Business Process Analyst - Health Engagement Operations

highmarkhealth; Pennsylvania; On-site; USD 65,000 - 95,000; Full time

Job summary

Highmark Inc. is seeking a Business Process Analyst to support Health Engagement Operations. You will analyze business processes, support system enhancements, and partner with business and technical teams to improve efficiency and member experience.

Responsibilities include project coordination, process mapping, and cross-functional collaboration across onboarding, training, access management, and vendor integrations. Strong communication and stakeholder management are essential.

Qualifications

• 3–5 years of experience in a Business Analyst or Business Process Analyst role or related operational area.
• Experience in Health Insurance Industry or Healthcare operations preferred.
• Strong ability to analyze, map, and improve business processes.

Responsibilities

• Intake operational objectives, gather information, and communicate requirements to IT/business groups.
• Coordinate, monitor, and report on project progress and schedules.
• Manage small to intermediate cross-functional projects and drive change.
• Facilitate process improvement meetings and discussions.
• Analyze operations to map current/future state processes and identify improvements.
• Recommend efficiencies and align technology with business strategies.
• Develop desktop procedures and training materials.

Skills

Analytical thinking

Process improvement

Stakeholder management

Cross-functional collaboration

Documentation

Project management

Communication

Microsoft 365 tools

Workflow analysis

Operational reporting

Education

High School Diploma/GED

Bachelor's Degree

Tools

Microsoft 365

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
• Preferred: 1-3 years in Healthcare operations, customer service, or health plan operations Process improvement, workflow analysis, or operational excellence initiatives
• Preferred: Business systems support, user access management, or system enhancement activities
• Preferred: Cross-functional business and technology partnerships
• Preferred: Reporting, data analysis, or dashboard development
• Preferred: 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
• 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

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.

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