OpEx Optimization Business Architect I

Excellus BCBS•Rochester, NY

3d•$60,410 - $176,935

About The Position

Summary: This position will partner with both the business area and the technical teams to develop high quality deliverables across all phases of a project and/or complex process implementation, from identifying and defining process flows and use cases, through to user acceptance testing and deployment. This position will mentor, train, and drive the use of technology across business functions. In addition, it will provide technical training and user support to business groups. Essential Accountabilities: Level I Partners with business leaders to understand the goals of the department/division and defines preferred process aligned with executing the strategy to achieve goals and objectives of the organization. Closely follows the strategic direction set by management when establishing near term goals and driving process change. Evaluates operational trend data for process improvement opportunities. Explores various industry standard methodologies and identifies opportunities to integrate changes into current initiatives. Facilitates completion of process improvement work through standard tools, such as Planview, Service Requests, and project proposals. Defines, prioritizes, and manages scope, small-large-medium sized teams and work efforts. Plans, schedules, monitors, and reports on activities related to process improvement initiatives. Leads initiatives to accelerate business results through application of process improvement thinking, tools and techniques. Assesses and monitors projects, including problem identification, developing potential solutions, implementing them and evaluating outcomes involving various staff as needed. Identifies, assesses and solves complex business problems for area of responsibility, where analysis of situations or data requires an in-depth evaluation of variable factors. Responsible for troubleshooting and using all resources to find needed answers, and for root cause analysis on findings identified; this includes assessing when to elevate issues and doing so as needed. Responsible for enhancing communication within and outside the department/division on key priorities and other impacts of findings. Fosters a positive environment of continuous process improvement. Constantly exploring ways to increase efficiencies and productivity, reducing waste, and reducing costs. Meets with management, sponsors, and project teams to review project scope/progress and resolve project issues. Ensures that departmental practices comply with State and Federal laws. Selects and applies appropriate tools to accurately estimate and plan the work of teams or project groups within agreed policies. Produces work plans according to required standards. Works with colleagues to produce/recommend/develop long-term plans. Monitors and reports on the progress of the resolution of high impact problems according to established standards. Handles those exceptions that have been referred from below relating to schedules, working methods, resources, staff matters, or technical difficulties. Passes decisions clearly outside scope upward, including proposed solutions whenever appropriate. Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs. Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. Regular and reliable attendance is expected and required. Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) Defines, prioritizes, and manages scope, large-medium sized teams and work efforts. Acts independently to assess and monitor projects, including problem identification, developing potential solutions, implementing them and evaluating outcomes involving various staff as needed. Acts as lead and as contact Health Plan-wide for projects. Responsible for answering questions regarding project and education for project internally and externally. Level III (in addition to Level II Accountabilities) Engineers solutions that optimize business processes and utilize design best practices, provides Pega requirement capture, elaboration and confirmation of system and business process optimization from contract/proposal initiation to final operational stage. Develops, proposes, and completes project proposals/business case. Establishes appropriate metrics for measuring key project criteria. Leads and guides the development of various elements of the identified solutions. Solicits input from IT and the business as a part of solutions development and collaborates Data Analytics to ensure implementation of Health Plan data model within designed solutions. Maintains currency on emerging technologies and process / project management techniques. Researches and identifies areas of innovation with the intent to advance business capabilities by the use of IT and system configuration. Coaches others to progress cross-functional skill development and fosters relationships between business teams and technical teams. Provides input to organizational training initiatives based on identified knowledge and skill gaps. Helps to define and evolve functional roles and responsibilities in order to ensure a greater understanding of best practices. Disseminates knowledge on design principles and implementation techniques via published papers and/or presentations. Oversees the creation, development and ratification of business architect standards. Mentors and assists staff in doing so.

Requirements

Six (6) or more years of cumulative years of related experience required or a Bachelor’s degree in a related field.
Prior professional, co-op or internship experience in analysis, requirements gathering, design and development of enterprise application systems or relevant college coursework preferred.
Experience within an Agile environment, software architecture, service-oriented architecture implementation, and experience designing and developing process-based solutions preferred.
Experience writing requirements and/or user stories that are clear, concise and well organized.
Demonstrated analytical and problem-solving skills.
Demonstrated ability to approach technical challenges with determination and optimism.
Demonstrated ability to quickly understand new concepts and to come up with original solutions.
Ability to work in a team environment and communicate effectively to management and peers, both written and verbal.
Two (2) additional years of cumulative years of related experience required Eight (8) total and a minimum of two (2) years of progressive experience in analysis, requirements gathering, design and development of enterprise application systems.
Experience working with specific Pega products, framework and functional design required.
Advanced experience with operational and technical analysis and interpretation.
Excellent time management and organization skills, with the ability to manage multiple competing priorities.
Demonstrates aptitude to learn quickly, with a superb attention to detail and process orientation.
Ability to think creatively and strategically with a focus on achieving outcomes.
Two additional years of cumulative years of related experience required. Ten (10) total and a minimum of five (5) years of progressive experience in analysis, requirements gathering, design and development of enterprise application systems.
Demonstrable experience with project and resource planning.
Advanced understanding of the differences between integrated, interdependent, and interfaced systems and their impacts on each other.
Ability to judge severity of problems and the need to escalate to management.

Nice To Haves

Experience in the Health Plan or healthcare industry especially as it relates to overall health insurance value chain and processes preferred.
Possess one of the following certifications: CSA (Certified System Architect), CSSA (Certified Senior System Architect), LSA (Lead System Architect) CPBA (Certified Pega Business Architect) preferred.
Possess one of the following certifications: CSA (Certified System Architect), CSSA (Certified Senior System Architect), LSA (Lead System Architect) CPBA (Certified Pega Business Architect) required.

Responsibilities

Partners with business leaders to understand the goals of the department/division and defines preferred process aligned with executing the strategy to achieve goals and objectives of the organization.
Evaluates operational trend data for process improvement opportunities.
Defines, prioritizes, and manages scope, small-large-medium sized teams and work efforts.
Leads initiatives to accelerate business results through application of process improvement thinking, tools and techniques.
Identifies, assesses and solves complex business problems for area of responsibility, where analysis of situations or data requires an in-depth evaluation of variable factors.
Responsible for enhancing communication within and outside the department/division on key priorities and other impacts of findings.
Meets with management, sponsors, and project teams to review project scope/progress and resolve project issues.
Selects and applies appropriate tools to accurately estimate and plan the work of teams or project groups within agreed policies.
Monitors and reports on the progress of the resolution of high impact problems according to established standards.
Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.
Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
Regular and reliable attendance is expected and required.
Performs other functions as assigned by management.
Engineers solutions that optimize business processes and utilize design best practices, provides Pega requirement capture, elaboration and confirmation of system and business process optimization from contract/proposal initiation to final operational stage.
Develops, proposes, and completes project proposals/business case.
Maintains currency on emerging technologies and process / project management techniques.
Coaches others to progress cross-functional skill development and fosters relationships between business teams and technical teams.
Helps to define and evolve functional roles and responsibilities in order to ensure a greater understanding of best practices.
Oversees the creation, development and ratification of business architect standards.