Senior Business Solutions Consultant

Job ID: J122215
Company: Highmark Inc
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: May 29, 2018

Share:

Description

JOB SUMMARY:

This job leverages combined people, process, and technology competencies to support large-scale, complex customer engagements; collaborates with various stakeholders (such as Product, Sales, Clinical, Provider and/or IT teams) and external customers and entities to configure solutions and deliver value to customers; acts as subject matter expert and trusted advisor in solutioning, implementation, and/or executing of various business solutions and strategic capabilities for the supported Health Plans/customers; solutioning practice and customer spaces; and works closely with engagement and leadership team to define strategic and tactical direction. The incumbent delivers value to customers through client-facing advisory and delivery service in support of the HM Health Solutions and Health Plan product offerings and capabilities. Accountabilities include, but are not limited to, owning deliverable artifacts, leading workstreams, engaging key customer stakeholders, building and sharing institutional knowledge, and developing junior professionals.

The candidate for this role will be supporting a large strategic initiative as part of the C2V program, focused on end-to-end improvements to identify and resolve gaps, inefficiencies, and process failures that result in incorrect claims payments. The incumbent will be part of a fast-paced team, driving discipline and thought leadership to drive high value opportunities and improvements which span across various business processes (including, but not limited to sales, product, clinical, provider reimbursement, benefits, and/or claims).

ESSENTIAL RESPONSIBILITIES:

  • Contribute to the delivery and execution of complex, large scale, multi-year (high cost, high complexity and/or high risk) client enterprise transformation programs: gather required data through direct observation and/or inquiry and synthesizing data into meaningful observation; analyze, identify and problem solve from information sets (issues could be business or systems issues) draw conclusions from information sets based on analysis, create hypotheses and present recommendations to team; develop client specific requirements, standard operating procedures, functional roles & responsibilities, process flow and user guides.
  • Build, share, and maintain expertise in both practice area and client environment, regularly interface with Product, Sales, Clinical, Provider and/or IT Teams to deliver on customer commitments and business objectives.
  • Contribute to operational readiness, organizational change management, solution capability, packaging, and estimating, planning and delivery management for customer value and outcomes for new and/or exiting Health Plans / customers.
  • Design and own deliverable artifacts to deliver client value and meet contractual obligations.
  • Lead engagement workstreams to meet milestones on time, and to deliver with high quality and within agreed to budgets.
  • Provide coaching, mentorship, and professional development for junior resources.
  • Other duties as assigned or requested.

QUALIFICATIONS:

Minimum

  • Bachelor's Degree in Business Administration, Management Information Science, Health Administration, or relevant       Substitutions: 6 years of professional-level experience or equivalent combination of post-secondary education and professional-level experience in health care operations, technology delivery, or healthcare analysis/consulting accepted in lieu of degree
  • 5 years of Consulting and/or Industry experience

Preferred

  • Master's Degree Business Administration, Management Information Science, Health Administration, or relevant field
  • 3 years in the Healthcare/Insurance Industry
  • 3 years in Technology Platform Delivery
  • 3 years in Program/Project Management
  • Experience engaging, influencing, and advising senior executive leaders
  • Experience working in complex matrixed environments
  • Lean Six Sigma Green Belt or Black Belt
  • Experience working on large scale initiatives that cross multiple business units and functions
  • Expert skill level in managing complex program dependencies
  • Experience in successful delivery of program results in the healthcare industry
  • Project Management Professional (PMP)
  • Information Technology Infrastructure Library (ITIL)
  • Lean Six Sigma Green Belt or Black Belt

SKILLS:

  • Customer focus, results orientation, strategic thinking, change advocate, continuous improvement, talent development
  • Excellent written and spoken communications skills
  • Strong leadership and interpersonal skills
  • Ability to work independently and manage multiple task assignments
  • Proficient in the use of MS Word, Excel, and PowerPoint
  • Proven ability to build and sustain internal and customer relationships
  • Ability to mentor, consult, and provide guidance to others to fulfill customer obligations and drive results

Employee Referral Level 1

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.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

Share:

Interested in working at the Highmark Health enterprise?
Take the first step by joining our Talent Network today!

Join Our Talent Network

Similar Jobs

Sr IT Infra Representative

Camp Hill, PA, United States
IS/IT

Senior Application Developer

Harrisburg, PA, United States
IS/IT

Robotic Process Automation Developer

Pittsburgh, PA, United States
IS/IT

Associate RPA Developer

Pittsburgh, PA, United States
IS/IT

Sr Technology Administrator - Analytic Tools

Pittsburgh, PA, United States
IS/IT

Director, Strategic Planning & Programs

Pittsburgh, PA, United States
IS/IT

Sr Technology Administrator - Analytic Tools

Camp Hill, PA, United States
IS/IT

Rapid Process Automation Solution Architect

Pittsburgh, PA, United States
IS/IT

JAVA Service Developer

Pittsburgh, PA, United States
IS/IT

IT Infrastructure Analyst - Network Security

Pittsburgh, PA, United States
IS/IT

Assoc. Print Shop Operator

Mechanicsburg, PA, United States
IS/IT

Data Architect - Analytics & Big Data

Camp Hill, PA, United States
IS/IT

Senior Analytic Data Analyst

Pittsburgh, PA, United States
IS/IT

Senior Analytic Data Analyst

Camp Hill, PA, United States
IS/IT

Senior Analytic Data Analyst

Pittsburgh, PA, United States
IS/IT

Lead Architect - Analytics

Pittsburgh, PA, United States
IS/IT

Senior Analytic Data Analyst

Camp Hill, PA, United States
IS/IT

IT Infrastructure Analyst - Network Security

Camp Hill, PA, United States
IS/IT

IT Infrastructure Analyst - Network Security

Pittsburgh, PA, United States
IS/IT

Data Architect - Analytics & Big Data

Pittsburgh, PA, United States
IS/IT

Associate IT Infrastructure Analyst - Help Desk

Pittsburgh, PA, United States
IS/IT

Lead Architect - Analytics

Camp Hill, PA, United States
IS/IT

IT Infrastructure Analyst

Pittsburgh, PA, United States
IS/IT