Prod & Contract Dev Process Analyst - 011294

Summary:
The Product & Contract Development Process Analyst has accountability for data and scorecard production, analysis and process improvement implementations related to Product Development and Product Implementations. The incumbent in this position is accountable for determining process issues, identifying the appropriate stakeholder responsible for correcting those issues, and may own the implementation of systemic corrective action to address the identified process issues. In addition, the process manager will act as the central point in the creation of business case documentation to justify product innovation in the organization. This includes working directly with the Product Development team and financial partners to determine financial, growth, and retention benefits.
The Process Analyst will work directly with stakeholders in IT, Operations, and Finance to socialize ideas, build operational models for innovation, and create attainable cost models. This position will interface internally with all stakeholders within IT, Operational Excellence, Finance and A&D, as well as interface externally with other divisions of the Health Plan, including but not limited to, Quality Office, IT, and/or Provider Relations.

This role will also serve as a liaison between Product Strategy and Implementation, particularly with regard to transforming processes to best utilize new systems (PEGA/PCS).

Essential Responsibilities/Accountabilities:

• Understands the systems and process flows for product information and articulates how potential innovations will impact or change those systems and processes.
• Calculates cost-benefit analyses to justify product innovation or capability development.
• Assesses alternative processing methods and recommends process improvement or designs, sometimes requiring assistance from management or other departments throughout the organization.
• Directs analysis both within the department, and as the department interacts/interfaces with other corporate departments, for observations of processes and/or procedures to determine creative solutions or innovative approaches to process improvement or product implementation strategies.
• May be called upon to serve as a Product Owner or Project Manager on key projects.
• Represents Product & Contract Development division on Department, Division, and/or Corporate meetings/projects.
• Acts as a consultant performing duties that improve effectiveness at both intra-unit and inter-unit levels.
• Develops and monitors scorecard for product / benefit effectiveness both in the marketplace and operationally.
• Develops business requirements and test cases.
• Tests IT developed systems and code changes and reviews to ensure compliance with processing specifications.
• Documents revised process workflows, policies and procedures.
• Identifies problems, analyzes for root causes, and implements corrective actions.
• Analyzes and charts data, identifying trends, and performs data queries to produce reports that support department work items.
• Prepares reports for management.
• Trains and updates end-user personnel on appropriate procedures.
• Analyzes proposed business systems or changes to project impact to operations. Identifies and suggests solutions in the processing system.
• Assists Compliance with review of regulatory requests from the State or Federal Government and determines operational procedure/documentation changes.
• Prepares and delivers high level management summary reports and presentations to project teams, department heads, and all levels of management, sometimes requiring assistance from management.
• Initiates, drives, and leads high level analysis on open Service Requests (SRs) to determine if there are systemic issues affecting completion of outstanding SRs.
• Serves as end-to-end process manager/design expert by working with cross functional business areas in the creation and management of process documentation and the development and monitoring of appropriate performance metrics.
• Acts independently to assess and monitor projects, including problem identification, developing mitigation and/or contingency plans, implementing them and evaluating outcomes involving various staff as needed. Responsible for troubleshooting and using all resources to find needed answers. This includes assessing when to elevate issues and doing so as needed.
• Drives, leads, and coordinates feasibility studies and/or simulations, proposes development, enhancement, implementation and/or maintenance of business processes as warranted. Processes and enhancements include personnel and transaction activities.
• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way beliefs and values.
• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
• Regular reliable attendance is expected and required.
• Performs other functions as assigned by management.

Minimum Qualifications

• Bachelor’s degree in Business Administration, Health Planning, Marketing or related field, and a minimum of seven years of progressive experience in project management, process improvement or business analysis. Knowledge of all operating teams a must. In lieu of a Bachelor’s degree, 10 years of progressive experience required.
• Strong project management and technical problem solving ability.
• Detailed operational knowledge of and experience within the health insurance industry preferred, particularly the overall workflow and business process intersections.
• Cognos, SAS, or related Business Intelligence skills.
• In depth knowledge of IT, Operations, Sales, and Health Plan Products.
• Must know workflows, procedures and operating structure.
• Demonstrated ability to independently and successfully apply process acumen to the creation of end-to-end business processes (i.e. DFSS methodology, Lean Six Sigma tools/techniques).
• Ability to identify root causes of business and/or workflow problems, recommend and implement innovative solutions to improve performance.
• Fosters an environment of continuous improvement. Constantly exploring ways to increase efficiencies and productivity, reducing waste, and reducing costs.
• Excellent leadership, communication, human relations and negotiation skills with people in all levels of the organization.
• Mastery of data analytics to objective views into processes and innovation opportunities.
• Mastery of work management concepts, process improvement skills, project management expertise, and proven group facilitation and presentation skills.
• Must have solid communication skills – both verbal and written.

Physical Requirements

• Must be able to travel across the enterprise.
• Will need to work at a PC for extended periods of time.

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The Lifetime Healthcare Companies aims to attract the best talent from diverse socioeconomic, cultural and experiential backgrounds, to diversify our workforce and best reflect the communities we serve.

Our mission is to foster an environment where diversity and inclusion are explicitly recognized as fundamental parts of our organizational culture. We believe that diversity of thought and background drives innovation which enables us to provide leading-edge healthcare insurance and services. With that mission in mind, we recruit the best candidates from all communities, to diversify and strengthen our workforce.

OUR COMPANY CULTURE:
Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits.

In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer