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Blue Shield of California

California nonprofit health insurance provider

Business Process Analyst - Consultant

Business OperationsPosted on Nov 11
Full-time$111.5k - $188.7kHybrid

About the Job

Requirements

  • A bachelor's degree, or a high school diploma/GED plus four years of additional relevant experience in lieu of a degree.
  • Seven years of prior relevant experience.
  • Advanced business process expertise and strong skills in business process management, project management, strategic thinking, and change leadership.
  • A Green Belt designation from Six Sigma or LEAN, with work toward a Black Belt, Agile, or Change Management certification such as Prosci, ACMP, GAWM, or CMI.
  • Five years of experience leading business process management or continuous improvement activities from ideation through execution.
  • Proficiency in driving cross-functional projects.
  • Strong coaching, interpersonal, and verbal and written communication skills.
  • Superior math, analytical, and problem-solving skills, including the use of analytical tools such as MiniTab and Excel graphs, and the ability to coach and mentor others in using analytical tools.

Responsibilities

  • Support member, broker, and provider phone teams in delivering projects that affect frontline operations.
  • Represent Customer Experience in cross-functional teams to define project requirements and needs.
  • Perform project-based change management and business readiness to prepare frontline agents for incoming changes, including project plans, business readiness plans, communication plans, process updates, training plans and coordination, change management approaches, and leadership alignment.
  • Lead cross-functional teams through business process management steps; guide data collection and root-cause analysis, data interpretation, customer journey mapping, process mapping, and benefits forecasting; and guide prioritization based on impact, cost, and ease of implementation.
  • Provide input on business models, incentive systems, and performance management tools, and support engagement with business owners to assess and evaluate optimization recommendations.
  • Analyze collected data, assure its quality, and develop data collection plans.
  • Define complex business and customer needs, analyze opportunities for operational efficiency, and drive organizational change.
  • Develop a methodology for forecasting benefits and guide prioritization of efforts based on impact, cost, and ease of implementation.

Desired Qualifications

  • A master's degree.
  • Mastery-level knowledge of process improvement, typically obtained through advanced education combined with experience.
  • Knowledge of project management.

About the Company

Blue Shield of California

California nonprofit health insurance provider

Blue Shield of California is a nonprofit health plan provider that offers medical insurance options for individuals, families, and employers within California. It operates as a mutual benefit corporation and maintains a broad network of healthcare professionals and facilities, enabling members to access care and manage claims through an online portal. Its services include preventive care programs and digital health coaching, with prior authorization required for certain medical, surgical, and some prescription drugs to control costs and ensure medical necessity. The company draws a substantial portion of its membership from CalPERS and focuses on delivering stable, affordable access to care within the state. Its goal is to provide members with reliable health coverage, a wide provider network, and tools to manage their health and expenses efficiently.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
United States
Founded
1939

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