Business Process Analyst - Risk Adjustment

Job Opportunity At Highmark Inc.

Job Summary : This job provides expertise for standard to moderately complex problem solving and in-depth understanding of system functionality. The incumbent reviews significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses, and / or solve data rejection. Performs business analyses in one or more operational areas. Identifies process gaps and recommends process improvements for efficiencies. May provide guidance to Associate level employees.

This role sits within our Risk Adjustment team - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk adjustment.

Essential Responsibilities

• Intake operational objectives and gather information. May perform routine research and evaluate basic output requirements and formats.
• Coordinate, monitor, and report on the progress of projects to ensure adherence to defined project schedule.
• Manage small to intermediate cross-functional projects and change initiatives involved in the design and delivery of business process solutions, implementation strategies, and control measures.
• Facilitate process improvement meetings and / or discussions.
• Analyze the functions and operations of a business area / function and identify problem areas.
• Recommend process efficiencies, strategies for improvement, and / or solutions to align technology with business strategies.
• Assist in development of desktop procedures and / or training material.

Education

Required : High School Diploma / GED

Substitutions : None

Preferred : Bachelor's Degree

Experience

Required : 3 - 5 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 : 1 - 3 years in the Health Insurance Industry

Licenses or 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

Languages (other than English)

None

Travel Required

0% - 25%

Physical, Mental Demands and Working Conditions

Position Type : Office-Based Teaches / trains others regularly Occasionally 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 position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

Pay Range Minimum : $50,200.00 Pay Range Maximum : $91,200.00