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Excellus BCBS

Nonprofit health insurance provider

Business Systems Analyst

Full-TimeUpdated on 10/23/2026
$60.4k - $158k
Junior, Mid, Senior
Associate's
Rochester, NY, USA+4 moreMore locations: De Witt, NY, USA | Utica, NY, USA | Albany, NY, USA | Buffalo, NY, USA
In PersonMust travel across the enterprise; possible remote work is decided case by case and is not guaranteed.
Business & StrategyBusiness Analysis

About the job

Requirements
  • Level I requires an associate degree in Information Technology, Computer Science, Engineering, Business, or a related field, or three years of relevant work experience instead.
  • Level I requires a basic understanding of business flow diagramming tools such as data flow diagrams, UML, or capabilities matrices.
  • Level I requires demonstrated basic data and systems analytics skills.
  • Level I requires basic experience writing clear, concise, well-organized requirements or user stories.
  • Level I requires a basic understanding of waterfall or Agile Scrum methodologies.
  • Level I requires advanced knowledge of Microsoft Office.
  • Level I requires the ability to prioritize work components and define objectives effectively without assistance and with minimal supervision.
  • Level I requires intermediate critical thinking and analytical skills for providing solutions.
  • Level I requires the ability to work effectively in a team environment.
  • Level II requires all Level I qualifications, three years of relevant work experience, and an associate degree in Information Technology, Computer Science, Engineering, Business, or a related field; in lieu of the degree, three additional years of relevant work experience is required.
  • Level II requires basic SQL skills to execute SQL queries, interpret data, and read procedural code.
  • Level II requires intermediate knowledge of the assigned business, technology, and data domain.
  • Level II requires intermediate data and systems analytics skills.
  • Level II requires intermediate experience with business flow diagramming tools such as data flow diagrams, UML, or capabilities matrices.
  • Level II requires intermediate experience writing clear, concise, well-organized requirements or user stories.
  • Level III requires all Level II qualifications, five years of relevant work experience, and an associate degree in Information Technology, Computer Science, Engineering, Business, or a related field; in lieu of the degree, three additional years of relevant work experience is required.
  • Level III requires an advanced understanding of application and data systems and their organizational use.
  • Level III requires an advanced understanding of common architecture and development best practices.
  • Level III requires intermediate SQL skills to execute SQL queries, interpret data, and read procedural code.
  • Level III requires advanced experience with business flow diagramming tools such as data flow diagrams, UML, or capabilities matrices.
  • Level IV requires all Level III qualifications, seven years of relevant work experience, and an associate degree in Information Technology, Computer Science, Engineering, Business, or a related field; in lieu of the degree, three additional years of relevant work experience is required.
  • Level IV requires advanced SQL skills to execute SQL queries, interpret data, and read procedural code.
  • Level IV requires expert experience writing requirements.
  • Level IV requires advanced data and systems analytics skills.
  • Level IV requires expert experience with business flow diagramming tools such as data flow diagrams, UML, or capabilities matrices.
  • Level IV requires expert knowledge of application and data systems and their use in the health care industry.
  • Level IV requires expert understanding of common architecture and development best practices.
  • The employee must be able to complete work in a traditional office environment under fluorescent lighting, communicate orally, travel across the enterprise, and work in a home office for continuous periods for business continuity.
Responsibilities
  • Collaborate with stakeholders to elicit, analyze, specify, and gather business, stakeholder, and solution requirements, contributing to documented requirements using the organization's requirements methodology.
  • Create functional and non-functional requirements based on stakeholder requirements, IT input, and recommended best practices.
  • Develop expertise in the assigned business, application, and data domains.
  • Conduct or participate in peer reviews of business, stakeholder, and solution requirements.
  • Define scope as work items move from business stakeholders to development teams in an iterative release process.
  • Maintain integrity, support the company's mission and values, and adhere to the Corporate Code of Conduct, privacy policies, and procedures.
  • Maintain privacy for groups, members, and agencies in accordance with corporate privacy policies and procedures.
  • Maintain regular and reliable attendance and perform other functions as assigned by management.
  • At Level II, conduct research and systems analysis needed to deliver IT systems-related requirements, including data and cloud technologies.
  • At Level II, manage scope changes proactively, identify potential risks, and work with management and development teams to create recovery plans.
  • At Level II, work with business stakeholders to identify the minimum viable product.
  • At Level III, assess requirements and recommend improvements.
  • At Level III, mentor and train other Business Systems Analysts in various practices and products.
  • At Level III, serve as a subject matter expert in the assigned business area and data domain.
  • At Level III, lead complex projects and work efforts to obtain requirements and ensure solutions support business, enterprise, and data strategies.
  • At Level IV, lead peer reviews with other Business Systems Analysts to assess requirements quality and completeness, providing feedback and guidance.
  • At Level IV, collaborate across the organization to identify process or implementation improvements and address impediments to products or projects.
  • At Level IV, negotiate and liaise directly with IT resources, business stakeholders, and external vendors or partners, often serving as project spokesperson.
  • At Level IV, serve as a subject matter expert across multiple business areas and data domains.
  • At Level IV, demonstrate leadership in creating requirements while collaborating with management at multiple levels and architects across the enterprise.
Desired Qualifications
  • Familiarity with automated testing is preferred at Levels I and II.
  • Intermediate experience in the health plan or healthcare industry, especially the health insurance value chain and processes, is preferred at Level II.
  • Scrum Master, Product Owner, Business Analyst, or Lean Six Sigma Green Belt certifications are preferred at Level III.
  • Advanced writing of requirements in various formats, including user stories and Gherkin, is preferred at Level III.
  • Experience with waterfall or Agile Scrum methodologies, with Scrum preferred, is preferred at Level III.

