Internal Business Systems Consultant

Highmark Health

2d•$86,400 - $138,600•Onsite

About The Position

This role performs business analysis for stakeholders who use supported system applications. The consultant handles user inquiries and issues, supports system enhancements, develops a deep understanding of the applications and their integrations, and analyzes how work is conducted to identify solutions. Solutions may involve training, process changes, or business-rule modifications. The role traces business requirements through test plans and cases to help resolve issues and identify anomalies, interfaces with application programmers and business-process analysts, and mentors junior resources using functional and organizational knowledge. The consultant leads work with customers, application developers, and team members to capture capability needs and deliver business solutions for complex issues. Responsibilities include maintaining business vision, requirements, client-specific personalization, and user-interface design; leading project life cycles; providing subject-matter expertise for project and production activities; ensuring required standards and approvals are met; and identifying value-driven, innovative, and cost-conscious solutions. The role also leads requirements testing activities, creates and analyzes reports, communicates project status and documentation, and provides thought leadership and strategic direction in Product and Technology Solutions. The position is office-based and requires a physical work site. Travel is listed as 0%–25%.

Requirements

High school diploma or GED.
At least 7 years of experience in a relevant operational area, such as customer service, claims, enrollment, or billing.
At least 5 years of technical application experience.
Skills in leadership, process improvement, analytical thinking, problem-solving, communication, presentation delivery, customer service, and strategic thinking.

Nice To Haves

Bachelor's degree in Information Systems, Business Administration, or Business Management.
5 years of experience in the health insurance industry.
5 years of experience in the healthcare industry.
5 years of experience with Lean Six Sigma.
Lean Six Sigma certification.
Project Management Professional (PMP) certification.
SAS skills.

Responsibilities

Lead work with customers, Application Developers, and team members to capture capability needs and drive quality business solutions for complex issues.
Create and maintain deliverables such as business vision, requirements, client-specific personalization, and user-interface design.
Lead the full project life cycle and take an active lead role on project teams based on experience and need.
Provide business and subject-matter expertise for complex project and production activities, including strategic programs and initiatives that affect existing systems.
Ensure compliance with required standards, such as SOC 2, and obtain necessary approvals throughout the project life cycle.
Work with business areas, technical staff, and project teams to drive value, return on investment, and innovative solutions; assess alternatives, benefits, costs, and trade-offs.
Lead requirements testing activities, including test plans, scenarios, schedules, outcomes, user task analysis, documentation, defect management, and results analysis, to minimize production defects.
Create ad-hoc reports using data from various sources and/or run system reports; analyze results to assess system performance and outcomes.
Communicate project status, solutions, and accurate, concise documentation to team members, partners, and management.
Provide thought leadership and strategic direction in Product and Technology Solutions.
Mentor junior resources using functional and organizational knowledge.
Perform other duties as assigned.