Sr. Analyst, Service
$97.8k - $133.46kHorizon Blue Cross Blue Shield of New Jersey - Headquarters
Role Description
The Sr. Analyst, Service is responsible for leading end-to-end process analysis, redesign, and implementation efforts to improve operational performance, enhance customer experiences, and support enterprise transformation initiatives. This role partners closely with Operations, Enterprise Business & Technology Solutions (EBTS), and business stakeholders to simplify, standardize, automate, and optimize service delivery processes while maintaining regulatory compliance and service quality standards.
The Analyst serves as a key leader in operational transformation initiatives by identifying improvement opportunities, designing future-state processes, supporting implementation activities, and ensuring operational readiness for successful adoption of new technologies, workflows, and business capabilities.
What You'll Do
- Process Analysis & Transformation
- Conduct end-to-end process reviews across front-office, middle-office, and back-office operations to identify inefficiencies, bottlenecks, and improvement opportunities.
- Perform root cause analyses to determine underlying operational issues and identify sustainable solutions.
- Design future-state business processes aligned with enterprise service strategies, customer experience goals, and operational objectives.
- Develop process maps, workflows, business requirements, and supporting documentation to drive transformation initiatives.
- Evaluate and recommend opportunities to simplify, standardize, and optimize operational processes.
- Business & Technology Partnership
- Partner with EBTS, Operations, and business stakeholders to translate business needs into effective process and technology solutions.
- Support requirements gathering, solution design, and implementation planning.
- Ensure business processes and system capabilities are aligned to operational objectives and customer expectations.
- Collaborate with cross-functional teams to deliver enterprise transformation initiatives successfully.
- Operational Readiness & Implementation
- Lead and support operational readiness activities for new systems, processes, and business initiatives.
- Coordinate business implementation activities, including cutover planning, staffing readiness, workflow transitions, and go-live preparation.
- Support User Acceptance Testing (UAT), pilot programs, and post-implementation validation activities.
- Assess organizational readiness and identify risks that may impact successful implementation.
- Facilitate go-live assessments and readiness reviews to ensure operational preparedness.
- Automation & Continuous Improvement
- Identify opportunities for automation, digitization, and workflow optimization.
- Evaluate emerging technologies and operational solutions that improve efficiency and service delivery.
- Support process improvement initiatives focused on reducing manual effort, increasing productivity, and enhancing quality.
- Drive a culture of continuous improvement across operational teams.
- Stabilization & Adoption Support
- Provide support to frontline operational teams during implementation and early adoption periods.
- Monitor post-implementation performance and identify stabilization issues requiring corrective action.
- Partner with business leaders to ensure successful adoption of new processes and technologies.
- Track implementation outcomes and make recommendations for further optimization.
- Governance & Performance Management
- Monitor operational performance and implementation metrics to measure effectiveness of process changes.
- Identify and manage operational risks associated with process and technology changes.
- Capture lessons learned, best practices, and implementation insights for future initiatives.
- Maintain documentation, process standards, and governance requirements related to transformation activities.
Qualifications
- Required:
- High School Diploma or GED.
- Minimum of 7 years of experience in operations analysis, process improvement, business transformation, operational excellence, or related fields.
- Preferred:
- Bachelor's degree in Business Administration, Operations Management, Healthcare Administration, Industrial Engineering, or a related field.
- Healthcare payer, health insurance, or managed care operations experience.
- Experience supporting large-scale operational and technology transformation initiatives.
Skills & Competencies
- Process Improvement & Transformation
- Strong expertise in business process analysis, redesign, and optimization.
- Experience applying continuous improvement methodologies and operational excellence principles.
- Ability to create future-state process designs and implementation roadmaps.
- Analytical Thinking
- Strong analytical and problem-solving skills.
- Ability to conduct root cause analyses and develop data-driven recommendations.
- Experience utilizing operational data and metrics to support business decisions.
- Systems Thinking
- Ability to understand complex business processes and their interdependencies across multiple functions.
- Strong understanding of how people, processes, technology, and data interact within an operational environment.
- Communication & Collaboration
- Excellent verbal, written, and presentation skills.
- Ability to facilitate discussions and effectively communicate with stakeholders at all organizational levels.
- Strong partnership and relationship-building skills.
- Operational Readiness & Change Support
- Experience supporting operational readiness, implementation planning, and organizational adoption activities.
- Ability to coordinate multiple stakeholders, priorities, and timelines during transformation initiatives.
- Project Management
- Strong organizational and time-management skills.
- Ability to manage multiple projects and competing priorities simultaneously.
- Experience in implementation planning, cutover activities, and post-production stabilization.
Benefits
- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement
Salary Range
$97,800 - $133,455
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