Job Description
| Subject matter expert in a business domain and working in a matrix environment to understand help define analyze design implement and maintain business process and IT capabilities to support HHI pilots Maintain a comprehensive understanding of the current IT and business process capabilities in their assigned business domain as well as external best practices and vendor offerings Partner with the innovation teams and pilot capabilities managers to identify document analyze and prioritize pilot needs in their particular business domain Partner with a Capabilities Domain Manager and Horizon domain expert in the business and IT to develop short and longterm strategies to design implement and maintain pilot technical and business process capabilities that may either be integrated with HorizonBCBSNJ or be unique to HHI Reports to Capability Domain ManagerProvide guidance to the Capabilities Analyst I position Facilitate and document meetings to capture requirements assess solution options develop recommendations and capture action items Analyze risks identify trigger events and establish contingency plans and risk mitigation actions Track progress of work tasks and report on status and issues Guide and support Capabilities Analyst I with their assignments Assess merits of implementing automated vs manual or semiautomated solutions Document analyze and development current and future state business processes Work with counterparts and stakeholders in Horizon and with vendors and partners aligned to other departments and initiatives Understands pilot objectives stakeholders and business rationale Conducts detailed research in specified domain area (and related areas) to understand Horizon external best practice competitor and vendor business processes and IT capabilities Acts as Subject Matter Expert in business domain and associated technologies to help influence pilot blue printing and pilot high level requirements Contributes to and facilitates business requirements gathering process across pilots including the creation of deliverables review of BRD and TRD Leads and owns the analysis and resolution of complex issues and coordinates the documentation of business needs Assess short and long term options to meet pilot and cross pilot needs considering an appropriate balance between value delivered to pilots against the cost and complexity of capability delivery Support HHI pilot teams in the selection and implementation of tools and manual workarounds to support pilot models Document pros and cons of various options and present a recommended solution Contribute to short and long term capabilities development strategy in assigned business domain Engage all necessary internal and external parties to resolve gaps in processes system integration reporting required to implement the pilot(s) Understand and leverage best practices for delivering viable technical solutions Ensure pilot needs are appropriately documented in BRDsTRDs and author documents when necessary Ensure designs are cost effective and scalable Partner with IT and other Horizon departments to develop capabilities required to support the pilots Create and revise and maintain workflowswork instructions to support pilot operations Develop training materials and ensuring the training is administered to necessary population coordinate training and communication activities as required to assure successful transition of project deliverables to ongoing operations Monitor coding and configuration of systems to ensure capabilities are delivered accurately and timely Participate in User Acceptance Testing (UAT) for projects implementations system fixes and enhancements creates and executes UAT cases Develop and maintain pilot operations manuals Participates in the complete system development life cycle Partner with appropriate HHI and Horizon resources to respond to issues by analyzing the request establishing a resolution and where possible implementing a procedure to eliminate future issues of the same nature Act as SME for HHI specific applications in specified domain area to track and monitor application performance relative to pilot objectives Provide ongoing support and maintenance to ensure new processes and other capabilities meet SLAs and pilot objectives Assess opportunities and develop recommendations to enhance pilot operationsEducationExperience Bachelors Degree strongly preferred (equivalent work experience may be considered) Graduate studies andor professional development activities a plus Work Experience Minimum of 57 years of related IT work or business process (analysis) required preferably in the health insurance industry Demonstrated experience in a key contributor role in company initiatives Demonstrated track record of roles with increasing responsibilities Consulting experience preferred Programming experience a plus Additional licensing certifications registrations NA Specialized knowledge Strong ability to apply structure to loosely defined medium to complex problems required Demonstrates understanding of core business functions and systems Business process analysis and documentation Business and systems claims processing knowledge preferred Understanding of IT processes tools cost and effort estimation delivery cycles Knowledge of business and technical requirements gathering and documentation Requires knowledge of system development life cycle and implementation methodologies required Strong Microsoft Office Suite knowledge required Skills and AbilitiesFunctional Competencies Strong strategic thinking and decision making skills Requires strong planning and organizational skills Strong analytical and interpersonal skills Requires the ability to interface with internal and external customers along with strong ability to influence gain commitment and follow up Requires skillful project execution experience and knowledge Requires excellent oral and written communications skills Demonstrated ability in negotiation and conflict resolution Requires ability to multitask and handle multiple projects simultaneously Strong customer focus adaptability and passion for learning and initiating action Demonstrated ability to work in a matrix environment |
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