Senior Business Process Analyst

Highmark Health; Pennsylvania; Hybrid; USD 68,000 - 106,000; Full time

Job summary

Highmark Health in Pennsylvania seeks a seasoned Business Analyst/Process Analyst to tackle complex problems, analyze data flows, and guide process improvements across functional areas. The role requires coordinating with multiple teams and delivering data-driven solutions.

You will define project scope, create reports, mentor staff, and work with cross-functional teams; travel up to 25% is possible; HIPAA and data security awareness is essential.

Qualifications

• 5–7 years of experience in a Business Analyst or Business Process Analyst role or related operational area (e.g. claims, billing, customer service).
• Preferred 3–5 years in the Health Insurance Industry.
• Travel required 0% - 25%.
• Willingness to travel up to 25% to various sites as needed.

Responsibilities

• Gather information, define project scope, and understand requirements.
• Perform moderate/complex research to support evaluation of output requirements and formats.
• Translate complex business initiatives to less experienced staff when needed.
• Present project deliverables to appropriate audiences.
• Create reports on financial and operational performance.
• Communicate requirements to internal groups responsible for developing/testing applications.
• Coordinate, monitor, and report on project progress to ensure adherence to schedule.
• Communicate effectively with customers and colleagues and articulate issues, problems, and solutions.
• Conduct and oversee pre- and post-implementation reviews.
• Plan, design, and conduct functional walkthroughs.
• Manage and advise on cross-functional projects and change initiatives in design and delivery of business process solutions.

Skills

Business Analysis

Process Design

Process Improvement

Process Mapping

Requirements

Project Management

Communication Skills

Problem Solving

Education

Bachelor's Degree

Job description

Company : Highmark Inc. Job Description :

JOB SUMMARY

This job provides expertise for moderately to very complex problem solving and complete understanding of system functionality. The incumbent reviews significant amounts of information and analyzes processes to support business unit needs. Troubleshoots errors, conducts impact analyses, and/or solves data rejection. Performs business analyses in one or more operational areas. Identifies process gaps and recommends process improvements for efficiencies. Provides guidance and education to Associate and Intermediate level employees.

ESSENTIAL RESPONSIBILITIES

Intake operational objectives and gather information. Define, understand, and manage project scope. Perform moderate/complex research to support evaluation of complex output requirements and formats. May translate more complex business initiates to less experienced employees. Present project deliverables to appropriate audiences. Create reports on financial/operational performance. 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, problem, and solutions. Conduct and oversee pre and post-implementation review. Successfully plan, design, and conduct functional walk-throughs. Manage and advise on intermediate to large 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 documents current and future state business processes. Act as subject matter expert/technical operations expert. Recommend process efficiencies, strategies for improvement, and/or solutions to align technology with business strategies. Provide a broad range of budget, financial, and/or operational analysis for a large department or division. May develop budgetary/fiscal goal. Develop desktop procedures and training materials. May train employees on new processes. May perform special projects upon request and oversee the work of less experienced employee. Other duties as assigned.

EDUCATION

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

EXPERIENCE

Required 5 - 7 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 3 - 5 years in the Health Insurance Industry

LICENSES AND 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 Language (Other than English) None

Travel Required 0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type Office-Based Teaches / trains others regularly Frequently 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 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: $68,400.00 Pay Range Maximum: $105,900.00 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.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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.