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. The incumbent 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. 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
- Work with customers, Application Developers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, requirements, personalization to different clients, and user interface design.
- Participate in the full project life cycle by actively participating on project teams based upon experience and need.
- Support various aspects of requirements testing (e.g. testing plan, testing scenarios, testing scheduled, testing outcomes, user task analysis, documentation, defect management, results analysis) to ensure minimal production defects are realized
- Ensure compliance for required standards (e.g. SOC 2) and obtainment of all necessary approvals throughout the project lifecycle.
- Run system reports and/or create ad-hoc reports, pulling data from various sources. Analyze reports to ensure system performance and/or results.
- Effectively communicate with team members, customers, partners, and management by reporting project status, enabling vendor solutions, and providing accurate and concise documentation.
- Other duties as assigned.
EDUCATION
Required
- High School Diploma/GED
Substitutions
- None
Preferred
- Bachelor's Degree in Information Systems or Business Administration/Management
EXPERIENCE
Required
- 3 - 5 years in a relevant operational area (e.g. customer service, claims, enrollment and billing, etc.) to include 1 - 3 years of technical application experience
Preferred
- 1 - 3 years in the Health Insurance Industry
- 1 - 3 years in the Healthcare Industry
- 1 - 3 years in Lean/Six Sigma
LICENSES AND CERTIFICATIONS
Require
- 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
Language (Other than English)
None
Travel Required
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Rarely
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
Rarely
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:
$50,200.00Pay Range Maximum:
$91,200.00Base 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.
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What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms. A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia. We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions. We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.


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