Blue Cross & Blue Shield jobs in Little Rock, AR - 8 jobs

The Manager, IT Category Management, is responsible for directing all sourcing and vendor contracting activities within the assigned categories. This role supervises staff engaged in the sourcing process for high-value and complex goods, services, or projects and initiatives. The incumbent focuses on reducing organizational costs by implementing effective sourcing strategies, tools, and processes. Coordination with third-party vendors, business owners, and the legal team is essential for the preparation, analysis, and negotiation of vendor contracts. Additionally, this position supports business owners across all functional areas in technology vendor selection and ensures that vendor obligations are documented in alignment with business requirements. What You'll Do Manage staff responsible for the development and execution of sourcing strategies in one or more technology categories. Direct and train staff in conducting sourcing events, including development of project work plan, category profile, category strategy, minimum requirements and evaluation criteria, solicitation Guide staff in the development and implementation assorted bid documents and requests (i.e. RFP, RFI, RFQ); and manage status reporting and performance metrics of sourcing and category management activities. Understand, analyze and forecast complex market and industry dynamics and share subject matter expertise and industry knowledge within the established portfolio of products and services Partner with stakeholders to develop business and sourcing strategy and source products and services using proven tools, processes, and analytics to drive and achieve business results. Coordinate the evaluation and analyses of sourcing results from a total cost of ownership perspective, and provide optimization recommendations Lead cross-functional teams responsible for complex vendor negotiations, including those that require specialized subject matter expertise, nonstandard risk mitigation solutions, and coordination of multiple arrangements. Proactively establish and foster successful, positive working relationships with vendor personnel. Drive vendor engagement through formal and informal transactions. Manage contract management function and facilitate effective collaboration with Corporate Compliance, Legal, Audit and Risk Management and other internal stakeholders for compliance activities to ensure regulatory conditions are met. Develop new procedures, training, initiatives, specifications and recommendations for process or policy changes and improvements, as appropriate. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points 8+ years Technology procurement experience Highly Preferred Procurement experience at a healthcare company Highly Preferred Procurement experience with key vendors including IBM, Microsoft, Salesforce, ServiceNow, Cognizant, Accenture, NTT Data and HCL Technologies Experience purchasing hardware and software through Value Added Resellers What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $107,901.00 - $172,642.00 Skills IT Procurement, Negotiation, Strategic Sourcing, Vendor Procurement

The Manager, Medicare Claims, oversees end-to-end claims services for provider segments, meeting business goals. This role sets performance targets, manages claims processing and financials, handles submissions, refunds, and recoveries, and ensures claims accounting and reporting. Collaboration with claims leadership ensures alignment with customer needs and contracts. What You'll Do Streamline shared processing to reduce management by exception Set operational process to address market trends, BCBSNC capabilities and customer demand Manage accounting and financial reporting functions in support of the Finance Division including overseeing the gathering, preparation, analysis, and reconciliation of financial data to ensure compliance with accepted accounting principles and standards. Participate in projects to improve and/or facilitate claims processing, recovery, and accounting functions. Manage financial recovery activities including refunds and collections Manage team leads and staff by efficiently driving work volume to keep high level of utilization and engagement in the group Resolve complex claims appeal by coordinating with different stakeholders for certain high value claims Collaborate with Audit and Payment Integrity to sustain a pre-determined level of accuracy and quality Design and develop tools and techniques for improvements. Identifies needed process and procedural changes which will result in improved customer satisfaction. Serve as Medicare Claims Subject Matter Expert and single point of contact for performance monitoring and troubleshooting. Represent Claims Operations on monthly CMS calls with CMS Account manager answering questions, providing status updates and expertise routinely and on demand. Ability to engage as requested by Compliance with regulatory entities, especially CMS on monthly calls and serve as an internal point of contact to prepare feedback on issues under CMS review. Use good judgement in understanding issues and work with compliance to prepare for discussions. Ability to represent claims as a knowledgeable SME. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points 1-2 years of Medicare and Medicaid experience or a highly regulated operational environment - highly preferred Strong analytical skills with the ability to drive change and manage operations Ensure risks associated with business activities are effectively identified, measured, monitored and controlled within accordance with compliance policies and procedures What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $98,092.00 - $156,947.00 Skills Accounts Receivable (AR), Claims Analysis, Claims Management, Claims Processing, Claims Resolution, Claims Submission, Documentations, Financial Processing, Health Insurance, Insurance Claim Handling, Insurance Claims Processing, Insurance Industry, Medicare Advantage, People Management, Recruiting

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. The Command Center Analyst Senior (CCAS) monitors the operations of the Enterprise computer and application network environment including hardware and software. The incumbent works closely with other CCAs, System Administrators, Engineers, and/or Developers to ensure proper functioning of all business services, services, applications, and technical services under CCA management to deliver AlwaysOn Availability for the company to provide the necessary services for Members and Providers. The Command Center operates 24x7x365 in designated office locations which includes evenings, weekends, and some holidays and are responsible for the successful completion of all scheduled data processing workload. Requirements EDUCATION Bachelor's degree in related field. In lieu of degree, five (5) years' related experience will be considered. LICENSING/CERTIFICATION Network, Virtualization, Operating Systems and/or but not limited to other related certifications preferred. EXPERIENCE Minimum five (5) years' experience in networking systems, computer repair, or network operations, data-processing, production scheduling software. ESSENTIAL SKILLS & ABILITIES * Basics of Server Administration in Windows and Linux Operating Systems * Basics of Virtualized Infrastructure * Basics of Network Administration including Subnetting * Basics of Data Center Infrastructure * Ability to build and leverage Technical Diagrams * Ability to run and read a packet capture * Ability to write low code and/or no code scripts for resolution of monitoring events * Ability to use ITIL Framework including Service Design, Incident, Change, Event, and Problem * Technical Troubleshooting Skills of Identify and Isolate Management * Production Scheduling Software - such as (JCL, CA7, AppWorx) * Domain Name System (DNS) * Dynamic Host Configuration Protocol (DHCP) * Monitoring application administration * Systems Documentation * Active Directory * TCP/IP * SAFe, Agile Skills * Cross-Functional Communications * Data Center Infrastructure Management (DCIM) * Decision Making * Monitor Processes, Materials, or Surroundings * Network Administration * Office Softwares * Oral Communications * Organizing * Packet Capturing * Problem Solving * Scripting * Server Admin * Troubleshooting * Virtualized Network Functions (VNF) * Written Communication Responsibilities * Adheres to all change enablement related practices and policies including participation in the enterprise's Change Advisory Board (CAB) * Assists in workload preparation, set-up, and performs reruns due to JCL errors, hardware malfunctions, bad input data, and job preparation errors * Completes assigned work on time and/or makes every effort to do so prior to notifying leadership including incidents, requested items, stories, problems, job abends, and any other tickets * Conducts problem management practices include acting as problem record owner facilitating the problem tasks to bring about continual improvement * Configures monitoring tools to ensure we advocate for mean time to detect and resolve in conjunction with application and technical owners * Defines and documents the monitoring service to the enterprise including vendor contacts, budgeting, lifecycle management, integrations, and execution of a roadmap * Embodies and models the attributes of the I&O operating model and acts as the standard bearer for the ideals * Engages with the appropriate vendors outside of I&O including Facilities, Physical Security or any other Telecommunications Provider to ensure that circuits are up and operational * Ensures all records are updated including runbooks, CMDB, and business rules in ServiceNow to ensure we are making programmatic decisions * Ensures availability of all online networks within standard and ensures timely completion of nightly batch processing * Ensures that all security policies, procedures and EDP standards are followed not limited to vulnerability management, change and configuration management, and findings management * Initiates appropriate event, incident, and if necessary, major incident processes to ensure that the company's services are available for member and provider facing operations by advocating for the event * Monitors the operation of the enterprise business services, services, applications, and technical services & communication lines including monitoring the mainframe systems health and performance, as well as managing the AppWorx queues * Participates in the appropriate on-call rotation adhering to the documented expectations * Provides guidance to less experience Command Center Analysts Certifications Security Requirements This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual. Segregation of Duties Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual. Employment Type Regular ADA Requirements 2.2 General Office Worker, Semi-Active, Local Travel - someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within the metropolitan area by vehicle as essential functions of the job.

