Lead Solution Analyst

Company :

Job Description : 

JOB SUMMARY

This analyst will work across Curated Health Model, Customer Experience, and Clinician Experience solution portfolios to inventory, assess, rationalize, design, and optimize Living Health solutions, ensuring viability through business model design, process definition, and operational planning, while considering economic factors. Collaborating with Solution Owners and stakeholders, the analyst will assess solutions, identify business and clinical issues, design and execute analytical processes, develop technical content (requirements and user stories), create recommendations, and design supporting documentation. This includes business modeling, workflow process analysis for improved productivity and cost-effectiveness, KPI embedding, and regulatory/compliance considerations. The role also involves leading and mentoring teams, managing projects, gathering and analyzing requirements, defining technical specifications, creating design documents, and communicating effectively. Strong problem-solving, decision-making, risk management, analytical, and critical thinking skills, along with effective stakeholder communication, are essential.

ESSENTIAL RESPONSIBILITIES

• Support definition, scoping, and prioritization of efforts for solution 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 quality/process improvement projects and programs. Participate in planning sessions with solution owners to improve business processes and to prioritize and drive process re-engineering initiatives.
• 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.  
• Other duties as assigned or requested.

EDUCATION

Required

• Bachelor's Degree in Information Technology, Computer Science, Mathematics, or closely related discipline

Preferred

• None

EXPERIENCE

Required

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

Preferred

• 3 years in the Health Care 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  

Preferred skills:

• System integration and interoperability
• Understanding of cloud computing platforms (AWS, Azure, GCP)
• Experience with various application architectures
• Data architecture and management
• Experience with various development methodologies (Agile, DevOps)

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

Never

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 any category protected by applicable federal, state, or local law.

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