Business Process Analyst

Company :

United Concordia Dental

Job Description : JOB SUMMARY

• MUST BE A US CITIZEN

This role will serve as a link between underwriting operations, financial strategy, and process optimization. The incumbent will apply strong analytical and financial acumen to understand, document, and improve processes within the underwriting lifecycle, ensuring efficiency, compliance, and alignment with financial objectives. While primarily focused on process improvement, this role will also support critical underwriting functions, leveraging data to drive strategic decisions and operational excellence.

ESSENTIAL RESPONSIBILITIES

Create comprehensive process maps and documentation for underwriting procedures, identifying current state operations, future state recommendations, and potential financial impacts.

Develop desktop procedures and training materials specific to underwriting functions, ensuring clarity for audit and compliance.

Collaborate closely with underwriters to analyze existing processes and tools, identifying opportunities for financial efficiency, risk mitigation, and improved quote / renewal turnaround times.

Conduct analyses to quantify the financial impact of proposed process changes or tool enhancements, ensuring data-driven recommendations.

Actively participate in and support project meetings related to underwriting system enhancements, financial modeling tool development, and overall operational efficiency initiatives, ensuring the underwriting perspective is well-represented.

Support underwriting workloads by calculate rates utilizing Company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the standard formula.

EDUCATION

Required

Substitutions

Preferred

EXPERIENCE

Required

3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational area (e.g. claims, billing, customer service, etc.)

Preferred

LICENSES OR CERTIFICATIONS

Required

Preferred

SKILLS

Analysis of business problems / needs

Written & Oral Presentation Skills

Business Analysis

Business Process Design

Business Process Improvement

Business Process Mapping

Business Requirements

Collaborative Problem Solving

Project Management

Languages (other than English)

None

Travel Required

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Remote

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products / services (sales employees)

Never

Physical work site required

Yes

Lifting : up to 10 pounds

Constantly

Lifting : 10 to 25 pounds

Never

Lifting : 25 to 50 pounds

Never

Disclaimer : The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum : $50,200.00

Pay Range Maximum : $91,200.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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Req ID : J273104