Platform Administrator, Consultant

Your Role

The Business Configuration Oversight team is responsible for Overseeing Configuration and delivery of Projects by vendor. The Platform Administrator, Consultant will report to the IT Development Manager. In this role you will also provide Facets application domain expertise, story refinement, design approvals and act as liaison between IT and business areas.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work

In this role, you will:

• Analyze complex business requirements and software/product objectives to perform Oversight of the Configuration vendor
• Provide input in cross-functional work sessions to assess requirements and propose out-of-the-box platform solution options
• Ensure traceability of solutions back to performance goals and metrics
• Be responsible for end-to-end business solutions, including all areas of platform configuration and working with IT partners on interfaces, extracts or extensions, following established processes, standards and procedures (with manager oversight)
• Review and approve system configuration analysis, design, coding, and unit testing following established processes, standards, and procedures
• Be responsible for configuration and quality assurance of low to highly complex solutions using best practice and low-code platform configuration
• Facilitate resolution of escalated issues in the appropriate manner with appropriate timeframe by Configuration Vendor. Ensure traceability of solutions back to performance goals and metrics.
• Lead troubleshooting and root cause analysis, including meeting SLAs and stakeholder communication  
• Act as the liaison between IT and business areas in support of extensions and service packs
• Work with team to identify process improvements and automation opportunities to improve quality and timeliness of configuration builds
• Be proficient with Facets Configuration with emphasis on Product Config and Shared Advantage line of business 
• Be proficient in SQL scripts and Facets Data Model and should be able to write complex queries to pull Facets backend data
• Demonstrate effective communication with other business leaders and IT leaders regarding configuration capabilities

Your Knowledge and Experience

• Requires a bachelor’s degree or equivalent experience
• Requires a minimum of 7 years of prior relevant experience
• Requires at least 7 years performing complex business analysis and/or technology healthcare operations
• Requires at least 3 years of experience in leading and mentoring the team
• Preferred knowledge of EDI 270/271 configuration, transaction rules and Claim Processing Rules (Procedure and Diagnosis Codes)
• Preferred at least 5 years of experience in a configuration analyst role, configuring health plan business applications

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. 

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. 

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!  

Our Values: 

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short. 
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. 

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail. 

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.