About the company

Excellus BCBS is a nonprofit health plan serving upstate New York, from Utica through Rochester, as part of the national Blue Cross Blue Shield network. It offers individual, family, Medicare, Medicaid, and employer health plans, plus virtual care, wellness programs, and Social Care Networks addressing housing, food, and transportation needs. What sets Excellus apart is pairing local, community support with a nationwide Blue provider network. The goal is to deliver affordable, accessible care that helps members and communities thrive.

Company Size

N/A

Company Stage

N/A

Total Funding

N/A

Headquarters

Rochester, New York

Founded

1932

Simplify Jobs

Simplify's Take

What believers are saying

  • Excellus reported 81% provider satisfaction in January 2026, signaling strong network relationships.
  • 2026 Medicare Advantage benefits add $0 preventive care, dental, fitness, and telehealth.
  • Excellus extended Foodlink support three years, reinforcing community reputation and member goodwill.

What critics are saying

  • Excellus faces a racial discrimination trial after Judge Brindisi rejected summary judgment in July 2026.
  • DFS rate filings seek 17.0% small-group and 17.2% individual increases for 2027.
  • Intraoperative Neurology Services sued in February 2026 after Excellus allegedly failed payment awards.

What makes Excellus BCBS unique

  • Excellus is a nonprofit, local upstate New York carrier with deep regional employer trust.
  • Its 31-county Medicare Advantage network bundles dental, vision, hearing, telehealth, and transportation.
  • Community Investments funds targeted health equity programs, giving Excellus visible civic embeddedness.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Wellness Program
  • Paid Holidays
  • Remote Work Options
  • 401(k) Retirement Plan

Company News

Greater Utica Chamber of Commerce
Oct 20th, 2026
Excellus BlueCross BlueShield names Dr. Tenbit Emiru chief medical officer.

Excellus BlueCross BlueShield names Dr. Tenbit Emiru chief medical officer. Excellus BlueCross BlueShield today announced that Tenbit Emiru, MD, PhD, MBA has joined the organization and its parent company, The Lifetime Healthcare Companies, as enterprise chief medical officer (CMO) and senior vice president of medical services. In this role, Emiru will provide executive clinical leadership and strategic oversight for the enterprise, supporting efforts to improve health outcomes, enhance member and provider experience, and advance affordable, high-quality care. "Dr. Emiru brings a strong combination of clinical expertise and strategic leadership at an important time for our organization," said Dr. Marty Stallone, executive vice president and chief healthcare services officer. "Her experience leading complex healthcare organizations and her focus on improving quality, affordability and collaboration will help us continue delivering better outcomes for our members and communities." Emiru will lead teams responsible for healthcare engagement, quality, health outcomes and medical services across the organization. As the health plan's senior clinical leader, she will help guide clinical priorities, support ways to improve quality and outcomes while managing costs, and work with provider partners to make care more coordinated and effective for members. A mission-driven healthcare executive, Emiru brings deep experience from both health plans and health systems. Most recently, she served as executive vice president and chief medical officer for a nonprofit health plan in Minnesota. Her work has focused on fostering collaboration among physicians, hospitals and care teams to improve quality, manage costs and enhance the patient experience. "I'm excited to join Excellus BlueCross BlueShield at a time of continued transformation in healthcare," said Emiru. "I look forward to working with teams across the organization and with our provider partners to improve outcomes, expand access and ensure our members receive high-quality care." Emiru's leadership will support the organization's continued focus on improving care, advancing health equity and helping members and communities across upstate New York access high-quality care that is more coordinated, effective and affordable. PLATINUM INVESTORS

Greater Utica Chamber of Commerce
Oct 14th, 2026
Excellus BlueCross BlueShield NCQA Commercial Health Plan Ratings highlight excellence.

