Business Process Analyst - Health Engagement Operations

About the role

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

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

The Business Process Analyst supports Health Engagement Operations with business process analysis, system support, workflow optimization, and cross-functional collaboration. This role serves as a key operational resource and may be responsible for identifying process improvement opportunities, supporting workflows, coordinating system enhancements, managing operational reporting, and partnering with business and technical teams to improve efficiency and member experience. The analyst works across multiple operational areas including onboarding, training and access management, vendor and partner integrations, issue resolution, process documentation, reporting, and continuous improvement initiatives. This position requires strong relationship management skills, analytical thinking, and the ability to navigate ambiguity while supporting multiple operational priorities.

ESSENTIAL RESPONSIBILITIES

Intake operational objectives and gather information. 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.

Coordinate, monitor, and report on the progress of projects to ensure adherence to defined project schedule. Communicate effectively with customers and colleagues. Successfully articulate issues, problems, and solutions. Conduct 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.

Manage 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.

Facilitate process improvement meetings and/or discussions.

Analyze the functions and operations of a business area/function and identify problem areas. Create 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 material.

Other duties as assigned.

EDUCATION

Required

High School Diploma/GED

Substitutions

None

Preferred

Bachelor's Degree

EXPERIENCE

Required

3 - 5 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.)

Preferred

1 - 3 years in the Health Insurance Industry

1-3 years in Healthcare operations, customer service, or health plan operations

Process improvement, workflow analysis, or operational excellence initiatives

Business systems support, user access management, or system enhancement activities

Cross-functional business and technology partnerships

Reporting, data analysis, or dashboard development

Business requirements gathering, workflow documentation, and standard operating procedure development

LICENSES OR CERTIFICATIONS

Required

None

Preferred

None

SKILLS

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

Additional Skills:

Experience leveraging Microsoft 365 tools—including Teams, SharePoint, Forms, and Power Automate—to manage team collaboration, streamline business processes, develop standardized intake and tracking solutions, and identify opportunities for workflow automation.

Business process mapping and documentation

Business workflow analysis

Analysis of business problems/root cause/needs

Operational Reporting and Analytics

Stakeholder/Relationship Management & collaborative problem solving

Change Management

Systems Troubleshooting

Business process improvement

Business requirements gathering

Languages (other than English)

None

Travel Required

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

Never

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 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:

$58,100.00

Pay Range Maximum:

$90,000.00

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.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Posting text as published by Highmark.

The evidence behind this listing

Workplace

Remote Employer field

Seniority

Not established

Employment type

Not established

Location as listed

PA, Working at Home - Pennsylvania, United States of America

Pay and work authorization

Stated pay

$58.1k–90k/yr AI reading of the posting

Visa sponsorship

Not stated

Security clearance

Not established

Citizenship

Required