Business Process Engineer Principle I

Business Process Engineer Principle I

Job ID 2013-24153 # Positions 1
Location US-VA-Virginia Beach
Search Category Information Technology
Type Regular Full-Time (30+ hours) Posted Date 9/12/2013
Additional Locations ..

More information about this job:
Summary:

Plans, implements and develops complex business process improvements, utilizing flow charts, operating procedures, labor standards, reasonable expectations, process metrics, documentation, and education.

Responsibilities:

1. Participates in the design, implementation planning, implementation and maintaining of business processes.

2. Documents, diagrams and analyzes existing business processes in order to identify opportunities for productivity and accuracy improvements.

3. Employs quantitative decision-making techniques. Collects data to determine root cause and identify future improvement opportunities.

4. Uses engineering methodologies to identify opportunities for accuracy and productivity improvement across the company. Works with organization to identify process and system changes to drive improvements.

5. Develops and executes work plans for process redesign and performance improvement initiatives.

6. Improves processes using sophisticated methods such as paper simulation, design of pilots, Failure Modes and Effects Analysis (FMEA), re-engineering, and Six and Lean Sigma techniques.

7. Develops process maps of existing and future state processes using appropriate techniques and software.

8. Measures performance against process requirements, aligning improvement projects to close performance shortfalls. Develops complex metrics that provide data for process management and indicators for future improvement opportunities

9. Plays a pivotal role in driving and re-engineering improvement initiatives.

10. Builds consistent, quantifiable and repeatable business processes.

11. Develops and manages highly reliable and tested solutions.

12. Researches and surveys best business practices internally and externally to establish benchmark data.

13. Performs other duties as assigned.

Qualifications:

EDUCATION AND EXPERIENCE

Education

Required:
- Bachelor's degree in engineering, business administration, information science, computer science, or a relevant area, or equivalent technical skills and experience.

Preferred:
- Master's degree in engineering, business administration, information science, computer science, or a relevant area.

Years and Type of Experience Required:

Required:
- Eight or more years of experience providing system, business and data analysis support.
- Experience working with business processing models, Process Design, Requirements Management, and Project Management.
- Experience working with re-engineering tools, methods, and techniques.
- Possess high-level analytical abilities, problem solving techniques, proven design skills and a track record of delivery.

Certifications or Licensures

Required:
- N/A

Preferred:
- Green/Black belt certification.

Language Skills

Required:
- English

Technical Competencies

Computer Skills and Office Equipment - Advanced
- Ability to use software and hardware of a computer to complete certain moderate to complex tasks. Skills to use basic office equipment such as telephone, fax machine and copy machine. Working knowledge in a windows environment to include navigation skills using a mouse and keyboard. Use of internet. Ability to review and draft correspondence in email system and word processing systems. Ability to use spreadsheets to review, organize and edit data. Ability to use software to conduct data analysis, reporting and sharing of information to solve problems. Ability to use of complex applications of software to analyze and solve business problems. Systems Understanding of system's utilization and considered a systems SME for the following systems:
- NetworX/Facets - build pricing based on provider contracts using Facets applications. Build benefit plans based on State regulations using Facets benefit applications.
- MACESS - contracts and claim images are stored. MACESS Workflow tool for contract life-cycle.
- Software products from Ingenix for prospective payment system (PPS) - pricing.
- Clearquest is used to track projects -knowledge and familiarity using a project inventory tracking system.

Applications/Tools - Intermediate
- Ability to leverage available tools such as: Advanced Excel, Mini Tab, Visio, MS Project.

Industry Knowledge & Familiarity
- General healthcare, who are our providers (hospitals phy ofc, ancil) who are payors (insurance companies),
- High level claims process, knowledge of general industry how it works.

Develop and Document Requirements - Advanced
- Progressively more complex. Prepare a requirements document. Have the stamina and detail orientation to read it multiple times (16 times), Facilitation - determine most efficient and effective way to capture the requirements. Kick off meetings, agenda preparations, grounding audience, develop requirements document, manage timelines, due dates, read and re-read document, listen to changes, think about business changes impacting requirements, incorporating them, and re-reading. In the details all the time.

SDLC Methodology
- Understanding of DMAIC process.
- Understanding of Claims lifecycle from receipt to payment.

Contracts - Intermediate
- Read a contract and understand the operational requirements the contract creates. Read, review and understand a contract and tease out requirements from legal verbiage. Contracts are tedious and incumbent needs to be detail oriented and have ability to synthesize what they are reading into action, rules, requirements.

Business Analysis and Problem Solving-Analytics - Advanced
- Understand the business process flow (complex, corporate or enterprise-wide), ability to synthesize data by looking for detailed cause and effect. Using data to identify measureable outcomes for improvement.

Project Management - Advanced
- Able to run multiple projects, manage deadlines, efficiently and effectively.

Process Improvement Methodologies - Advanced
- Demonstrates proficient skills in helping departments identify and act on improvement opportunities. This may include Six Sigma, DMAIC, ACT, change management and other methodologies.

Process Mapping/Value Stream Analysis
- Process Mapping and value stream analysis. Ability to work with departments to understand as-is processes and drive to-be process changes. This may include use of Visio, understanding how to define a value stream, standards for process flows.

Behavioral Competencies

Strategic Leadership

Be Strategic
- Demonstrates understanding of the organization's mission and strategies.
- Works to clarify and understand the broader purpose and mission of own work.
- Integrates and balances big-picture concerns with day-to-day activities.
- Generates innovative ideas and solutions to problems.
- Identifies opportunities to increase efficiency, simplicity, and revenue.

Make Sound Decisions
- Approaches problems with curiosity and open-mindedness.
- Collects sufficient information to understand problems and issues.
- Analyzes problems and issues from different points of view.
- Applies accurate logic and common sense in making decisions.

People Leadership Develop/Support Organizational Talent
- Relates to people in an open, friendly, and accepting manner.
- Treats others with respect.
- Listens carefully and attentively to others' opinions and ideas.
- Maintains positive relationships even under difficult or heated circumstances.
- Works cooperatively with people from different cultural backgrounds.

Ensure Collaboration
- Encourages people to draw on each other's strengths and experience to work together effectively, within and across teams.
- Appropriately involves others in decisions and plans that affect them. - Provides honest, helpful feedback to others on their performance.
- Shares own experience and expertise with others.

Results Leadership Show Drive and Initiative
- Demonstrates a "can-do" spirit, a sense of optimism, ownership, and commitment.
- Maintains a consistent, high level of productivity.
- Takes personal responsibility to make decisions and take action.
- Does not easily give up in the face of unexpected obstacles.
- Projects a positive image and serves as a role model for others.

Accountability/Optimize Execution
- Juggles many priorities and competing demands for one's time.
- Acts resourcefully to ensure that work is completed within specified time and quality parameters.
- Removes obstacles in order to move the work forward and/or get efforts back on track.
- Surfaces problems and issues before projects get derailed.

PHYSICAL REQUIREMENTS

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices.
- Ability to communicate both in person and/or by telephone.
- Must be able to travel as needed and adhere to Amerigroup travel policies and procedures.

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