Business Analyst III

Horizon Blue Cross Blue Shield of New Jersey•Newark, NJ

3d•$87,300 - $119,070

About The Position

This Business Analyst III will support our State Health Benefits Plan and serves as a senior-level analytical partner responsible for identifying operational challenges, performing advanced data analysis, and developing scalable solutions to improve business performance. This role works cross‑functionally with Operations, IT, and external partners to drive process optimization, enhance system functionality, and support data-informed decision making. Operates independently with limited guidance except in the most complex scenarios.

Requirements

High School Diploma/GED required.
Minimum of seven (7) years' experience in an operational role, or analytical role.
Knowledge of Healthcare industry required.
Knowledge of Project Management methodologies.
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.

Nice To Haves

Bachelor’s degree preferred (or equivalent experience in an analytical or operational capacity in lieu of degree).
May require knowledge of Horizon Blue Cross Blue Shields products and services.
Working knowledge of organizational operating models and division objectives preferred.

Responsibilities

Conduct detailed root cause analysis on service or operational issues, synthesize findings, and communicate business needs and recommended solutions.
Develop and maintain forecasting models and analytics dashboards using modern tools such as Excel, SQL, and BI platforms (Power BI/Tableau), with legacy tools (Access, Monarch) as needed.
Integrate data across multiple systems and ensure data integrity for reporting and operational decision-making.
Translate business needs into clear functional requirements and partner with IT to build, enhance, or troubleshoot system capabilities.
Develop data-driven recommendations and implement process improvements that enhance efficiency, accuracy, and customer experience.
Lead or contribute to project teams, facilitate working sessions, and deliver presentations to internal and external stakeholders.
Own or support User Acceptance Testing (UAT), including test planning, execution, documentation, and validation of system enhancements or fixes.
Prepare documentation for internal/external audits and support audit reviews by validating findings, addressing discrepancies, and recommending corrective actions.
Provide mentorship and guidance to junior analysts, assist with onboarding new team members, and support workload distribution where needed.
Perform other relevant tasks as assigned by management.