JOB SUMMARY
This job is responsible for work across the assigned solution portfolios to support a broad scope of strategic activities. The incumbent drives and owns different potential roles on a given project, to include elements of problem-solving, strategy development, data analytics, communication, solution inventory and assessment, and rationalization of the existing portfolio and design to optimize solutions. The incumbent will ensure viability of solutions through business model design, defining associated business processes, and developing operational plans, while considering economic factors. Working closely with peers, leaders, and stakeholders, incumbents will assess solutions to isolate business, customer and clinician issues, design and execute analytical processes, develop technical content (requirements and user stories), support development of formal recommendations, and create documents to outline the design of systems that are critical to solution activation. Solution design activities that the incumbent will drive include the business modeling, documentation, management and oversight of end-to-end workflow process analysis, assuring improved productivity and cost effectiveness, appropriate embedding of Key Performance Indicators, and controls for regulatory, risk, and compliance considerations.
ESSENTIAL RESPONSIBILITIES
Support definition, scoping, and prioritization of efforts for solution strategy and analysis within workstreams. Provide and support periodic reporting to leadership on assigned project activities.
Drive and maintain strong working relationships across matrixed teams and stakeholder groups, continuing to promote and continually broaden the level of business knowledge and the impact of solutioning efforts.
Lead planning sessions with solution portfolio leaders, and clinician and business stakeholders to understand, document and design improvements to business models, processes, and systems to help prioritize and drive solution development.
Leverage a mix of frameworks and practices to deliver actionable insights and recommendations including: LEAN, Six Sigma, work simplification, organizational design, scenario planning, performance measurement, and process optimization.
Participate and apply methods in Human-Centered Design, along with core business analysis frameworks, to help identify impacts to people, process, and technology solutions that are required to achieve solution objectives and support business case development.
Identify root causes of problems and develop and make recommendations for solutions to mitigate root cause.
Develop documentation, presentations, and communications that detail findings, articulate strategies, provide justification and make the case for solution approaches and priorities.
Help develop standard solution strategy and analysis processes to use in leading various initiatives.
Other duties as assigned or requested.
EDUCATION
Required
Bachelor's Degree or relevant experience and/or education as determined by the company in lieu of bachelor’s degree
Preferred
None
EXPERIENCE
Required
5 years in a Business Consulting, Business Strategist, Business Analyst or Business Process Analyst role or experience in a related operational area (e.g. claims, billing, care delivery, customer service, etc.)
Preferred
3 years in the Health Care Industry
LICENSES or CERTIFICATIONS
Required
None
Preferred
None
SKILLS
Strong Facilitation skills
Strong verbal and written communication skills
Ability to use statistical assessment to quantify opportunities and to achieve process optimization
Knowledge of the roles and deployment of change execution
Knowledge of Business Process Modeling concepts and components and their respective application
Strong understanding of Health Care specific domains
Ability to observe and provide constructive performance feedback
Knowledge and understanding of Lean Six Sigma Tools and Methodologies
Ability to develop strategic and analytical documentation, presentations and communications
Language (Other than English):
None
Travel Requirement:
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
Occasionally
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
Occasionally
Lifting: 25 to 50 pounds
Rarely
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:
$79,300.00Pay Range Maximum:
$127,100.00Base 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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For accommodation requests, please contact HR Services Online at [email protected]
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Skills Required
- Bachelor's degree or equivalent experience
- 5 years in Business Consulting, Business Strategist, Business Analyst or Business Process Analyst role or related operational area (e.g., claims, billing, care delivery, customer service)
- 3 years in the Health Care Industry
- Strong facilitation skills
- Strong verbal and written communication skills
- Ability to use statistical assessment to quantify opportunities and achieve process optimization
- Knowledge of the roles and deployment of change execution
- Knowledge of Business Process Modeling concepts and components
- Strong understanding of Health Care specific domains
- Ability to observe and provide constructive performance feedback
- Knowledge and understanding of Lean Six Sigma tools and methodologies
- Ability to develop strategic and analytical documentation, presentations, and communications
Highmark Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Highmark Health and has not been reviewed or approved by Highmark Health.
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Healthcare Strength — Medical, prescription, dental, and vision coverage are emphasized alongside 100% coverage for preventive exams, with onsite pharmacy access and fitness center availability at major campuses.
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Retirement Support — An employer‑sponsored 401(k) with a company match is highlighted, with AHN materials illustrating a 100% match on the first 4% plus an additional 1% employer contribution as an example within the enterprise.
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Wellbeing & Lifestyle Benefits — Wellness programs include stress‑management classes, health coaching, incentives for healthy activities, team‑member discounts, and volunteer incentives, with paid volunteer time also noted in the overall package.
Highmark Health Insights
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.