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. The Claims Specialist resolves medical claims that are not automatically adjudicated by the claims processing system in a timely and accurate manner according to divisional standards of quality and productivity. Resolution may include additional investigation or communication in order to obtain necessary information to complete the claim. Outside issues such as peak filing season, systems down time, inclement weather, holidays, and absenteeism may directly affect the volume of work for each Specialist Requirements EDUCATION High School diploma or equivalent. EXPERIENCE Minimum two (2) years' college coursework (48 semester hours) or other equivalent certification with an emphasis in anatomy, medical terminology, math, biology, or a related field. OR minimum one (1) year of related office experience such as claims processing, health insurance, or medical office. Must pass company proficiency test: Claims Assessment ESSENTIAL SKILLS & ABILITIES Oral & Written Communications Strong Interpersonal skills Sound Judgement Decision Making Detail-Oriented Teamwork Dependability Skills * Clinical Judgment * Computer Work * Critical Thinking * Customer Service * Decision Making * Evaluating Information * Interpersonal Communication * Oral Communications * Organizing * Process Information * Reading Comprehension * Researching * Time Management Responsibilities * Claims Processing: Claims processing involves the actions required to pay or deny pended claims (those which did not auto-adjudicate), including: entering data into the system; reviewing and interpreting contract benefits; conducting edit and audit resolution; determining benefit eligibility; Identifying and researching processing issues through systems and manuals; routing claims to other areas; consulting internal staff and medical providers; generating correspondence; and completing forms to obtain necessary information * Knowledge/Continuous Learning: In order to perform the actions required of the Claim Specialist job, the incumbent must undergo initial training, on-the-job training, and continuing education. Demonstrating knowledge of and possessing the ability to access all relevant computer systems and screens in order to process claims accurately; staying current with continually changing processing procedures, benefits, and system modifications; being knowledgeable of and able to meet corporate and national (MTM) standards while maintaining acceptable performance levels based on established departmental standards for productivity and quality; and showing familiarity with corporate and professional manuals and guidebooks, including the company processing manual and ICD, CPT, and HCPS codebooks * Other duties: As assigned Certifications Security Requirements This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual. Segregation of Duties Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual. Employment Type Regular ADA Requirements 1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. The Command Center Analyst (CCA) monitors the operations of the Enterprise computer and application network environment including hardware and software. The incumbent works closely with other CCAs, System Administrators, Engineers, and/or Developers to ensure proper functioning of all business services, services, applications, and technical services under CCA management to deliver AlwaysOn Availability for the company to provide the necessary services for Members and Providers. The Command Center operates 24x7x365 in designated office locations which includes evenings, weekends, and some holidays and are responsible for the successful completion of all scheduled data processing workload. Requirements EDUCATION Bachelor's degree in related field. In lieu of degree, five (5) years' related experience will be considered. LICENSING/CERTIFICATION Network, Virtualization, Operating Systems and/or but not limited to other related certifications preferred. EXPERIENCE Minimum three (3) years' experience in networking systems, computer repair, or network operations, data-processing, production scheduling software. ESSENTIAL SKILLS & ABILITIES * Basics of Server Administration in Windows and Linux Operating Systems * Basics of Virtualized Infrastructure * Basics of Network Administration including Subnetting * Basics of Data Center Infrastructure * Ability to build and leverage Technical Diagrams * Ability to run and read a packet capture * Ability to write low code and/or no code scripts for resolution of monitoring events * Ability to use ITIL Framework including Service Design, Incident, Change, Event, and Problem * Technical Troubleshooting Skills of Identify and Isolate Management * Production Scheduling Software - such as (JCL, CA7, AppWorx) * Domain Name System (DNS) * Dynamic Host Configuration Protocol (DHCP) * Monitoring application administration * Systems Documentation * Active Directory * TCP/IP * SAFe, Agile Skills * Cross-Functional Communications * Data Center Infrastructure Management (DCIM) * Decision Making * Monitor Processes, Materials, or Surroundings * Network Administration * Office Softwares * Oral Communications * Organizing * Packet Capturing * Problem Solving * Scripting * Server Admin * Troubleshooting * Virtualized Network Functions (VNF) * Written Communication Responsibilities * Adheres to all change enablement related practices and policies including participation in the enterprise's Change Advisory Board (CAB) * Assists in workload preparation, set-up, and performs reruns due to JCL errors, hardware malfunctions, bad input data, and job preparation errors * Completes assigned work on time and/or makes every effort to do so prior to notifying leadership including incidents, requested items, stories, problems, job abends, and any other tickets * Conducts problem management practices include acting as problem record owner facilitating the problem tasks to bring about continual improvement * Configures monitoring tools to ensure we advocate for mean time to detect and resolve in conjunction with application and technical owners * Defines and documents the monitoring service to the enterprise including vendor contacts, budgeting, lifecycle management, integrations, and execution of a roadmap * Embodies and models the attributes of the I&O operating model and acts as the standard bearer for the ideals * Engages with the appropriate vendors outside of I&O including Facilities, Physical Security or any other Telecommunications Provider to ensure that circuits are up and operational * Ensures all records are updated including runbooks, CMDB, and business rules in ServiceNow to ensure we are making programmatic decisions * Ensures availability of all online networks within standard and ensures timely completion of nightly batch processing * Ensures that all security policies, procedures and EDP standards are followed not limited to vulnerability management, change and configuration management, and findings management * Initiates appropriate event, incident, and if necessary, major incident processes to ensure that the company's services are available for member and provider facing operations by advocating for the event * Monitors the operation of the enterprise business services, services, applications, and technical services & communication lines including monitoring the mainframe systems health and performance, as well as managing the AppWorx queues * Participates in the appropriate on-call rotation adhering to the documented expectations * Takes the appropriate actions in the spirit of continual improvement when a defect, or area of improvement is noted in either records, practice, process, or operating of monitoring Certifications Security Requirements This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual. Segregation of Duties Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual. Employment Type Regular ADA Requirements 2.2 General Office Worker, Semi-Active, Local Travel - someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within the metropolitan area by vehicle as essential functions of the job.

