• Improve IT Service Delivery • Analyze current IT service management processes and identify opportunities to improve efficiency, consistency, and performance. • Identify bottlenecks, redundancies, and opportunities for automation within existing workflows. • Develop recommendations that align with ITSM and industry best practices. • Document and Design Processes • Create clear documentation and visual representations of technical workflows. • Support ServiceNow Process Improvements • Partner with stakeholders and technical teams to gather requirements for enterprise project and service management processes within ServiceNow. • Communicate with Leadership • Facilitate stakeholder discussions and workshops to gather requirements and validate process improvements. • Develop executive-level briefings and stakeholder updates. • Enable Adoption Through Training • Develop training materials and user guidance to support new processes. • Measure and Monitor Performance • Establish metrics and performance indicators to measure the effectiveness of IT service delivery processes.

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service.  We are proud to say that for four years, HMA has been chosen as a ‘Washington’s Best Workplaces’ by our Staff and PSBJ™. Our vision, ‘Proving What’s Possible in Healthcare™,’ and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to diversify our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven.  What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/ How YOU will make a Difference:  This role is responsible for the successful implementation and programming clients benefit plans, as setting up buy up products for our clients as well as managing third party vendor files.  The importance of this role is to ensure benefits are correctly programmed and product services are readily available for members. What YOU will do:   - Performs system configuration and validation for both new and renewing clients . - Collaborates with business partners to gather and clarify requirements. - Reviews prior benefit plans and makes recommendations for new group implementations, such as system capabilities and regulatory requirements, benefit design recommendations and presents to new clients. - Configures benefits into our claims system and prepares corresponding end-user documentation for new group implementations, as needed. - Creates claim system benefit configuration revisions and prepare corresponding end-user documentation for renewing clients and implementation of off-cycle benefit changes. - Documents workflows, configuration decisions, and process updates. - Troubleshoots configuration issues and recommends solutions. - Reviews change requests for completeness and alignment with existing processes. - Provides Plan Configuration Analyst training/education and assists in developing training materials. - Communicates status updates and risks to senior analysts and Plan Configuration Manager. - Reviews and responds to applicable TechOps Support tickets and BPO claims queries as needed. - Manages the SSO tool for non-preferred PBMs. - Conducts peer-to-peer audit for claims system configuration. - In conjunction with Level III analyst, set up BlueCard requirements.  This includes, but is not limited to, negotiations with CHP (Consortium Health Plans) and processing of CBF (Capitated Billing Format) payments, PAR requests, and plan prefix setup. - Work with the Finance team to conduct EOB setup auditing, as needed. - Participates in code categorization decisions and leads review of annual compliance requirements related to preventative services. - Participates in various department and company-wide projects as needed.

The job profile for this position is Business Project Senior Analyst, which is a Band 3 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. The Business Project Sr. Analyst position is within Payment Integrity (Medicare and Commercial Coordination of Benefits Operations and Enhancements). The Sr. Analyst will be a key contributor and will report to the Operations Manager. Responsibilities Utilizes Medicare and Commercial Health Insurance expertise in conjunction with strong analytical and collaboration skills to partner with matrix partners and vendors ensuring accurate and timely benefit primacy determination in complex scenarios. Communicates effectively with Cigna's vendor partners to assist them in maximizing post payment recovery efforts. Responds timely to complex share point inquiries (Intake application). Analyzes weekly/monthly vendor management reporting for accuracy and assists with Cigna’s determination as primary or secondary payer in complex situations. Partners effectively with claim, call and client technical coaches to address primacy determination quality trends and efficiency improvement opportunities. Responds to requests for access to COB Smart portal and trouble shoots access issues within portal. Participates in projects to support business initiatives. Qualifications Bachelor’s degree or higher strongly preferred work experience required. 2+ years of work experience with Medicare and coordination of benefits primacy rules. 2+ years claim system and claim processing knowledge (Proclaim and Facets) preferred. 