Sr. Analyst, Service
Horizon Blue Cross Blue Shield of New Jersey · Newark, NJ · 5 days ago
OTHR$98k–$133k/yrFull-time
About the role
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.
Responsibilities
- 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.
- High School Diploma or GED.
- Minimum of 7 years of experience in operations analysis, process improvement, business transformation, operational excellence, or related fields.
- Bachelor's degree in Business Administration, Operations Management, Healthcare Administration, Industrial Engineering, or a related field preferred.
- Healthcare payer, health insurance, or managed care operations experience preferred.
- Experience supporting large-scale operational and technology transformation initiatives preferred.