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Business Process Analyst

Job in Boston, Suffolk County, Massachusetts, 02133, USA
Listing for: Highmark Health
Full Time position
Listed on 2026-01-07
Job specializations:
  • Finance & Banking
    Risk Manager/Analyst, Financial Analyst
  • Business
    Risk Manager/Analyst, Financial Analyst
Salary/Wage Range or Industry Benchmark: 50200 - 91200 USD Yearly USD 50200.00 91200.00 YEAR
Job Description & How to Apply Below
** 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*
* + High School Diploma/GED

** Substitutions*
* + None

** Preferred*
* + Bachelor's Degree in finance, Accounting, Economics, Business Administration, or a related field.

** EXPERIENCE*
* ** Required*
* +
** MUST BE A US CITIZEN *
* + 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*
* + Experience in a financial analysis, underwriting support, or actuarial support role is highly desired. Strong understanding of financial concepts, risk assessment, and insurance product life cycles.

** LICENSES OR CERTIFICATIONS*
* ** Required*
* + None

** Preferred*
* + None

** 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._

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