Business Analyst Consultant

Highmark Health; Pittsburgh (Allegheny County); On-site; USD 110,000 - 150,000; Full time

Job summary

Highmark Health in Pittsburgh is seeking an experienced data analyst/consultant to support enterprise-wide applications and billing processes. You will collaborate with Product, Sales, IT, and Billing Operations to become a subject matter expert on end-to-end billing.

The role requires strong data analysis, project management, and communication skills to present to steering committees and project sponsors. Healthcare industry experience is valued.

Qualifications

• 7 years analyzing business processes including interpreting system documentation, data modeling, or process modeling.
• 7 years in project management including requirements gathering, test scenarios, risk and issue management.
• 7 years using PC with standard applications, report writers and query tools.
• PMP preferred as a certification.

Responsibilities

• Collaborate with Product, Sales, IT, Billing Operations to become SME on end-to-end billing process.
• Define data and report requirements for operational and billing reconciliation reports.
• Analyze data and create monthly detailed and executive summaries of performance.
• Provide consultation on complex projects and mentor team members.

Skills

Data analysis

Project management

Business process modeling

Data visualization

Education

High School Diploma or GED

Bachelor’s degree

Job description

GENERAL OVERVIEW:

This position is responsible for providing expert data analysis or consultation regarding complex data processes, business processes and interfaces to support the areas to allow project teams to make decisions on the integration of enterprise-wide applications. The position will leverage current and emerging technologies to develop business solutions, and perform functional decomposition techniques to reengineer processes for continuous improvement. Responsible for communicating effectively with all levels of the organization, including steering committees and project sponsors. Provides consulting as an application or cross-functional expert on complex and/or highly visible projects using project management and business expertise. Provides coaching, consulting and mentoring team members on multi-faceted, highly complex business/systems processes. The day to day responsibilities: Collaborate with Product, Sales, Sales Operations, IT, Billing Operations and other stakeholders to become a subject matter expert on the end-to-end billing process Define data and report requirements for operational and billing reconciliation reports Analyze data and create monthly detailed and executive summaries of operational and billing performance Create analysis to inform stakeholders of process errors and potential root-causes ESSENTIAL RESPONSIBILITIES: Communicating effectively with all levels of the organization. Identify and articulate problems to steering committees and/or project sponsors. Provide consultation on the development of business solutions to satisfy complex project goals and objectives. Resolve problems and make decisions regarding complex issues and projects. Establish and maintain customer touch points Providing expert data analysis or consultation regarding complex data processes, business processes and interfaces to support the areas. Provides expert advice to allow project teams to: Make decisions based on how individual applications integrate with other enterprise-wide applications using expert knowledge. Collaborate with systems architects utilizing analytical, testing or project management tools to facilitate project deliverables. Perform functional decomposition techniques to reengineer processes for continuous improvement. Consulting as an application or cross-functional expert on complex and/or highly visible projects using project management and business expertise to produce project deliverables. Coaching, consulting and mentoring team members on multi-faceted, highly complex business/systems processes. Other duties as assigned or requested.

EDUCATION

• Required High School Diploma or GED
• Substitutions None
• Preferred Bachelor’s degree

EXPERIENCE

• Required 7 years analyzing business processes to include one or more of the following: Interpreting system documentation, Data modeling and/or business process modeling, Dataflow / context diagramming, etc.
• 7 years in Project Management, including: Project Lifecycle methodology for gathering requirements, developing test scenarios and cases, risk management, issue management planning and coordination, etc.
• 7 years utilizing PC with standard applications, report writers and/or query tools
• 7 years of presenting to large groups, developing training documentation and/or providing training and creating process/technical documentation OR 3 years of relevant work experience with a Bachelor’s Degree OR 1 year of relevant work experience with a Master’s Degree
• Preferred None

LICENSES or CERTIFICATIONS

• Required None
• Preferred Project Management Professional (PMP)

SKILLS

• Ability to analyze business processes to include one or more of the following: Interpreting system documentation, Data modeling and/or business process modeling, Dataflow / context diagramming, etc.
• Ability to manage projects including activities such as: Project Lifecycle methodology for gathering requirements, developing test scenarios and cases, risk management, issue management planning and coordination, etc.
• Ability to utilize PC with standard applications, report writers and/or query tools
• Ability to present to large groups, developing training documentation and/or providing training and creating process/technical documentation

Language (Other than English): None

Travel Requirement: 0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type Office-based Teaches / trains others regularly Occasionally 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 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. 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. CaliforniaConsumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue CrossBlue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.