Integration Lead

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Job Summary:

The Integration Lead is responsible for leading implementations and enterprise-wide projects, analysis, and/or initiatives for Horizons value based partners. This position drives key business outcomes for Horizons value based program through a blend of project management, enterprise analysis, with staff and executive engagement. The position requires a high-level of collaboration skills as well as an orientation to dive-in, learn and solution or fix.

Responsibilities:

• Facilitate, coordinate and lead critical business and technological efforts related to new rules and/or enhancements to existing functions as it relates to the ongoing needs of Horizons value based partnerships.

• Drive the integration of various functional areas for optimal operational efficiency and optimized business model in support of timely and consistent achievement of the goals as outlined in the value based partnership agreement.

• Collect high level business requirements and ensure traceability of business objectives through the entire project lifecycle. The business integration leads efforts will focus on the high level requirements, leading the blue printing and/or business solution design efforts in partnership with business leaders and executives.

• Accountable for partnering with internal business owners and external vendors to implement new capabilities, new partners, modifications to existing relationships and functions in support of value based relationships.

• Work across departments/divisions to achieve business goals. Ensure the right people are involved at the right times with each effort, functioning as the primary point of contact for requirement efforts in close collaboration with business subject matter experts, project managers and business system analysts.

• Leverage key internal and external relationships to access the information, products and resources (technology, training, staff, etc.) necessary to successfully support business. Engage all necessary internal and external parties to resolve gaps in processes, system integration, reporting required to implement the pilot(s).

• Leverage existing technology by identifying opportunities to systematize manual processes and interventions. Identify and present opportunities to incorporate new technology into processes and flows.

• Manage and communicate a clear vision of the efforts objectives, and motivate the extended teams to achieve them; create an environment that enables peak performance by team members.

• Document and analyze the current and future state business processes as it relates to rolling out new initiatives and/or enhancing existing process. Perform analysis to determine short and long term strategies, leveraging best practices, document pros and cons of various options and present recommendations in a clear, concise manner.

Disclaimer

This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Education/Experience:

• High School Diploma/GED required

• Bachelor degree preferred or relevant experience in lieu of degree

• Prefer graduate studies and/or professional development activities.

• Requires a minimum of 7 years of related IT work or business process (analysis) required; preferably in the health insurance industry.

• Requires minimum of 3 years experience managing projects

• Requires skillful project execution experience and knowledge of MS Project.

• Prefers experience in health insurance industry.

• Requires demonstrated experience in a key contributor role in company initiatives.

• Requires demonstrated track record of roles with increasing responsibilities

Knowledge:

• Solid knowledge of Horizons overall enterprise and operations.

• Health insurance products, insurance terminology, health plan operations.

• Regulatory environment, state specific laws, mandates and regulations. six sigma, process redesign and project management methodologies.

• HBCBSNJ programs, systems, products and procedures and implementation requirements.

• Demonstrated understanding of core business functions and systems.

• Strong ability to apply structure to loosely defined medium to complex problems.