Job Description

Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.

At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”

This position supports analyzing and improving business processes for operational efficiency. They may provide analytical, technical, and problem resolution support across departments. Collaborating with cross-functional teams, they support identifying, researching & documenting areas for improvement and implementing efficiency. Key responsibilities include process documentation & improvement, data analysis, project management, and ensuring compliance with regulatory requirements. They leverage their knowledge of business practices, systems, and policies to deliver innovative solutions. Additionally, they may coordinate reporting needs where necessary.

Responsibilities and Qualifications

• Participate in Department projects and process improvement/collaboration activities. Communicate project status updates (verbally and in writing).
• Capture necessary documentation related to activities. Identify project risks and contingencies. Conduct root cause analysis. Identify and support process improvement opportunities.
• Build strong working relationships with internal and external partners. Facilitate meetings and prepare necessary documents such as agendas, minutes, etc. Support department tracking through SharePoint sites, Teams, etc. Keep management and business areas informed about delays, risks and impacts.
• Collaborate with Operations Analytics & Reporting as required to support project/process improvement activities. Develop high level technical knowledge, including an understanding of Operations data sources if required. Ability to document and understand business reporting requirements as needed.
• Support activities to design, develop, and deliver complete, accurate, and timely reports, dashboards, scorecards, process flows, value stream maps, etc.
• Participates in identification of problems before they occur and document options for solutions. Obtain necessary approvals. Collaborate with department staff and business areas to implement solutions. Collaborate in evaluating options to achieve long-term goals or visions.
• Gather and record detailed business requirements to support maintenance activities, projects and/or process improvement activities.

Skills:

• Ability to communicate effectively with team members, management, and other departments to ensure alignment and support for process changes.
• Ability to prioritize tasks, adapt to changing priorities, and work with minimal supervision, both independently and in a team.
• Ability to anticipate and resolve problems, document solutions, obtain approvals, implement solutions and generate options for long-term goals.
• Mentor staff, coach them in department functions, respond to customer questions and document processes.
• Ability to lead meetings and give presentations to staff of all levels, including the ability to develop teamwork among diverse groups.
• Good conflict management and prioritization skills, meticulous attention to detail, comprehensive research abilities.

Knowledge:

• Knowledge of the health care industry and/or Capital corporate structure, including standards, policies, and business practices is beneficial.
• Knowledge of project management and process improvement terminology and concepts, including advanced understanding of Microsoft Office Suite, some experience with reporting a plus.
• Financial aptitude or experience participating in cost-benefit analyses is helpful.

Experience:

• 3 years experience in the health insurance industry or equivalent.
• Experience participating in projects, process analysis or improvement preferred.

Education and Certifications:

• Bachelor's degree preferred.
• Certification (or certification in progress) in Lean or Six Sigma (Yellow or Green Belt) or project management a plus.

Work Environment:

Sedentary work involving significant periods of sitting, talking, hearing, keying and performing repetitive motions. Work requires visual acuity to perform close inspection of written and computer generated documents as well as a PC monitor.

Location:

• This position is classified hybrid, which requires onsite work on Tuesdays and Wednesdays.

About Us

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live