Excellus BlueCross BlueShield NCQA Commercial Health Plan Ratings highlight excellence. in preventive, maternal care. Excellus BlueCross BlueShield has earned a strong 4-star rating from the National Committee for Quality Assurance (NCQA) for its Commercial HMO/POS/PPO/EPO health plan, bolstered by a strong performance across a range of preventive care, maternal health and behavioral health measures. The NCQA Health Plan Ratings evaluate plans nationwide on clinical quality, member experience and health outcomes. Excellus BCBS's results demonstrate a continued commitment to helping members access preventive care and improving health outcomes across the communities it serves. "Our longstanding presence in upstate New York allows us to be more than a health insurer. It enables us to be a trusted community partner working hand in hand with providers, health systems and local organizations to address the health needs of the people we serve," said Tony Vitagliano, senior vice president of provider network engagement and regional president for the Utica region at Excellus BCBS. "This recognition reflects the impact of that collaboration and our unwavering focus on early intervention and helping our communities become a little healthier every day." Among Excellus BCBS's strongest areas of performance were preventive care and women's health measures. The health plan received top ratings across multiple pediatric well-care measures, including: * 5-star performance for well-child visits in the first 15 months of life * 5-star performance for well-care visits for children ages 15-30 months * 5-star performance for well-care visits for children and adolescents * Strong performance in childhood and adolescent immunization measures * Strong performance in BMI assessment for children and adolescents The health plan also demonstrated exceptional results in maternal health, including: * 5-star performance for postpartum care * Strong ratings for prenatal checkups * Strong ratings for prenatal immunizations Additionally, Excellus BCBS's performance in behavioral health follow-up measures was significant, reinforcing the organization's commitment to supporting members' physical and mental health needs through coordinated care. PLATINUM INVESTORS

Niagara Frontier Publications
Oct 2nd, 2026
AAA: Time to evaluate Medicare coverage.

AAA: Time to evaluate Medicare coverage. Fri, Oct 2nd 2026 03:05 pm Medicare recipients are encouraged to review their plans with licensed Medicare advisors By AAA of Western and Central New York The Medicare annual enrollment period (AEP) begins Oct. 15 and ends Dec. 7. During this time, Medicare recipients are encouraged to determine if their health care needs have changed and prepare for any changes to their current plan in the new year. AAA recommends sitting down with a licensed insurance adviser to evaluate whether your current Medicare plan will change and if another plan might better meet your needs and budget. The Medicare plan selected during AEP will take effect Jan. 1, 2027. Current Medicare recipients should receive their plan's annual notice of change (ANOC) by the first week of October. This notice will review changes to the benefits and costs of their current Medicare plan for 2027. With more than 70 plans to choose from, entering the world of Medicare can lead to more questions than answers. Changes to Medicare plans can impact key aspects of healthcare, including choice of doctor, prescription drug coverage, and cost. Therefore, it is very important for recipients to review Medicare plan coverage options for 2027 to ensure that they are enrolled in a plan that best meets their health care needs. AAA's licensed Medicare advisers can guide individuals to ensure they receive adequate coverage. Medicare is the federal insurance program for people who are 65 or older or certain younger people with disabilities. AEP is the time of year when everyone who is Medicare-eligible can make changes to their plans. AAA partners with many different insurance carriers to offer a wide range of options so that recipients can maximize what their plan offers. Unlike many providers, AAA doesn't work for insurance carriers, so insurance agents can offer unbiased assistance to help recipients find a Medicare plan to meet their needs. Services are available to all Medicare-eligible individuals in the community, both AAA members and nonmembers alike. The public can learn more by visiting www.AAA.com/Medicare to schedule an appointment online or by calling 877-477-7120. AAA works with familiar carriers like Highmark, Excellus, Univera and Independent Health, offering more than 70 plans to tailor coverage to individual needs. Within the plans, Medicare has four main "Parts" that cover specific services. These are: - Part A for hospital insurance. This is for inpatient hospital stays, care in a skilled nursing facility, hospice care and some health care services. - Part B for medical insurance. This covers certain doctor's services, outpatient care, medical supplies, and preventative services. - Part C (Medicare Advantage) offers Medicare coverage through private insurance companies approved by Medicare. These plans include Part A and Part B coverage and often include additional benefits. - Part D for prescription drug coverage. Part D adds prescription drug coverage to original Medicare and Medicare-related plans. By calling, you agree that a AAA licensed insurance agent may contact you. AAA Insurance is provided through AAA Members Insurance Agency of Western & Central New York Inc., which offers products through AAA-affiliated companies and non-affiliated companies. Not affiliated with any government agency including Medicare. Wnypapers do not offer every plan available in your area. Currently Wnypapers represent 10-plus organizations which offer 70-plus products in your area. Please contact Medicare.gov, 1-800-MEDICARE to get information on all of your options.

