Internal Business Systems Consultant

Highmark Health•Carolina, PA

1d•Onsite

About The Position

This role performs business analysis for specific system applications, supporting stakeholders, handling user inquiries and issues, and managing system enhancements. The consultant develops a deep understanding of the applications, how users work with them, and how they integrate with other systems. Through analysis, the consultant identifies solutions that may involve training, process changes, or modifications to business rules. The role traces business requirements through test plans and cases to help resolve issues efficiently and identify anomalies, and interfaces with both application programming roles and business-process analysis roles. It also uses functional and organizational knowledge to mentor junior resources. The consultant leads work with customers, application developers, and team members to capture capability needs and deliver quality solutions for complex issues. They create and maintain business and project deliverables, provide subject-matter expertise for project and production activities, ensure compliance with required standards and approvals, and guide requirements testing to minimize production defects. The role also conducts report analysis, communicates project status and solutions, and provides thought leadership and strategic direction in Product and Technology Solutions. This is an office-based position. Travel is listed as 0%–25%. The pay range is $86,400–$138,600. Employees must follow company ethical, legal, privacy, and information-security requirements, including HIPAA and applicable data-security policies.

Requirements

High school diploma or GED.
7 years of experience in a relevant operational area, such as customer service, claims, enrollment, or billing.
Includes 5 years of technical application experience.
Leadership, process-improvement, analytical, problem-solving, communication, presentation-delivery, customer-service, and strategic-thinking skills.
Comply with company ethical and legal standards, Code of Business Conduct, HIPAA requirements, privacy policies, information-security policies, and training requirements.

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.

Responsibilities

Lead work with customers, Application Developers, and other team members to capture capability needs and drive quality business solutions on complex issues.
Create and maintain deliverables such as business vision, requirements, client personalization, and user interface design.
Lead the full project life cycle and take a lead role on project teams as appropriate to experience and need.
Provide business and subject-matter expertise for complex project and production activities, including strategic programs or initiatives affecting existing systems.
Ensure compliance with required standards, such as SOC 2, and confirm necessary approvals throughout the project lifecycle.
Work with business areas, technical staff, and project teams to deliver value, return on investment, and innovative solutions; evaluate alternatives, benefits, costs, and pros and cons.
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.
Conduct complex analysis of reports to assess system performance and results.
Communicate project status, enable solutions, and provide 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.