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HealthEdge Software Inc Business Process Analyst in Hyderabad, India

Overview

We are seeking a highly skilled and experienced Six Sigma Business Optimization Specialistwith an interest inartificial intelligence (AI)initiatives. The ideal candidate will have a strong background in Six Sigma methodologies and a passion for artificial intelligenceto drive processoptimization.

This role will be expectedto support theHealthRulesPayer Consulting Services teamin the realization ofcontinual optimization of operational effectiveness.

  • Process Improvement :

  • Utilize Six Sigma methodologies toidentifyprocess gaps, issues, pain points.

  • Provide recommendations for people, process,technologyand data improvements

  • Drive and deliver process optimization projects

  • AI Integration : Lead the integration of AI technologies into business processes to enhance efficiency and decision-makingas well asrecommending AI enabledprocessautomation

  • Change Management :Develop and manageoptimization changes to consulting processesto improve efficiency, quality, service, and profitability

  • Data Analysis : Analyze data toidentifytrends, inefficiencies, and opportunities for improvement.

  • Stakeholder Communication : Communicate effectively with stakeholders at all levels of the organization.

What you will do:

Business Process Optimization

  • Support the development and operationalizing of departmental processes and initiatives by working with Consulting leaders and PMO to help define requirement of playbooks and other process documentation for such initiatives

  • Analyses / Recommendations for Process Optimization

  • Analyze gaps, pain points, current challenges faced and automated solutions tofacilitateefficient support of the audit with emphasis on process and software development best practices, quality, andtimelydelivery.

  • Analyze,assessand develop best practices to solve complex business problems related to people, process,technologyand data

  • Analyze andassesshow automated systems be implemented to solve complex business problems.

  • Partner with Business and Engineering teams and summarize risks,insightsand recommendations

  • Recommend changes to address deficiencies and/or further improve and streamline processes based on analytical findings.

  • Identify/ createbest practices for different processes, especially those owned by Consulting team in a cross-functional scenario.

  • Act as a liaison withother cross-functional groups to promote cohesion and efficiency across the organization.

  • Evaluate current processestoidentifyhow toleverageAIwithin the day-to-day operations of the Consulting Services team.

  • Support commercialization of new products byfacilitatingrepeatable processes and managing acceptance criteria for ConsultingServices’ abilityto support the new offering.

What you bring (Education, Experience and Abilities) :

  • Bachelor's degree in Business, Engineering, Computer Science, or related field.

  • Certified Six Sigma Black Belt.

  • Mandatory experience – In US Healthcare (Payer Industry preferred)

  • Knowledge of Healthcare Payer operations from Enrollment through Claims Payment and other ancillary functions.

  • Deep knowledge of healthcare payer business functional areas, business management issues and implementation methodologies.

  • Proven experience in business process improvement using Six Sigma methodologies.

  • Expert knowledgearoundlatest automation technologies (RPA etc.).

  • Experience with AI technologies and their application in business processes.

  • Strong project management skills.

  • 3+ years of experience in Business Process Re-Engineering, process excellence & process improvement.

  • Develop process maps and function steps with the knowledge gained during process study

  • Experience handlingNon-ITprocesses.

  • Excellent documentation skills.Expertisein Visio, PowerPoint,Wordand Excel

  • Communicates With Impact: Presents information and ideas in a thoughtful and compelling manner. Is clear and concise in verbal and written communications. Shares information freely and speaks openly and honestly.Seeksto understand the perspectives of others.

  • Experience in group facilitation & interviewing

  • Drives and Delivers Results: Sets clear priorities,takes action, stays focused, and overcomes barriers to deliver expected results.

  • Flexible in adapting to changing priorities.

  • Self-motivated, proactive, and able to work well under pressure in a fast-paced, results-oriented environment.

  • Solves Problems and Makes Good Decisions: Evaluates critical information needed to understand problems,determineprobable causes, and develop workable solutions. Accurately assesses the costs, benefits, and risks associated with alternative courses of action and makes high quality andtimelydecisions.

  • Leads Change : Sees emerging patterns and opportunities. Adapts quickly and easily tonew information, changing conditions or unexpected events. Facilitates and communicates change across the team or organization to drive adoption.

  • Information Security and Compliance :Demonstratesunderstanding ofHealthEdge’spolicies, procedures, and external regulatory requirements, and performs dutiesin accordance withsuch regulatory requirements. Assures confidentiality and security of all data. Demonstrates the skills, knowledge, and ability to ensure that our environment is a safe one,complying withindustry standards.

Job Locations IN-Hyderabad

ID 2024-4765

Position Type Full-Time

HealthEdge provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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