Business Analyst Consultant

Company :

Job Description : 

GENERAL OVERVIEW: 

***CANDIDATE MUST BE US Citizen (due to contractual/access requirements)***

This is a hybrid position requiring EST work hours. Office attendance is mandatory three days a week for those living within 50 miles of Highmark's footprint. Candidates living outside the 50-mile radius should anticipate 25% travel for client and stakeholder meetings.

The Highmark Provider Technology & Operations team aims to improve the healthcare ecosystem by equipping our provider partners with cutting-edge technology and seamless operations to enable them to deliver high-quality care and achieve optimal health outcomes for all.

This position is responsible for providing expert data analysis or consultation regarding complex data processes, business processes and interfaces to support the areas to allow project teams to make decisions on the integration of enterprise-wide applications.  The position will leverage current and emerging technologies to develop business solutions, and perform functional decomposition techniques to reengineer processes for continuous improvement.  Responsible for communicating effectively with all levels of the organization, including steering committees and project sponsors.  Provides consulting as an application or cross-functional expert on complex and/or highly visible projects using project management and business expertise.  Provides coaching, consulting and mentoring team members on multi-faceted, highly complex business/systems processes.

ESSENTIAL RESPONSIBILITIES: 

• Communicating effectively with all levels of the organization. 
  • Identify and articulate problems to steering committees and/or project sponsors.
  • Provide consultation on the development of business solutions to satisfy complex project goals and objectives.
  • Resolve problems and make decisions regarding complex issues and projects.
  • Establish and maintain customer touch points

• Providing expert data analysis or consultation regarding complex data processes, business processes and interfaces to support the areas.  Provides expert advice to allow project teams to:
  • Make decisions based on how individual applications integrate with other enterprise-wide applications using expert knowledge.
  • Collaborate with systems architects utilizing analytical, testing or project management tools to facilitate project deliverables.
  • Perform functional decomposition techniques to reengineer processes for continuous improvement.

• Consulting as an application or cross-functional expert on complex and/or highly visible projects using project management and business expertise to produce project deliverables. 
• Coaching, consulting and mentoring team members on multi-faceted, highly complex business/systems processes.
• Other duties as assigned or requested.

EDUCATION

Required

• High School Diploma or GED

Substitutions

• None

Preferred

• Bachelor’s degree

EXPERIENCE

Required

• 7 years analyzing business processes to include one or more of the following: Interpreting system documentation, Data modeling and/or business process modeling, Dataflow / context diagramming, etc.
• 7 years in Project Management, including: Project Lifecycle methodology for gathering requirements, developing test scenarios and cases, risk management, issue management planning and coordination, etc.
• 7 years utilizing PC with standard applications, report writers and/or query tools
• 7 years of presenting to large groups, developing training documentation and/or providing training and creating process/technical documentation

OR

• 3 years of relevant work experience with a Bachelor’s Degree

OR

• 1 year of relevant work experience with a Master’s Degree

Preferred

• Experience in Health Insurance or Provider operations and technology.
• Experience in the domains of revenue cycle, health plan operations, interoperability, hospital operations, value-based reimbursement, healthcare technology, healthcare data and analytics, or similar functions.

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• Project Management Professional (PMP)

SKILLS

• Ability to analyze business processes to in