Gateway Health Plan
Job Description :
This job provides assistance for basic to moderately complex problem solving and understanding of system functionality. The incumbent reviews significant amounts of information and analyzes processes to support business unit needs. May assist with troubleshooting errors, conducting impact analyses, and/or solving data rejection. May perform simple business analyses in one or more operational areas. May identify process gaps and recommend process improvements for efficiencies.
- Assist with the intake of operational objectives and information gathering. 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.
- Support the coordination, monitoring, and reporting on the progress of projects to ensure adherence to defined project schedule. Communicate effectively with colleagues. Successfully articulate issues, problems, and solutions. Participate in pre-and post-implementation review. Assist in the planning, designing, and facilitation of functional walk-throughs. May require additional support from more experienced team members.
- Assist with small to intermediate cross-functional projects and change initiatives involved in the design and delivery of business process solutions, implementation strategies, and control measures, including scoping, leading, and influencing organizational change related to business processes and models.
- Participate in process improvement meetings and/or discussions.
- Support analysis of the functions and operations of a business area/function and identify problem areas. Assist in the creation of 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 materials.
- Other duties as assigned.
- 1 – 3 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.)
- 0 – 1 year in the Health Insurance Industry
LICENSES AND CERTIFICATION
- Analysis of business problems/needs
- Written & Oral Presentation Skills
- Business Analysis
- Business Process Design
- Business Process Improvement
- Business Process Mapping
- Business Requirements
- Collaborative Problem Solving
- Project Management
Languages (other than English)
0% – 25%
PHYSICAL, MENTAL and WORKING CONDITIONS
Teaches / trains others regularly
Travel regularly from the office to various work sites or from site-to-site
Works primarily out-of-the office selling products/services (sales employees)
Physical work site required
Lifting: up to 10 pounds
Lifting: 10 to 25 pounds
Lifting: 25 to 50 pounds
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 position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
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.
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