Business Process Analyst - Risk Adjustment

Highmark Health

104d • $50,200 - $91,200

About The Position

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.

Requirements

• High School Diploma/GED.
• 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.)

Nice To Haves

• Bachelor's Degree.
• 1 - 3 years in the Health Insurance Industry.

Responsibilities

• Intake operational objectives and gather information.
• May perform routine research and evaluate basic output requirements and formats.
• Communicate business operational requirements to internal groups responsible for developing/testing business requirements in various applications.
• Coordinate, monitor, and report on the progress of projects to ensure adherence to defined project schedule.
• Communicate effectively with customers and colleagues.
• Successfully articulate issues, problems, and solutions.
• Conduct pre-and post-implementation review.
• Assist in the planning/designing and facilitation of functional walk-throughs.
• 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.
• Create process mapping and document current and future state business processes.
• 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.
• Other duties as assigned.

Benefits

• Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions.
• The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees