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JOB SUMMARY
This job is responsible for work across the assigned solution portfolios to support a broad scope of strategic activities. The incumbent drives and owns different potential roles on a given project, to include elements of problem-solving, strategy development, data analytics, communication, solution inventory and assessment, and rationalization of the existing portfolio and design to optimize solutions. The incumbent will ensure viability of solutions through business model design, defining associated business processes, and developing operational plans, while considering economic factors. Working closely with peers, leaders, and stakeholders, incumbents will assess solutions to isolate business, customer and clinician issues, design and execute analytical processes, develop technical content (requirements and user stories), support development of formal recommendations, and create documents to outline the design of systems that are critical to solution activation. Solution design activities that the incumbent will drive include the business modeling, documentation, management and oversight of end-to-end workflow process analysis, assuring improved productivity and cost effectiveness, appropriate embedding of Key Performance Indicators, and controls for regulatory, risk, and compliance considerations.
ESSENTIAL RESPONSIBILITIES
Support definition, scoping, and prioritization of efforts for solution strategy and analysis within workstreams. Provide and support periodic reporting to leadership on assigned project activities.
Drive and maintain strong working relationships across matrixed teams and stakeholder groups, continuing to promote and continually broaden the level of business knowledge and the impact of solutioning efforts.
Lead planning sessions with solution portfolio leaders, and clinician and business stakeholders to understand, document and design improvements to business models, processes, and systems to help prioritize and drive solution development.
Leverage a mix of frameworks and practices to deliver actionable insights and recommendations including: LEAN, Six Sigma, work simplification, organizational design, scenario planning, performance measurement, and process optimization.
Participate and apply methods in Human-Centered Design, along with core business analysis frameworks, to help identify impacts to people, process, and technology solutions that are required to achieve solution objectives and support business case development.
Identify root causes of problems and develop and make recommendations for solutions to mitigate root cause.
Develop documentation, presentations, and communications that detail findings, articulate strategies, provide justification and make the case for solution approaches and priorities.
Help develop standard solution strategy and analysis processes to use in leading various initiatives.
Other duties as assigned or requested.
EDUCATION
Required
Bachelor's Degree or relevant experience and/or education as determined by the company in lieu of bachelor’s degree
Preferred
None
EXPERIENCE
Required
5 years in a Business Consulting, Business Strategist, Business Analyst or Business Process Analyst role or experience in a related operational area (e.g. claims, billing, care delivery, customer service, etc.)
Preferred
3 years in the Health Care Industry
LICENSES or CERTIFICATIONS
Required
None
Preferred
None
SKILLS
Strong Facilitation skills
Strong verbal and written communication skills
Ability to use statistical assessment to quantify opportunities and to achieve process optimization
Knowledge of the roles and deployment of change execution
Knowledge of Business Process Modeling concepts and components and their respective application
Strong understanding of Health Care specific domains
Ability to observe and provide constructive performance feedback
Knowledge and understanding of Lean Six Sigma Tools and Methodologies
Ability to develop strategic and analytical documentation, presentations and communications
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Rarely
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$79,300.00Pay Range Maximum:
$127,100.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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