Integration Lead (Behavioral Health)

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health.  For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience.  Our members are our neighbors, our friends, and our families.  It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. 

The Integration Lead is responsible for leading external implementations and enterprise-wide projects, analysis, and/or initiatives for NovaWell. This position drives key business outcomes for NovaWell BH through a blend of project management, enterprise analysis, with staff and executive engagement. The position requires a high-level of collaboration skills as well as an orientation to dive-in, learn and solution or fix.

Responsibilities:

• Facilitate, coordinate and lead critical business and technological efforts related to new rules/system design and/or enhancements to existing functions as it relates to the ongoing needs of  NovaWell BH.
• Drive the integration of various functional areas for optimal operational efficiency and optimized business model in support of timely and consistent achievement of the goals. Collect high level business requirements and ensure traceability of business objectives through the entire project lifecycle. The business integration leads efforts will focus on the high level requirements, leading the blue printing and/or business solution design efforts in partnership with business leaders ,executives and external customers .
• Accountable for partnering with internal business owners and external customers to implement new  programs and capability modifications to existing relationships and functions in support of NovaWell BH
• Work across departments/divisions to achieve business goals. Ensure the right people are involved at the right times with each effort, functioning as the primary point of contact for requirement efforts in close collaboration with business subject matter experts, project managers and business system analysts.
• Leverage key internal and external relationships to access the information, products and resources (technology, training, staff, etc.) necessary to successfully support business. Engage all necessary internal and external parties to resolve gaps in processes, system integration, reporting required to implement the pilot(s).
• Leverage existing technology by identifying opportunities to systematize manual processes and interventions. Identify and present opportunities to incorporate new technology into processes and flows.
• Manage and communicate a clear vision of the efforts objectives, and motivate the extended teams to achieve them; create an environment that enables peak performance by team members.
• Document and analyze the current and future state business processes as it relates to rolling out new products, initiatives and/or enhancing existing process. Perform analysis to determine short and long term strategies, leveraging best practices, document pros and cons of various options and present recommendations in a clear, concise manner.

Disclaimer

This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Education/Experience:

• High School Diploma/GED required

• Bachelor degree preferred or relevant experience in lieu of degree

• Prefer graduate studies and/or professional development activities.

• Requires a minimum of 7 years of related IT work or business process (analysis) required; preferably in the health insurance industry.

• Requires minimum of 3 years experience managing projects

• Requires skillful project execution experience and knowledge of MS Project.

• Prefers experience in health insurance industry.

• Requires demonstrated experience in a key contributor role in company initiatives.

• Requires demonstrated track record of roles with increasing responsibilities

Knowledge:

• Strong demonstrated project management skills strongly preferred.

• Solid knowledge of Horizons overall enterprise and operations.

• Health insurance products, insurance terminology, health plan operations.

• Regulatory environment, state specific laws, mandates and regulations. six sigma, process redesign and project management methodologies.

• HBCBSNJ programs, systems, products and procedures and implementation requirements.

• Demonstrated understanding of core business functions and systems.

• Strong ability to apply structure to loosely defined medium to complex problems.

• Broad knowledge of IT concepts, disciplines, best practices and methodologies.

• Business and technical requirements gathering and documentation.

• Business process analysis and documentation.

• System development life cycle and implementation methodologies.

• Business and systems claims processing knowledge.

Skills and Abilities:

• Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint, Outlook) and Lotus Notes; Should be knowledgeable in the use of intranet and internet applications.

• Strong interpersonal communication skills, including team leadership, conflict resolution, and meeting leadership/facilitation with various internal and external leaders.

• Strong problem solving and analysis skills.

• Ability and desire to drive complex business needs and influence organizational change.

• Requires the ability to interface with internal and external customers along with strong ability to collaborate and influence, gain commitment and follow up.

• Requires strong planning and organizational skills.

• Requires excellent oral and written communications skills.

• Requires ability to multitask and handle multiple projects simultaneously.

• Strong customer focus, adaptability and passion for learning and initiating action.

• Demonstrated ability to work in a matrix environment.

Travel %:

• Minimal Travel Required.

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Salary Range:

$108,000 - $147,420

​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

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.  Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Salary : $108,000 - $147,420