13 WHAM
Sep 1st, 2026
Foodlink, Excellus team up for Hunger Action Month in Rochester.

Foodlink, Excellus team up for Hunger Action Month in Rochester. Tue, September 1, 2026 at 3:06 PM Updated Tue, September 1, 2026 at 3:35 PM Representatives from Foodlink and Excellus BlueCross BlueShield are pictured Tuesday, Sept. 1, 2026, during a Hunger Action Month event at Foodlink's Curbside Market site on Lake Avenue in Rochester. (Photo by Matt Churpita/WHAM) Ask 13 WHAM anything How many stops does Foodlink's Curbside Market make weekly? Which organization committed to supporting the Curbside Market for three years? Why are rising food costs and SNAP cuts affecting families? Rochester, N.Y. - September is Hunger Action Month, and two Rochester-area organizations are teaming up to raise awareness about food insecurity and expand access to healthy food. Foodlink and Excellus BlueCross BlueShield kicked off the nationwide campaign Tuesday at Foodlink's Curbside Market on Lake Avenue. Foodlink said more than 155,000 people experience food insecurity across its 10-county service area. In Rochester's 14608 ZIP code, where Tuesday's event was held, more than 27% of residents experience food insecurity - double the regional average. "Foodlink's Curbside Market helps local residents stretch their dollars," Florence Clemmons, Foodlink's director of community-based strategies, said in a statement. "Our neighbors grapple with a high cost of food and gas, which ultimately impacts the food on their plate and the overall health of our community." The Curbside Market operates six days a week, making more than 50 stops at affordable housing sites, senior centers, health clinics and community centers. The mobile markets offer fresh produce and other grocery staples to thousands of shoppers each year. Excellus recently committed to supporting the program for another three years, with investments aimed at equipment, technology and infrastructure improvements. Foodlink said rising costs and changes to SNAP eligibility and work requirements have also caused thousands of local residents to lose food assistance. SPONSORED CONTENT MORE TO EXPLORE

Life Health
Aug 19th, 2026
Medicare Advantage plan members seek stronger patient advocacy, care coordination.

