Horizon Blue Cross & Blue Shield

BPE Sr. Process Design Specialist I

US-AnywhereRemote in Newark, NJ
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • High School Diploma or GED required; Bachelor's degree preferred or relevant experience in lieu of degree.
  • Minimum of 5 years in business process improvement or process redesign experience.
  • Lean Six Sigma Green-level certification required; Horizon Black Belt certification to be achieved within two years.
  • Healthcare industry experience preferred.
  • Proficient in MS Office and experienced with statistical software like Minitab.

Responsibilities

  • Drive enterprise-wide process improvement initiatives to enhance operational effectiveness.
  • Conduct detailed process analyses and develop business cases and ROI models.
  • Lead value stream mapping and statistical analysis efforts for diverse projects.
  • Communicate process improvement results effectively to stakeholders across divisions.
  • Mentor Business Process Analysts and assist Lean/Green Belt candidates toward certification.
  • Identify and manage project risks and opportunities in alignment with business goals.
  • Prepare and deliver presentations and share best practices across divisions.

Benefits

  • Comprehensive health benefits including medical, dental, and vision coverage.
  • Retirement plans to support long-term financial health.
  • Generous paid time off (PTO) to promote work-life balance.
  • Incentive plans to reward performance and achievement.
  • Wellness programs to support employee health.
  • Paid volunteer time off to encourage community engagement and service.
  • Tuition reimbursement to foster professional development and education.
Full Job Description

About the Role

The role is responsible for driving enterprise-wide process improvement initiatives through data collection, analysis, and business transformation efforts that reduce cost, eliminate complexity, and improve operational effectiveness. This role leads a variety of projects that support key business objectives across multiple divisions while partnering with stakeholders and subject matter experts to identify, develop, and implement sustainable solutions.

Key responsibilities include conducting detailed process analyses, developing business cases and ROI models, leading value stream mapping and statistical analysis efforts, and drafting project deliverables and recommendations. The incumbent will also provide leadership and guidance to Business Process Analysts within project teams and collaborate with fellow Business Process Improvement professionals on cross-functional enterprise initiatives.

This position plays a critical role in improving productivity, operational efficiency, and the overall customer experience by identifying opportunities to optimize processes and manage business demands. In addition to project delivery responsibilities, the role will contribute to the growth and visibility of the Business Process Improvement function by promoting continuous improvement practices, mentoring employees pursuing Lean Green and Green Belt certifications, and supporting organizational development initiatives.

The ideal candidate will possess a strong background in process improvement methodologies, project leadership, data analytics, and change management, with a demonstrated ability to deliver significant and sustainable business results in complex organizational environments.

What You'll Do

Leadership:

  • Experienced process improvement practitioner with a focus on driving cost reduction

  • Execute complex process improvement initiatives with some supervision and guidance

  • Report and communicate the results from process improvement efforts to division

  • Influence business partners to make informed decisions

  • Ability to influence small teams without direct authority

  • Act as a change agent/coach to instill and sustain changes

  • Build positive relationships and credibility with the BPI team and business partners

  • Assess change readiness and prepare plans for helping stakeholders through change

  • Utilize process improvement principles and tools to achieve significant improvement results

  • Direct the analyses of process improvement analysts

  • Drive for high quality results

Process Improvement:

  • Utilize Lean, DMAIC and Design for Six Sigma tools and methodologies to define activities that are aligned with business objectives

  • Identify and manage project risks and issues that impact project progress

  • Prepare detailed plans to track project performance and assure timely completion and achievement of project deliverables

  • Develop practical solutions and methodologies to solve complex business problems

  • Effectively coach, mentor and assist Lean and Green Belt candidates to certification

  • Develop internal and external content for leadership team presentations

  • Ensure deployment of common solutions across divisions and businesses

  • Identify and present new project opportunities to leadership

  • Develop and share best practices among fellow process improvement coaches and clients

Financial Management:

  • Partner with Finance and Business to develop and track project metrics

  • Develop business cases using ROI models

  • Develop control plans and monitor performance and improvement in key metrics

  • Deliver significant operational improvement and financial benefits to meet annual targets

What You Bring

Education/Experience:

  • High School Diploma/GED required

  • Bachelor degree preferred or relevant experience in lieu of degree

  • Requires a minimum of 5 years business process improvement or process redesign experience

Additional licensing, certifications, registrations:

  • Qualified Lean Six Sigma Green-level certification from an industry recognized academic or quality institution (e.g. Universities, American Society for Quality) plus the commitment to achieve Horizon Black Belt certification within two years of hire

Knowledge:

  • Healthcare industry experience preferred

  • Experience in a multi-divisional corporate environment desired

  • Understanding of change management challenges related to process improvement

  • Proven project management and process improvement skills including strong knowledge of lean and Six Sigma methodologies

  • Experienced with Minitab and/or other statistical software

  • Must be proficient in MS Office products (Word, Excel, PowerPoint, Visio)Skills and Abilities:

  • Ability to lead the work of others

  • Strong verbal/written communication skills, both verbal and in written

  • Strong presentation and facilitation skills

  • Demonstrated ability to create strong working relationships with others

  • Ability to gather, synthesize and analyze data and draw logical conclusions

  • Strong project management experience

  • Well organized and results-driven individual

Travel (If Applicable):

  • Occasional travel may be required to alternate Horizon sites

Salary Range:

$97,800 - $133,455

​This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.  This range has been created in good faith based on information known to Horizon at the time of posting.  Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

  • Comprehensive health benefits (Medical/Dental/Vision)

  • Retirement Plans

  • Generous PTO

  • Incentive Plans

  • Wellness Programs

  • Paid Volunteer Time Off

  • Tuition Reimbursement

About Horizon Blue Cross & Blue Shield

Horizon Blue Cross Blue Shield of New Jersey is a health insurance company that provides coverage to individuals and businesses in New Jersey. The company offers a variety of health plans, including HMO, PPO, and EPO plans, as well as Medicare and Medicaid plans. Horizon BCBSNJ also provides wellness programs and resources to help members manage their health. The company is committed to improving the health of the communities it serves and has partnered with local organizations to address health disparities and promote healthy living.
Learn more about Horizon Blue Cross & Blue Shield
Size
5,500 employees
Industry

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