Business Process Engineer

Company :Highmark Inc.Job Description : 

JOB SUMMARY

***CANDIDATE MUST BE US Citizen (due to contractual/access requirements)***

This is a hybrid position requiring EST work hours. Office attendance is mandatory three days a week for those living within 50 miles of Highmark's footprint. Candidates living outside the 50-mile radius should anticipate 25% travel for client and stakeholder meetings.

The Provider Technology & Operations team – The Highmark Provider Technology & Operations team aims to improve the healthcare ecosystem by equipping our provider partners with cutting-edge technology and seamless operations to enable them to deliver high-quality care and achieve optimal health outcomes for all.

This job leads, supports and facilitates process improvement initiatives across multiple functional units for both strategic and continuous process improvement efforts.  Strategic and transformational support includes design and support throughout implementation to ensure people/process/technical solutions align with strategic initiative while driving consensus among business units including process ownership and governance.  Design activities include the documentation, management and oversight of end to end workflow process analysis assuring improved productivity, cost effectiveness, appropriate embedding of Key Performance Indicators, and appropriate controls for both regulatory and compliance considerations.  Provides consultative services and analytic support to business management leveraging LEAN practices, Six Sigma methodologies and tools, capacity planning, resource allocation, work simplification, service level management, organizational design, consolidation, performance measurement systems, productivity improvement and expense control.    

ESSENTIAL RESPONSIBILITIES

• Support or lead the definition, scoping, chartering efforts for business process analysis/design projects related to process improvement initiatives assuring optimal business and functional delivery of the strategic delivery framework.  This includes business modeling, documentation of the operating blueprint and process solution blueprinting efforts following the strategy definition as well as supporting the execution of the process solution blueprint during the implementation phase.
• Provide process and business consultation services which include research, analysis facilitation, process modeling, and business process improvement techniques to propose and implement business and system solutions that meet strategic objectives. Provide and support periodic reporting to leadership on assigned project activities.  
• Establish and maintain strong working relationships across business unit/area level of management 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 business owners to improve business processes and to prioritize and drive process re-engineering initiatives including process ownership and governance.
• Participate and support business case development process to identify change execution impacts to people, process, and technology solutions to achieve business objectives.  Participate and support the Change Execution Process assuring resource alignment/impacts are aligned with the process governance model.
• Drive comprehensive business process standards, analysis and measurement to assigned projects including the definition of business process modeling standards for assigned projects and evolve the Business Process Management Nomenclature standards of a Business Process Competency Center.
• Support the expansion and development of Continuous Process Improvement and business process engineering skills, including Lean Six Sigma methodology across specific divisions and the enterprise, promoting the understanding and use of process improvement tools and concepts.  Support leadership and management with regard to the planning, implementation and production support of Lean Six Sigma projects and the Lean Six Sigma COE. 
• In collaboration with release planning and implementation functions across varying divisions and business platforms.  Ensures all changes to processes are reflected in the repository of process documentation.
• Access and analyze processes, data points, and controls to determine sub-optimal performance, communicate findings clearly and effectively and make recommendations for improvement.  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 Business, Industrial /Management Engineering or IT related field

Substitutions

• 5 years experience in Process Improvement; to include process documentation or change, collection and analysis of related metrics, problem solving, and reduction in cycle time.   

Preferred

• Master’s Degree in Health Administration, Business Administration, Industrial Engineering or IT Development 

EXPERIENCE

Required

• 5 - 7 years Managing small to medium projects across multifunctional teams
• 3 - 5 years of related, progressive experience in the area of specialization

Preferred

• 2 years in the Healthcare Industry 

• Experience in Health Insurance or Provider operations and technology.

• Experience in the domains of revenue cycle, health plan operations, interoperability, hospital operations, value-based reimbursement, healthcare technology, healthcare data and analytics, or similar functions.

LICENSES AND CERTIFICATIONS

Required

• None

Preferred

• Six Sigma Black or Green Belt
• Project Management Professional (PMP)

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 Highmark specific domains
• Ability to observe and provide constructive performance feedback
• Knowledge and understanding of Business Process Engineering standards/protocols
• Knowledge and understanding of Lean Six Sigma Tools and Methodologies

Language (Other than English)

None

Travel Requirement

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Rarely

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)

Does Not Apply

Physical work site required

Yes

Lifting: up to 10 pounds

Occasionally

Lifting: 10 to 25 pounds

Does Not Apply

Lifting: 25 to 50 pounds

Does Not Apply

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.

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. 

Pay Range Minimum:

$50,200.00

Pay Range Maximum:

$91,200.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

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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