Resp & Qualifications

PURPOSE: 
Supports the analysis and evaluation of business problems and the development of solutions to address identified problems. This efficiency work is primarily focused in the Utilization Management area. Provides a single point of contact for those projects with senior leadership. Takes projects from original concept through final implementation. Assignments typically include problem definition, evaluation of requirements, and facilitation of the implementation of systems and/or process to meet business and user requirements. Interfaces with all areas affected by the project including customer, IT, and other internal or external clients.  This role will produce communication materials to leadership and impacted areas on the progress of solutions.  

We are looking for an experienced professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities.

ESSENTIAL FUNCTIONS:

• Analyzes business processes and coordinates with technical (IT) teams to analyze technical processes resolve problems.  This includes coordination and input to formulate and develop new and modified business information processing systems.
  
  
• Interfaces with all areas affected by the project including customer, computer services, and client services.
  
  
• Represents the business unit to define requirements and business cases for the technology developments.
  
  
• Identify current processes and potential changes to ensure increased operational efficiencies and productivity improvements.
  
  
• Conduct process analysis activities to include interviewing, observing, and timing of operational tasks for current state and future state. Map individual task workflow; create and maintain workflow charts for all major tasks; update and validate models, service agreements and cost benefit documentation.
  
  

SUPERVISORY RESPONSIBILITY:
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Business Administration, Business Management or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 5 years operational analysis experience or 2 years as a Business Process Analyst, or 3 years health plan experience in project management.

Licenses/Certifications:
Certified in Business Analysis -PMI   Preferred.

Preferred Qualifications:
5+ years in Service, Operations or other Division support role.

Knowledge, Skills and Abilities (KSAs)

• Skill in analyzing and organizing technical data.
• Proficient in Microsoft Office programs.
• Excellent communication skills both written and verbal.
• Self starter and ability to collaborate with associates of various levels.
  
  

Salary Range: $69,120 - $137,280

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.

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