2+ years experience using Cigna applications (iview, CED, Oneview, etc.). Ability to work collaboratively within team as well as with matrix partners and outside vendors. Ability to recognize and respond to issues with the appropriate sense of urgency, escalating problems as appropriate. Strong time management skills. Strong business acumen with the ability to multitask in a fast-paced environment. Strong proficiency in Microsoft Office products, including Microsoft Excel, with the ability to create and generate spreadsheets. Strong analytical skills with the ability to analyze data, identify potential problems or opportunities, and recommend and implement solutions. Excellent verbal and written communication skills, including the ability to explain complex or technical topics clearly, communicate effectively with individuals and groups, and actively listen. Detail-oriented with strong organizational and relationship-building skills. Experience coaching peers preferred. Demonstrated ability to positively embrace and adapt to change. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 64,900 - 108,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Summary This position is responsible for building strong relationships with our internal customers by being a thought leader supporting various segments and divisions. Excellent communication, customer service and organizational skills are required for success in this position. This role involves approaching problems with a holistic perspective, focusing not just on resolving the immediate issue but also on identifying sustainable and innovative ways to achieve long-term success. The candidate will have excellent analytical skills, and the ability to communicate effectively with technical and non-technical stakeholders. Principal Duties and Responsibilities - Responsible for developing and maintaining trusted business relationships, driving the greatest possible business value from technology to meet the business needs and organizational goals. - Apply influential analytical and problem-solving skills to communicate solutions in both technical and user-friendly language. - Collaborate in the planning, designing, development, and deployment of new applications and enhancements to existing applications ensuring full systems lifecycle process is adhered to. - Work with business stakeholders and project managers to develop business requirements and project implementation strategies. - Collaborate with customers, vendors, developers, architects, QA and other technical teams to design, test, and implement solutions that meet customer requirements. - Key aspect of this role is comprehensive requirements gathering, cross-functional collaboration, and leveraging cutting-edge technologies. - Promote a proactive environment by researching and recommending process and technology solutions for continuous improvement. - Develop test cases, perform testing, and manage user testing to ensure requirements are met for system modifications. - Demonstrate products, leveraging a combination of technical expertise, business acumen, and excellent communication skills to showcase how solutions align with business needs and objectives. - Generate weekly and monthly reports and perform data analysis to identify anomalies, trends, and improvement opportunities. - Analyze and resolve Helpdesk issues. - Mentor and coach analysts team members ​Knowledge, Skills, and Abilities - A curious and analytical mindset focused on finding solutions to difficult problems. - Strong documentation and organizational skills are necessary. - To exhibit a confident, engaging communication style incorporating both written and verbal communication skills. - Excellent analytical and problem-solving skills. - Experience/Knowledge of Commercial Insurance and/or Underwriting or Claims systems. - Experience in developing business and functional requirements. - Ability to multitask in a fast-paced environment at various stages of completion. - Ability to translate highly technical specifications into clear non-technical requirements and functional design documents - Advanced skills in Microsoft Office applications, specifically SharePoint, Word, Excel, and Outlook. Visio and Power BI skills are a plus. - Exposure to Azure DevOps, Power Automate and Power Apps a plus. - Familiarity with modern AI-powered productivity tools such as GitHub Copilot, ChatGPT, or similar technologies preferred. - Commitment to staying updated on advancements in AI tools and best practices. Qualifications, Education and Experience - 4-year college degree and/or 10+ years of work experience as a Business Analyst required - 3+ years P&C Insurance industry experience highly preferred - Permanent US Work Authorization required - Experience with Agile, Iterative and Waterfall project methodologies Compensation & Benefits The applicable base salary for this opportunity is $105,000 - $130,000. The base pay offered will be determined by factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. In addition to the base salary, this opportunity may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition and professional certification assistance, 401k savings, elective participation in the Employee Stock Purchase Program, paid time off, paid holidays, and child bonding leave, as well as other employee assistance programs. #LI-Remote