Business Process Analyst - Health Engagement Operations

Highmark Health; Pennsylvania; Hybrid; USD 58,000 - 90,000; Full time

Job summary

Highmark Health in Pittsburgh, PA, seeks a Business Process Analyst to support Health Engagement Operations with process analysis, system support, and workflow optimization. You will collaborate with business and technical teams to improve efficiency and member experience, manage cross‑functional projects, and develop documentation and operational reports.

The role requires strong relationship management, analytical thinking, and the ability to drive continuous improvement across multiple

Qualifications

• 3–5 years in a Business Analyst or Business Process Analyst role.
• 1–3 years in Health Insurance Industry preferred.
• Experience with process improvement and workflow documentation.

Responsibilities

• Intake operational objectives and gather information.
• Coordinate, monitor, and report on project progress.
• Communicate business requirements to internal groups.
• Create process maps and document current/future state processes.
• Support desktop procedures and training materials.

Skills

Business Analysis

Process Mapping

Stakeholder Management

Requirements Gathering

Analytical Thinking

Communication

Project Management

Education

High School Diploma/GED

Bachelor's Degree

Tools

Microsoft Teams

SharePoint

Forms

Power Automate

Job description

Company : Highmark Inc.

Job Description : JOB SUMMARY CANDIDATE MUST BE US Citizen (due to contractual/access requirements)

The Business Process Analyst supports Health Engagement Operations with business process analysis, system support, workflow optimization, and cross-functional collaboration. This role serves as a key operational resource and may be responsible for identifying process improvement opportunities, supporting workflows, coordinating system enhancements, managing operational reporting, and partnering with business and technical teams to improve efficiency and member experience. The analyst works across multiple operational areas including onboarding, training and access management, vendor and partner integrations, issue resolution, process documentation, reporting, and continuous improvement initiatives. This position requires strong relationship management skills, analytical thinking, and the ability to navigate ambiguity while supporting multiple operational priorities.

ESSENTIAL RESPONSIBILITIES

• Intake operational objectives and gather information.
• May perform routine research and evaluate basic output requirements and formats.
• Communicate business operational requirements to internal groups responsible for developing/testing business requirements in various applications.
• Coordinate, monitor, and report on the progress of projects to ensure adherence to defined project schedule.
• Communicate effectively with customers and colleagues.
• Successfully articulate issues, problems, and solutions.
• Conduct pre-and post-implementation review.
• Assist in the planning/designing and facilitation of functional walk-throughs.
• May require additional support from more experienced team members.
• Manage small to intermediate cross-functional projects and change initiatives involved in the design and delivery of business process solutions, implementation strategies, and control measures, including scoping, leading, and influencing organizational change related to business processes and models.
• Facilitate process improvement meetings and/or discussions.
• Analyze the functions and operations of a business area/function and identify problem areas.
• Create process mapping and document current and future state business processes.
• Recommend process efficiencies, strategies for improvement, and/or solutions to align technology with business strategies.
• Assist in development of desktop procedures and/or training material.
• Other duties as assigned.

EDUCATION

Required High School Diploma/GED Substitutions None Preferred Bachelor's Degree

EXPERIENCE

• Required 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational area (e.g. claims, billing, customer service, etc.)
• Preferred 1 - 3 years in the Health Insurance Industry
• 1-3 years in Healthcare operations, customer service, or health plan operations
• Process improvement, workflow analysis, or operational excellence initiatives
• Business systems support, user access management, or system enhancement activities
• Cross-functional business and technology partnerships
• Reporting, data analysis, or dashboard development
• Business requirements gathering, workflow documentation, and standard operating procedure development

LICENSES OR CERTIFICATIONS

Required None Preferred None

SKILLS

• Analysis of business problems/needs
• Written & Oral Presentation Skills
• Business Analysis
• Business Process Design
• Business Process Improvement
• Business Process Mapping
• Business Requirements Collaborative Problem Solving Project Management
• Additional Skills: Experience leveraging Microsoft 365 tools—including Teams, SharePoint, Forms, and Power Automate to manage team collaboration, streamline business processes, develop standardized intake and tracking solutions, and identify opportunities for workflow automation.
• Business process mapping and documentation
• Business workflow analysis
• Analysis of business problems/root cause/needs
• Operational Reporting and Analytics
• Stakeholder/Relationship Management & collaborative problem solving
• Change Management Systems Troubleshooting Business process improvement Business requirements gathering
• Languages (other than English) None
• Travel Required 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 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 position 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: $58,100.00

Maximum: $90,000.00

Base 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.

Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue 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.