Internal Business Systems Consultant

Highmark Health Company; Pennsylvania; Hybrid; USD 86,000 - 139,000; Full time

Job summary

Highmark Inc. seeks an Internal Business Systems Consultant to analyze, design, and support system applications. You will work with stakeholders, application developers, and teams to capture needs, mentor juniors, and drive value across projects.

The role emphasizes leading lifecycle activities, ensuring compliance and delivering effective training and reporting to management and clients.

Qualifications

• 7 years in a relevant operational area (e.g., customer service, claims, enrollment and billing).
• 5 years of technical application experience.
• Lean Six Sigma and PMP preferred.
• Bachelor's degree or higher in IS, business or related field preferred.

Responsibilities

• Take a lead role with customers, developers and team members to capture capability needs and drive quality business solutions.
• Lead full project lifecycle by actively taking a lead role on project teams as needed.
• Provide business/subject matter expertise for project and production activities on complex issues.
• Ensure SOC 2 compliance and necessary approvals throughout the lifecycle.
• Interface with business, tech staff and teams to drive value and ROI.

Skills

Leadership

Process Improvement

Analytical Skills

Problem-Solving

Communication Skills

Presentation Delivery

Customer Service

Strategic Thinking

SAS

Education

High School Diploma/GED

Bachelor's Degree in Information Systems, Business Administration or Business Management

Job description

## Internal Business Systems ConsultantApply: Hybrid: PA, Working at Home - Pennsylvania: MD, Working at Home - Maryland: WA, Working at Home - Washington: NC, Working at Home - N Carolina: LA, Working at Home - Louisiana: Full time: Posted Today: End Date: November 7, 2026 (3 days left to apply): J290148## **Company :**Highmark Inc.## **Job Description :****JOB SUMMARY** This job performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user inquiries/issues, and enhancements to the system. Has a deep understanding of a specific application or set of applications he/she supports, how users use the application, and what other systems integrate with the application. The incumbent understands how work is being conducted, and through analysis, determines solutions to the issue(s). Works with stakeholders to identify solutions that may include training, a process change, or modifications to business rules. Traces business requirements through to test plans and cases, reducing time to fix issues and identify anomalies. The incumbent interfaces with positions that are directly involved in the hard-key programming of applications as roles involved in the analysis of the overall business process(es). Uses functional and organizational knowledge 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.* Lead 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.* Create ad-hoc reports pulling data from various sources and/or run system reports. Conduct complex analysis on 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 **Substitutions*** None **Preferred*** Bachelor's Degree in Information Systems, Business Administration or Business Management **EXPERIENCE** **Required*** 7 years in a relevant operational area (e.g. customer service, claims, enrollment and billing, etc.) To Include:* 5 years of technical application experience **Preferred*** 5 years in the Health Insurance Industry* 5 years in the Healthcare Industry* 5 years with Lean Six/Sigma **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 **Preferred Skills:*** SAS **Language (Other than English)**None **Travel Required**0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type**Office-Based Teaches / trains others regularlyFrequently Travel regularly from the office to various work sites or from site-to-siteRarely Works primarily out-of-the office selling products/services (sales employees)Never Physical work site requiredYes Lifting: up to 10 poundsConstantly Lifting: 10 to 25 poundsNever Lifting: 25 to 50 poundsNever ***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:**$86,400.00**Pay Range Maximum:**$138,600.00*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.*