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Highmark Health Solution Analyst in Home, Kentucky

Company :

Highmark Health

Job Description :

JOB SUMMARY

This job is responsible for work across the Curated Health Model, Customer Experience and Clinician Experience solution portfolios to support a broad scope of strategic activities. The incumbent supports different potential roles on a given project, to include elements of problem-solving, strategy development, data analytics, communication, solution inventory and assessment, and rationalization of the existing portfolio and design to optimize our Living Health solutions. The incumbent will ensure viability of solutions through business model design, defining associated business processes, and developing operational plans, while considering economic factors. Working closely with peers and leaders within the Solution Strategy and Analysis capability area, Solution Portfolio Leaders, Design Strategists and stakeholders, incumbents will assess solutions to isolate business, customer and clinician issues, design and execute analytical processes, develop technical content (requirements and user stories), support development of formal recommendations, and create documents to outline the design of systems that are critical to solution activation. Solution design activities supported by the incumbent include the business modeling, documentation, management and oversight of end to end workflow process analysis, assuring improved productivity and cost effectiveness, appropriate embedding of Key Performance Indicators, and controls for regulatory, risk, and compliance considerations.

ESSENTIAL RESPONSIBILITIES

  • Support definition, scoping, and prioritization of efforts for solution strategy and analysis within workstreams. Provide and support periodic reporting to leadership on assigned project activities.

  • Establish and maintain strong working relationships across matrixed teams and stakeholder groups, continuing to promote and continually broaden the level of business knowledge and the impact of solutioning efforts.

  • Lead planning sessions with solution portfolio leaders, and clinician and business stakeholders to understand, document and design improvements to business models, processes, and systems to help prioritize and drive solution development.

  • Leverage a mix of frameworks and practices to deliver actionable insights and recommendations including: LEAN, Six Sigma, work simplification, organizational design, scenario planning, performance measurement, and process optimization.

  • Participate and apply methods in Human-Centered Design, along with core business analysis frameworks, to help identify impacts to people, process, and technology solutions that are required to achieve solution objectives and support business case development.

  • Identify root causes of problems and demonstrate the ability to development and make recommendations for solutions to mitigate root cause.

  • Develop documentation, presentations, and communications that detail findings, articulate strategies, provide justification and make the case for solution approaches and priorities.

  • Other duties as assigned or requested.

EDUCATION

Required

  • Bachelor's Degree

Substitutions

  • 6 years of related and progressive experience in lieu of Bachelor's degree

Preferred

  • None

EXPERIENCE

Required

  • 3 years in a Business Consulting, Business Strategist, Business Analyst or Business Process Analyst role or experience in a related operational area (e.g. claims, billing, care delivery, customer service, etc.)

Preferred

  • 1 year in the Healthcare Industry

LICENSES or CERTIFICATIONS

Required

  • None

Preferred

  • None

SKILLS

  • Strong facilitation skills

  • Strong verbal and written communication skills

  • Ability to use statistical assessment to quantify opportunities and to achieve process optimization

  • Knowledge of the roles and deployment of change execution

  • Knowledge of Business Process Modeling concepts and components and their respective application

  • Strong understanding of Health Care specific domains

  • Ability to observe and provide constructive performance feedback

  • Knowledge and understanding of Lean Six Sigma Tools and Methodologies

  • Ability to develop strategic and analytical documentation, presentations and communications

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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Req ID: J190495

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