OneMain Financial Jobs

Resp & Qualifications

PURPOSE:

The Business Analyst will have the responsibility to ensure that the business's 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 assists in the gathering and synthesizing of business requirements for low complexity software, systems, processes and/or services and translates them into specifications ensuring the business objectives are met. As the functional expert, the incumbent serves as the conduit between the business area and the technical or software development team through which requirements flow.

ESSENTIAL DUTIES:

Requirements & Business Analysis:

• Elicit, analyze, and document business requirements related to enrollment operations, including Medicare Advantage and Medicaid processes

• Collaborate with enrollment, compliance, and IT teams to define requirements for system enhancements, regulatory updates, and operational workflows.

• Translate enrollment business needs (e.g., 834 file processing, eligibility verification, dual enrollment workflows) into functional specifications.

• Participate in requirements validation sessions to ensure alignment with CMS and state requirements.

• Track and manage issues related to enrollment processes and system functionality, supporting resolution efforts.

Testing & User Acceptance

• Support and participate in user acceptance testing (UAT) for enrollment-related system changes, including Enrollment Administration Manager (EAM) and FACETS systems

• Develop and execute test scenarios aligned to enrollment workflows and regulatory requirements

• Identify and document gaps, defects, and discrepancies impacting enrollment processing accuracy

• Coordinate issue resolution with stakeholders and support validation of fixes

• Provide guidance and support to end users on system updates and enrollment-related functionality

Issue Resolution & Operational Support

• Analyze and troubleshoot issues related to enrollment processing, reconciliation, and data discrepancies.

• Collaborate with operations, compliance, and IT to resolve enrollment-related system and process issues.

• Support investigation of complex enrollment scenarios, including retro enrollments, disenrollments, and eligibility discrepancies.

• Assist in identifying root causes and recommending solutions to improve enrollment accuracy and efficiency.

Documentation & Process Analysis

• Document and maintain detailed enrollment workflows, SOPs, and business requirements

• Analyze current enrollment processes to identify gaps, inefficiencies, and opportunities for improvement

• Support development of job aids and training materials related to enrollment systems and processes

• Ensure documentation reflects current CMS and state regulatory requirements

Project Coordination & Reporting

• Support enrollment-related projects by coordinating requirements, timelines, and deliverables

• Monitor and report on project status, risks, and dependencies

• Assist in prioritizing work requests related to enrollment systems, regulatory changes, and operational improvements

• Contribute to reporting and analysis of enrollment metrics (e.g., error rates, reconciliation discrepancies, processing timelines)

QUALIFICATIONS:

Education Level: Bachelor's Degree in Business, Health Care, Information Technology, Computer Science 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: 5 years of experience in functional, operational, business, data, systems or testing analysis. 3 to 5 years of Medicare Advantage and/or Medicaid experience, preferably in enrollment.

Preferred Qualifications:

• Demonstrated ability to deliver high quality, effective deliverables on-time and be a valuable contributor to the development of cost-effective solutions.

• Moderate understanding of business analysis core competencies.

Knowledge, Skills and Abilities (KSAs)

• Strong time-management and organizational skill

• Excellent communication skills both written and verbal

• Ability to organize stakeholder meetings

• Microsoft Office applications usage

• 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: $59,472 - $118,118

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 responsibilities 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

Medicare/Medicaid Enrollment

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 Federal 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

REQNUMBER: 22032