Healthfirst

The Policy and Process Analyst designs and develops end-to-end process maps, standard operating procedures and business policy documents in consultation with subject matter experts, business leadership and legal/regulatory resources. Responsible for creating clear, understandable documentation that translates complicated processes into coherent, step-by-step explanation for a target audience. The Analyst is responsible for developing, maintaining, and updating Operations policies and procedures, process maps, workflows, and job aids that improve performance, drive adherence, improve quality and reduce risk.

Duties & Responsibilities: Writing, formatting, editing, and validating various technical documents. Ensuring all documentation uses standard templates. Interpret Technical Data - Analyzes and interprets technical data to determine relevant material for publication by collaborating with subject matter experts. Identifying and maintaining proper version control for all documents. Facilitates discussions/meetings to support business process planning (i.e. current state process mapping, future state process design, root cause analysis, etc.) Works with stakeholders and key staff across departments and at all levels to document current and future state workflows, incorporating regulatory requirements, quality, and efficiency within design. Responsible for process definition, modeling, analysis and improvement across multiple operational areas. Translate recorded working sessions, side chair observations and workgroup discussions into step by step documentation. Use critical-thinking skills to reach objective conclusions and independent decision making. Influences the delivery and change management of systems through knowledge of existing business processes and future state system effect on processes. Develops and maintains an inventory of business processes within department standards, in accordance with business decisions, technology changes and annual audits. Provides process leadership to one or more business areas at all levels of the organization. Analyzes processes for efficiency and effectiveness; provides solutions for minimizing complexity and waste, based on thorough analysis. Responsible for appreciating and understanding end to end processes to ensure that sub optimization of the whole doesn’t occur during process improvements in their area. Assists with change management during process improvements. Contributes to the development of operations training curriculum. Breaks down walls and finds the root cause of process inefficiency. Manage approval cycles and business owner signoffs. Develops documentation with little supervision and rework. Minimum Qualifications: High School diploma or GED equivalent from an accredited institution. Proficiency in Microsoft Office programs including Outlook, Word, Excel, PowerPoint. Previous work experience interpreting business process and standard operating procedures; developing procedural documentation, process maps; and leading/facilitating workshops, focus groups and discussions. Demonstrated business process reengineering skills. Experience analyzing business processes, workflows and business requirements documentation. Experience with Visio where you have reviewed or created flow charts   Experience with SharePoint  or other similar document sharing platforms Experience gaining alignment for support and collaborating with different teams at varying levels for follow up Preferred Qualifications: 1+ year(s) of Business Process Analysis and documentation. Bachelor’s degree from an accredited institution, preferred focus study area in Education, healthcare Administration, Business Administration or relatable field. Proven ability to build and facilitate relationships at all levels of the organization. Superior communication skills, both written and oral. Ability to multi-task. Ability to master or become a product expert quickly. Experience in business process optimization with deep experience in two or more areas of Healthcare/Health Plan customer service, enrollment, billing and/or claims processing. Experience with Six Sigma project management philosophies a plus. Compliance & Regulatory Responsibilities: N/A License/Certification: NA

Hiring Range*: Greater New York City Area (NY, NJ, CT residents): $67,200 - $97,155 All Other Locations (within approved locations): $59,800 - $88,910 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. *The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.