If you're looking for a career change or you're in search of talent...

Explore New Job Opportunities Here

Senior Business Systems Analyst

Blue Cross Blue Shield of Massachusetts

Blue Cross Blue Shield of Massachusetts

Boston, MA, USA
Posted on Tuesday, June 11, 2024

Ready to help us transform healthcare? Bring your true colors to blue.

Senior Business Analyst – Cost Estimation

As a member of the Care Navigation Delivery team, the Senior Business Analyst is responsible for the documentation of key user experiences, process diagrams, & data flows and develops detailed impact analyses as we build our future roadmap for Cost Estimation. In addition, this role is responsible for the creation of requirements for any new initiatives as they relate to cost estimation. Many of these systems rely on core business functions (ex. claims processing, provider contracting, network management) and a complex ecosystem, so a deep understanding of BCBSMA’s systems, business requirements, and data flow is critical for the long-term success of Care Navigation to ensure we achieve desired results.

This role is inherently cross-functional, and you must be an effective communicator with both technical and non-technical stakeholders. You are expected to dive deep into the technology from both understanding how medical costs are derived, as well as how a member’s benefits impact their out-of-pocket costs. The Senior Business Analyst-Cost Estimation must be an independent learner, a self-starter willing to initiate projects, and someone who anticipates member's needs.

You should be a problem solver who is passionate about technology and enjoys working with engineering teams collaboratively, and equally comfortable interacting with business partners on their business needs. You should be somebody who is eager to lead programs that have both broad influence and unique technical challenges to solve. The ideal candidate will have experience supporting delivery across engineering, external vendor partners, & data disciplines, and an established track record of delivering large complex programs as well as effectively influencing up and across the organization.


  • Accountable for the facilitation & elaboration of user stories and/or requirements artifacts related to business features and epics with appropriate stakeholders (development team members, business stakeholders and others as needed)
  • Ensures that user stories satisfy feature acceptance criteria
  • Understands and mentors teams on how to define "definition of ready" for user stories
  • Updates team backlogs in preparation for sizing exercises
  • Partners closely with Product Owner & Product Managers on ensuring that stories are understood and satisfy the initiative & epic vision and will assist in backlog prioritization
  • Participates in all ceremonies related to software development, including user story grooming, backlog prioritization & grooming, sprint retrospectives and any long-term planning sessions
  • Understands at a high level how to effectively split user stories, illicit story requirements, document system and business impacts in a way that can be understood by technical & non-technical resources
  • Works closely with solution architecture, engineering, external vendor, and data teams to deliver features to market
  • Creates and socializes appropriate artifacts in user story and requirement elaboration, including business process diagrams, customer journey maps, impact analysis, systems diagrams, data flow diagrams and any other appropriate artifact to ensure story completeness and clarity
  • Considered a SME for Cost Estimation, including all systems used to conduct business within Cost Estimation, business processes, operational teams and organization, and knowledge of data flows & systems flows


  • Bachelor’s degree and 5+ years of experience in systems or business analysis
  • Experience with healthcare industry, software development, data, and systems
  • Extensive experience with cost systems, data, claims processing, and benefits, including external vendor software solutions
  • Experience with agile, SAfe, and/or waterfall methodologies
  • Experience contributing to engineering discussions around technology decisions and strategy related to a product
  • Experience defining and executing against both short and long-term roadmap strategies
  • Experience leading and influencing (without direct oversight) cross-functional teams to deliver products and programs
  • Experience coordinating requirements across customer or stakeholder groups

Preferred Qualifications

  • Healthcare domain knowledge, particularly all aspects of estimating member’s cost for medical services
  • Broad technical breadth and depth including familiarity with omni platforms (website, mobile app, CRM)
  • Demonstrated ability to understand and discuss technical and business concepts, manage tradeoffs, and evaluate opportunistic new ideas with internal and external partners
  • High attention to detail including precise and effective stakeholder communication, and proven ability to manage multiple, competing priorities simultaneously
  • Excellent verbal and written communication skills with demonstrated experience engaging and influencing senior executives
  • Ability to think strategically and execute methodically
  • History of teamwork and willingness to roll up one's sleeves to get the job done


Minimum Education Requirements:

High school degree or equivalent required unless otherwise noted above



Time Type

Full time Salary Range: $96,840.00 - $118,360.00

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community to stay “in the know” on all things Blue.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.