Horizon Blue Cross Blue Shield of New Jersey Implementation Analyst in Newark, New Jersey
Job Summary:The Strategic Implementation Analyst is accountable for analyzing business practices and operational objectives, collecting stakeholder feedback, providing suggestions for improvement, and assist with developing strategic plans and roadmaps to support the department's goals. They will conduct market research and evaluate market trends, document the practices and market behaviors of industry competitors, and create and present analyses to support Risk Adjustment or risk adjusted lines of business. This role is expected to interact at a senior level of the organization.
Analyze key industry trends to develop a strategic point of view on current market position and the impact on specific projects and goals
Analyze existing risk adjustment processes and workflows, data and reporting, identify key individuals, and suggest opportunities for improvement
Create roadmaps for initiatives by assessing the business value, creating the plan and driving the appropriate execution and governance.
Contribute to strategy development, analysis, and planning for achieving business growth and other strategic initiatives related to risk adjustment or risk adjusted lines of business
Monitor the long-term effects of strategies or initiatives put in place by the Risk Adjustment team
Support the development of standard operating procedures and documentation for the risk adjustment department, including cataloging, developing, and maintaining existing processes.
Conduct research on market trends, new industry trends, legislative impacts, and other areas of impact on Risk Adjustment.
Collaborate with internal partners to identify, develop, and execute deliverables supporting risk adjustment strategies
Assist with the implementation and reporting on the Risk Adjustment department's strategic initiatives.
Prepare analysis output, insights, and reporting for Risk Adjustment leadership presentations.
Maintain an understanding and knowledge of the risk adjustment process, including regulatory changes impacting the program.
The information above is intended to describe the general nature of the work being performed by each incumbent assigned to this position. This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent.
Requires bachelor's degree from an accredited college or university, preferably in Business Administration or Business Analytics field.
Requires a minimum of 3 years of experience in consulting or health care field or relevant field.
Experience navigating matrix organizations
Experience working with and presenting to senior audiences is a plus
Project management process and knowledge area
Proficiency in Microsoft Office tools; Expert knowledge of Powerpoint
Skills and Abilities
Strong research skills
Ability to manage multiple projects through planning, organizing, and independently following logical priorities independently
Ability to recognize strategic needs, contribute to planning with research-based business recommendations, and generate alignment
Ability to work and collaborate with various levels of the organization
Solid understanding of management frameworks
Sound knowledge of financial or data analysis
Creative and strategic thinking
Excellent written and verbal communication
Strong communication and presentation skills
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.