Company :
Highmark Inc.Job Description :
JOB SUMMARY
If the person lives within 50 miles of a Highmark office, they will be hybrid, but we are also willing to consider candidates that live outside the 50 mile radius and would be remote
.
This role requires a Business Analyst with a deep understanding of specific system application(s) and their integration points. Candidates must possess strong SAS skills. The incumbent will perform business analysis tasks by supporting stakeholders, handling user inquiries and issues, and managing system enhancements. You will leverage your expertise in how users interact with the supported application(s) and their integration with other systems. Through thorough analysis of current workflows, you will identify and develop solutions, which may involve training initiatives, process improvements, or modifications to business rules. This position involves tracing business requirements through to test plans and cases, ultimately reducing resolution times and identifying anomalies efficiently. The incumbent will interface with both programming teams involved in application development and other analysts focused on broader business processes. Leveraging functional and organizational knowledge, you will also be expected to mentor junior resources.
ESSENTIAL RESPONSIBILITIES
Take a lead role with customers, Application Developers, and other team members to capture capability needs and drive quality business solutions on complex issues. Create and maintain deliverables such as business vision, requirements, personalization to different clients, and user interface design.
Participate in the full project life cycle by actively taking a lead role on project teams, based upon experience and need.
Provide required business and/or subject matter expertise for both project and production related activities on complex issues, including new strategic programs or initiatives impacting current and existing systems.
Ensure compliance for required standards (e.g. SOC 2) and all necessary approvals have been obtained throughout the project lifecycle.
Interface with the business areas, technical staff, and project teams to drive value, return on investments and innovative solutions. This includes providing alternative solutions with maximum benefits while reducing cost (e.g. cost benefit analysis, pros/cons of solutions).
Take lead role in supporting various aspects of requirements testing (e.g. testing plan, testing scenarios, testing schedule, testing outcomes, user task analysis, documentation, defect management, results analysis) to ensure minimal production defects are realized.
Run system reports and/or create more complex ad-hoc reports, pulling data from various sources. Conduct more complex analysis of the reports to ensure system performance and/or results.
Communicate in an exemplary manner with team members, partners and management, including reporting project status, enabling solutions, and providing accurate and concise documentation.
Provide thought leadership and strategic direction in Product and Technology Solutions.
Other duties as assigned.
EDUCATION
Required
High school diploma/GED
Preferred
Bachelor’s degree in Information Systems or Business Administration/Management
EXPERIENCE
Required
5 - 7 years in a relevant operational area (e.g. customer service, claims, enrollment and billing, etc.) to include 3 - 5 years of technical application experience
Preferred
3 - 5 years in the Health Insurance Industry
3 - 5 years the Healthcare Industry
3 - 5 years in Lean/Six Sigma
Proficiency with SAS
LICENSES AND CERTIFICATIONS
Required
None
Preferred
(Lean) Six Sigma
Project Management Professional (PMP)
SKILLS
Leadership
Process Improvement
Analytical Skills
Problem-Solving
Communication Skills
Presentation Delivery
Customer Service
Strategic Thinking
Language (Other than English)
None
Travel Required
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Rarely
Lifting: 10 to 25 pounds
Never
Lifting: 25 to 50 pounds
Never
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:
$72,700.00Pay Range Maximum:
$116,600.00Base 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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