Business Systems Analyst

Highmark Health; Northern (KY); Hybrid; USD 68,000 - 106,000; Full time

Job summary

Highmark Health is seeking a Business Technical Analyst to support the application product lifecycle with an emphasis on claims processing. You will translate business needs into detailed specifications for enhancements across applications and participate in Agile Scrum teams.

Key responsibilities include requirements testing, process improvement analysis, and documenting deliverables such as user stories. Knowledge of claims systems and ITIL-aligned practices is preferred.

Qualifications

• 3 - 5 years in IS/IT
• Lean/Six Sigma experience (1 - 3 years)
• 1 - 3 years in Health Insurance Industry
• 1 - 3 years in Healthcare industry
• Agile Methodology certification (e.g., CSM, CSPO)

Responsibilities

• Collaborate with customers, engineers, architects and capability managers to capture needs and drive quality solutions.
• Participate in the full software development life cycle on Agile Scrum teams in various roles (e.g., Scrum Master, Business Technical Analyst, Tester).
• Support requirements testing: testing plans, scenarios, defect management, and analyze results for customer impact.
• Ensure compliance with standards and obtain necessary approvals throughout the project lifecycle.
• Communicate with team members and customers, conduct walkthroughs and sprint reviews, report project status, and document outcomes.
• Identify and explore AI and automation opportunities within claims domain and assist implementation.

Skills

Analytical Skills

Problem-Solving

Communication Skills

Report Writing

SQL

Agile Methodology

Agile Project Management

Education

Bachelor's Degree in Business Management, Information Systems, or closely related field

Job description

**JOB SUMMARY**This role focuses on supporting the application product lifecycle, with a particular emphasis on claims processing and related application components. The Business Technical Analyst collaborates closely with customers, engineers, and other team members to capture capability needs, gather project specifications, and translate high-level business requirements into clear, comprehensive, and detailed specifications for new capabilities and enhancements on existing applications.A key aspect of this position involves performing analysis of business problems and data to identify trends and opportunities for process improvement, particularly within claims operations. The incumbent will assist in creating and maintaining deliverables such as detailed requirements, user stories, and basic user interface designs. This role also actively participates in the full software development lifecycle on Agile Scrum teams, potentially contributing as a Business Technical Analyst or Tester.The Business Technical Analyst supports all aspects of requirements testing, including scenario creation, documentation, and defect management. They will communicate effectively with team members and customers, assist with requirement walkthroughs, and provide project status updates. A critical responsibility is identifying and exploring opportunities for Artificial Intelligence (AI) and automation solutions within the claims domain and assisting in their implementation. The role requires an understanding of the impact of changes across multiple interconnected systems to support seamless integration, and will assist in identifying, documenting, and managing project risks, defects, and issues to ensure quality delivery. This position also involves staying informed on market trends, particularly in claims technology, to support business value statements.**ESSENTIAL RESPONSIBILITIES*** Work with customers, Software Engineers, Architects, Capability Managers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, requirements and personalization to different clients, and user interface design.* Participate in the full software development life cycle by actively participating on Agile scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager, or Tester, based upon experience and need.* Support various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts.* Ensure compliance for required standards and all necessary approvals have been obtained throughout the project lifecycle.* Effectively communicate with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation.* Other duties as assigned.**EDUCATION****Minimum*** Bachelor's Degree in Business Management, Information Systems, or closely related field**Substitutions*** None**Preferred*** None**EXPERIENCE****Minimum*** 3 - 5 years in IS/IT**Preferred*** 1 - 3 years in Lean/Six Sigma experience* 1 - 3 years in the Health Insurance Industry* 1 - 3 years in the Healthcare industry**Certifications & Methodologies:*** Agile Methodology Certification (e.g., CSM, CSPO).**Technical Knowledge:*** Familiarity with open systems technologies.**Industry & Technology Trends:*** Awareness of emerging healthcare IT regulations and trends.* Exposure to claims processing software or platforms (e.g., Facets, Amisys, HealthRules).**LICENSES OR CERTIFICATIONS****Required*** None**Preferred*** Information Technology Infrastructure Library (ITIL)* The Open Framework Group (TOGAF)* Six Sigma* Project Management Professional (PMP)**SKILLS*** Analytical Skills* Problem-Solving* Communication Skills* Report Writing* SQL* Agile Methodolgy* Agile Project Management**Language Requirements (other than English)**None**Travel Required**0% - 25%**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS****Position Type**Office-BasedTeaches / trains others regularlyRarelyTravel regularly from the office to various work sites or from site-to-siteOccasionallyWorks primarily out-of-the office selling products/services (sales employees)NeverPhysical work site requiredYesLifting: up to 10 poundsRarelyLifting: 10 to 25 poundsRarelyLifting: 25 to 50 poundsRarely***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:**$68,400.00**Pay Range Maximum:**$105,900.00