Medicare Advantage plan members seek stronger patient advocacy, care coordination. Overall satisfaction with Medicare Advantage plans declines for second consecutive year. JD Power finds insurers deliver on operational fundamentals but struggle to build engagement and trust with Medicare Advantage members. TROY, Mich.-(BUSINESS WIRE)-Against a backdrop of rising financial pressures, narrower access to provider networks and prescription drug and outpatient care cost increases, Medicare Advantage plan members are looking for trusted partners to guide them through their healthcare journeys. According to the JD Power 2026 U.S. Medicare Advantage Study,(SM) only a select few health plans are delivering that level of partnership. Nationwide, overall member satisfaction with Medicare Advantage plans declines 12 points (on a 1,000-point scale) this year, and fewer than half (43%) of plan members say they strongly agree their plan is a trusted partner in their health and wellness. "Healthcare has grown increasingly complex and exceedingly costly, and Medicare Advantage plans are juggling these challenging market dynamics while trying to guide their members to the best outcomes," said Meaghan Hafner, senior director of healthcare solutions at JD Power."While some stand-out performers are driving improvements in member satisfaction despite the challenges, the majority of plans are struggling to build a strong sense of patient advocacy and trust among their members." Following are some key findings of the 2026 study: * Overall satisfaction with Medicare Advantage plans declines for second consecutive year: Overall customer satisfaction with Medicare Advantage plans is 611, down 12 points from last year and down 41 points from 2024, with declines across all dimensions of the member experience. The specific study dimensions showing the largest two-year declines in member satisfaction are Helping to Save Me Time and Money (-51 points), Level of Trust (-49 points) and Product/Coverage Offerings Meet My Needs (-47 points). * High-performing plans exceed in onboarding and communication: Two key areas where the highest-performing Medicare Advantage plans stand out are in new member onboarding and effective communication. Trust attributes rise sharply when members fully understand their plan. Among new members who say they understand their coverage very well, 34% feel their insurer helps prepare them for the unexpected, and 29% feel their insurer anticipates their needs. Among new members who say they do not understand their coverage, those rates are cut nearly half to 17% and 16%, respectively. * Special needs plans deliver stronger levels of member satisfaction: Special needs plans, which are designed for people with specific severe or disabling chronic conditions, those who live in an institution or those who qualify for both Medicare and Medicaid, deliver significantly higher overall satisfaction and trust scores, illustrating how higher-touch support models, care coordination and personalized guidance can contribute to stronger member outcomes among populations with complex healthcare needs. Study rankings. Kaiser Permanente ranks highest in overall satisfaction with Medicare Advantage plans in California for a third consecutive year, with a score of 665. SCAN Health Plan (656) ranks second. UnitedHealthcare ranks highest in overall satisfaction with Medicare Advantage plans in Florida, with a score of 621. Humana (620) ranks second and Freedom Health (619) ranks third. UnitedHealthcare ranks highest in overall satisfaction with Medicare Advantage plans in Georgia for a third consecutive year, with a score of 656. Aetna Medicare (628) ranks second. Blue Cross Blue Shield of Illinois ranks highest in overall satisfaction with Medicare Advantage plans in Illinois for a second consecutive year, with a score of 638. UnitedHealthcare (629) ranks second. Humana ranks highest in overall satisfaction with Medicare Advantage plans in Kentucky, with a score of 625. UnitedHealthcare (606) ranks second. Blue Cross Blue Shield of Michigan ranks highest in overall satisfaction with Medicare Advantage plans in Michigan for a second consecutive year, with a score of 676. Excellus BlueCross BlueShield ranks highest in overall satisfaction with Medicare Advantage plans in New York for a fourth consecutive year, with a score of 618. Healthfirst (611) ranks second. UnitedHealthcare ranks highest in overall satisfaction with Medicare Advantage plans in North Carolina for a third consecutive year, with a score of 645. Humana (637) ranks second. Aetna Medicare ranks highest in overall satisfaction with Medicare Advantage plans in Ohio, with a score of 639. UPMC For Life ranks highest in overall satisfaction with Medicare Advantage plans in Pennsylvania for a fourth consecutive year, with a score of 689. Highmark Blue Cross Blue Shield (659) ranks second and Aetna Medicare (647) ranks third. Blue Cross Blue Shield of Tennessee ranks highest in overall satisfaction with Medicare Advantage plans Tennessee, with a score of 690. Humana (647) ranks second. Humana ranks highest in overall satisfaction with Medicare Advantage plans in Texas, with a score of 641. UnitedHealthcare (628) ranks second and Aetna Medicare (624) ranks third. To view the complete visual rank charts for each region, visit: http://www.jdpower.com/pr-id/2026079. The U.S. Medicare Advantage Study, now in its 12th year, measures member satisfaction with Medicare Advantage plans - also known as Medicare Part C or Part D - based on eight factors (in order of importance): level of trust; able to get health services how/when I want; helping to save me time or money; product/coverage offerings meet my needs; ease of doing business; people - representatives, call center agents; resolving problems or complaints; and digital channels. The 2026 U.S. Medicare Advantage Study is based on the responses of 14,559 members of Medicare Advantage plans in 12 market-based U.S. regions: California, Florida, Georgia, Illinois, Kentucky, Michigan, New York, North Carolina, Ohio, Pennsylvania, Tennessee and Texas. It was fielded from January through June 2026. About JD Power. JD Power delivers mission-critical data, analytics and intelligence that help businesses improve customer experience and operational performance with confidence and clarity. Using proprietary, comprehensive data-including millions of consumer interactions and authoritative automotive datasets-combined with advanced analytics, artificial intelligence and deep industry expertise, JD Power enables leaders to respond to market shifts, make smarter decisions and drive measurable performance improvements.