Business Process Consultant -- Highmark Blue Cross Blue Shield -- Pittsburgh, PA

***Contact Mike Foster at mike.foster@righththinginc.com or by phone at 610-263-3030 x: 4567 for more information!!***

SUMMARY OF JOB RESPONSIBILITIES:

Medical Management & Policy Process Engineers will support the investigation of the strategic, operational and business needs of their assigned projects, focusing on detailed business process analysis and modeling, and the engineering of effective business process solutions.

The Process Engineers will play a lead role in supporting the activities of Core Process and Roadmap Project teams in the re-engineering and improvement of existing business processes, providing guidance, consultancy and support in the deployment of the BPT solution and the associated standards and techniques to the project teams.

REQUIRED QUALIFICATIONS:

• High School diploma /GED
• 5 or more years process improvement and change management experience
• 5 or more years experience in an exempt level business analyst, project management or Consultant 1 role.
• 5 or more years experience in health/dental insurance industry knowledge including data analysis, business operations, marketing, and industry issues.

OTHER QUALIFICATIONS:

Education and Work Experience:

• Bachelors Degree
• Experience in administration of performance management systems
• A strong understanding of Highmark operations, systems, policies, procedures, and performance requirements
• Knowledge of, and experience in the use of, Business Process Management (BPM) concepts
• Knowledge of the functionality of all BPMS components and how they interact
• Knowledge of process design using BPMS product specific development tools
• Knowledge of the role and deployment of Agents/Adapters, Business Rules and KPI's.
• Experience in application of Six Sigma Methodology
• Experience in project management activities to include:

1. Support and/or develop project plans, including objectives, which may involve developing test scenarios and cases, strategies, cost/benefit analysis, timeline and risk analysis.
2. Use of various project management tools to support and communicate the plan.

Licenses/Certifications:

• Certification in an established quality /process improvement methodology such as Six Sigma (Green/Black Belt), Lean Manufacturing, etc.

Highmark is an Affirmative Action/Equal Employment Opportunity (AA/EEO) employer.