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. The Command Center Analyst Senior (CCAS) monitors the operations of the Enterprise computer and application network environment including hardware and software. The incumbent works closely with other CCAs, System Administrators, Engineers, and/or Developers to ensure proper functioning of all business services, services, applications, and technical services under CCA management to deliver AlwaysOn Availability for the company to provide the necessary services for Members and Providers. The Command Center operates 24x7x365 in designated office locations which includes evenings, weekends, and some holidays and are responsible for the successful completion of all scheduled data processing workload. Requirements EDUCATION Bachelor's degree in related field. In lieu of degree, five (5) years' related experience will be considered. LICENSING/CERTIFICATION Network, Virtualization, Operating Systems and/or but not limited to other related certifications preferred. EXPERIENCE Minimum five (5) years' experience in networking systems, computer repair, or network operations, data-processing, production scheduling software. ESSENTIAL SKILLS & ABILITIES * Basics of Server Administration in Windows and Linux Operating Systems * Basics of Virtualized Infrastructure * Basics of Network Administration including Subnetting * Basics of Data Center Infrastructure * Ability to build and leverage Technical Diagrams * Ability to run and read a packet capture * Ability to write low code and/or no code scripts for resolution of monitoring events * Ability to use ITIL Framework including Service Design, Incident, Change, Event, and Problem * Technical Troubleshooting Skills of Identify and Isolate Management * Production Scheduling Software - such as (JCL, CA7, AppWorx) * Domain Name System (DNS) * Dynamic Host Configuration Protocol (DHCP) * Monitoring application administration * Systems Documentation * Active Directory * TCP/IP * SAFe, Agile Skills * Cross-Functional Communications * Data Center Infrastructure Management (DCIM) * Decision Making * Monitor Processes, Materials, or Surroundings * Network Administration * Office Softwares * Oral Communications * Organizing * Packet Capturing * Problem Solving * Scripting * Server Admin * Troubleshooting * Virtualized Network Functions (VNF) * Written Communication Responsibilities * Adheres to all change enablement related practices and policies including participation in the enterprise's Change Advisory Board (CAB) * Assists in workload preparation, set-up, and performs reruns due to JCL errors, hardware malfunctions, bad input data, and job preparation errors * Completes assigned work on time and/or makes every effort to do so prior to notifying leadership including incidents, requested items, stories, problems, job abends, and any other tickets * Conducts problem management practices include acting as problem record owner facilitating the problem tasks to bring about continual improvement * Configures monitoring tools to ensure we advocate for mean time to detect and resolve in conjunction with application and technical owners * Defines and documents the monitoring service to the enterprise including vendor contacts, budgeting, lifecycle management, integrations, and execution of a roadmap * Embodies and models the attributes of the I&O operating model and acts as the standard bearer for the ideals * Engages with the appropriate vendors outside of I&O including Facilities, Physical Security or any other Telecommunications Provider to ensure that circuits are up and operational * Ensures all records are updated including runbooks, CMDB, and business rules in ServiceNow to ensure we are making programmatic decisions * Ensures availability of all online networks within standard and ensures timely completion of nightly batch processing * Ensures that all security policies, procedures and EDP standards are followed not limited to vulnerability management, change and configuration management, and findings management * Initiates appropriate event, incident, and if necessary, major incident processes to ensure that the company's services are available for member and provider facing operations by advocating for the event * Monitors the operation of the enterprise business services, services, applications, and technical services & communication lines including monitoring the mainframe systems health and performance, as well as managing the AppWorx queues * Participates in the appropriate on-call rotation adhering to the documented expectations * Provides guidance to less experience Command Center Analysts Certifications Security Requirements This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual. Segregation of Duties Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual. Employment Type Regular ADA Requirements 2.2 General Office Worker, Semi-Active, Local Travel - someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within the metropolitan area by vehicle as essential functions of the job.

