickets
- Defect Management
- Process Improvement
- Audit Readiness
- Stakeholder Management
- Business Analysis
How to get hired
- Tailor your resume: Highlight your experience in healthcare operations, claims processing, and business analysis, specifically mentioning ticket management and defect tracking.
- Showcase analytical skills: Provide examples of your problem-solving abilities and attention to detail in your application and during interviews.
- Emphasize communication: Be prepared to demonstrate your ability to translate complex data and technical information for non-technical audiences.
- Understand IBX values: Research Independence Blue Cross's mission and commitment to compliance and process improvement to align your answers.
- Prepare for technical questions: Be ready to discuss your experience with EOB processes and issue resolution strategies.
Technical preparation
Familiarize yourself with EOB and claims processing.,Practice ticket tracking and issue resolution methods.,Review defect analysis and root cause techniques.,Understand business and technical requirements documentation.
Behavioral questions
Describe a complex EOB issue you resolved.,How do you prioritize multiple technical tickets?,How do you communicate technical issues to non-technical staff?,Tell me about a time you improved a process.
Frequently asked questions
- What specific experience is required for the Business Analyst role at Independence Blue Cross?
- The Business Analyst role at Independence Blue Cross requires at least 3 years of experience in healthcare operations, claims processing, or business analysis. Experience with managing tickets, production issues, or defect tracking processes is also essential.
- How important is experience with Explanation of Benefits (EOB) for this Business Analyst position?
- Experience with Explanation of Benefits (EOB) processes is central to this Business Analyst role. You will be responsible for managing EOB-related technical tickets, ensuring their integrity, and coordinating their delivery across various business lines.
- What are the key responsibilities of a Business Analyst at Independence Blue Cross?
- Key responsibilities include serving as the point of intake for EOB-related technical tickets, coordinating issue resolution with internal teams and vendors, maintaining documentation for audits, and supporting process improvements to ensure accurate and compliant EOB delivery.
- Does Independence Blue Cross require specific technical tools for this Business Analyst job?
- While not strictly a technical tool for the job itself, candidates must have an Android or iOS device compatible with the Microsoft Authenticator app for security purposes.
- What kind of analytical skills are needed for the Business Analyst position?
- This role demands demonstrated analytical and problem-solving skills with a high attention to detail. You'll need to identify defects, support root cause analysis, and drive improvements for EOB processes.
- Is there an opportunity for process improvement in this Business Analyst role?
- Yes, a significant aspect of the Business Analyst role is to contribute to improving workflows, documentation standards, and cross-team coordination, ensuring accurate, compliant, and efficient EOB delivery.
- How does this Business Analyst role support audit readiness?
- The Business Analyst supports audit readiness by ensuring that documentation, defect tracking, and remediation activities related to EOB processes are organized and accessible.
- What is the work arrangement for this Business Analyst position at Independence Blue Cross?
- The job description does not explicitly state the work arrangement (remote, hybrid, or on-site). However, the requirement for a compatible mobile device for Microsoft Authenticator suggests a need for consistent connectivity, which is common across all arrangements.