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. The Command Center Analyst (CCA) monitors the operations of the Enterprise computer and application network environment including hardware and software. The incumbent works closely with other CCAs, System Administrators, Engineers, and/or Developers to ensure proper functioning of all business services, services, applications, and technical services under CCA management to deliver AlwaysOn Availability for the company to provide the necessary services for Members and Providers. The Command Center operates 24x7x365 in designated office locations which includes evenings, weekends, and some holidays and are responsible for the successful completion of all scheduled data processing workload. Requirements EDUCATION Bachelor's degree in related field. In lieu of degree, five (5) years' related experience will be considered. LICENSING/CERTIFICATION Network, Virtualization, Operating Systems and/or but not limited to other related certifications preferred. EXPERIENCE Minimum three (3) years' experience in networking systems, computer repair, or network operations, data-processing, production scheduling software. ESSENTIAL SKILLS & ABILITIES * Basics of Server Administration in Windows and Linux Operating Systems * Basics of Virtualized Infrastructure * Basics of Network Administration including Subnetting * Basics of Data Center Infrastructure * Ability to build and leverage Technical Diagrams * Ability to run and read a packet capture * Ability to write low code and/or no code scripts for resolution of monitoring events * Ability to use ITIL Framework including Service Design, Incident, Change, Event, and Problem * Technical Troubleshooting Skills of Identify and Isolate Management * Production Scheduling Software - such as (JCL, CA7, AppWorx) * Domain Name System (DNS) * Dynamic Host Configuration Protocol (DHCP) * Monitoring application administration * Systems Documentation * Active Directory * TCP/IP * SAFe, Agile Skills * Cross-Functional Communications * Data Center Infrastructure Management (DCIM) * Decision Making * Monitor Processes, Materials, or Surroundings * Network Administration * Office Softwares * Oral Communications * Organizing * Packet Capturing * Problem Solving * Scripting * Server Admin * Troubleshooting * Virtualized Network Functions (VNF) * Written Communication Responsibilities * Adheres to all change enablement related practices and policies including participation in the enterprise's Change Advisory Board (CAB) * Assists in workload preparation, set-up, and performs reruns due to JCL errors, hardware malfunctions, bad input data, and job preparation errors * Completes assigned work on time and/or makes every effort to do so prior to notifying leadership including incidents, requested items, stories, problems, job abends, and any other tickets * Conducts problem management practices include acting as problem record owner facilitating the problem tasks to bring about continual improvement * Configures monitoring tools to ensure we advocate for mean time to detect and resolve in conjunction with application and technical owners * Defines and documents the monitoring service to the enterprise including vendor contacts, budgeting, lifecycle management, integrations, and execution of a roadmap * Embodies and models the attributes of the I&O operating model and acts as the standard bearer for the ideals * Engages with the appropriate vendors outside of I&O including Facilities, Physical Security or any other Telecommunications Provider to ensure that circuits are up and operational * Ensures all records are updated including runbooks, CMDB, and business rules in ServiceNow to ensure we are making programmatic decisions * Ensures availability of all online networks within standard and ensures timely completion of nightly batch processing * Ensures that all security policies, procedures and EDP standards are followed not limited to vulnerability management, change and configuration management, and findings management * Initiates appropriate event, incident, and if necessary, major incident processes to ensure that the company's services are available for member and provider facing operations by advocating for the event * Monitors the operation of the enterprise business services, services, applications, and technical services & communication lines including monitoring the mainframe systems health and performance, as well as managing the AppWorx queues * Participates in the appropriate on-call rotation adhering to the documented expectations * Takes the appropriate actions in the spirit of continual improvement when a defect, or area of improvement is noted in either records, practice, process, or operating of monitoring Certifications Security Requirements This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual. Segregation of Duties Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual. Employment Type Regular ADA Requirements 2.2 General Office Worker, Semi-Active, Local Travel - someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within the metropolitan area by vehicle as essential functions of the job.