BPE Sr. Process Design Specialist I

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. 

About the Role

The role is responsible for driving enterprise-wide process improvement initiatives through data collection, analysis, and business transformation efforts that reduce cost, eliminate complexity, and improve operational effectiveness. This role leads a variety of projects that support key business objectives across multiple divisions while partnering with stakeholders and subject matter experts to identify, develop, and implement sustainable solutions.

Key responsibilities include conducting detailed process analyses, developing business cases and ROI models, leading value stream mapping and statistical analysis efforts, and drafting project deliverables and recommendations. The incumbent will also provide leadership and guidance to Business Process Analysts within project teams and collaborate with fellow Business Process Improvement professionals on cross-functional enterprise initiatives.

This position plays a critical role in improving productivity, operational efficiency, and the overall customer experience by identifying opportunities to optimize processes and manage business demands. In addition to project delivery responsibilities, the role will contribute to the growth and visibility of the Business Process Improvement function by promoting continuous improvement practices, mentoring employees pursuing Lean Green and Green Belt certifications, and supporting organizational development initiatives.

The ideal candidate will possess a strong background in process improvement methodologies, project leadership, data analytics, and change management, with a demonstrated ability to deliver significant and sustainable business results in complex organizational environments.

What You'll Do

Leadership:

• Experienced process improvement practitioner with a focus on driving cost reduction

• Execute complex process improvement initiatives with some supervision and guidance

• Report and communicate the results from process improvement efforts to division

• Influence business partners to make informed decisions

• Ability to influence small teams without direct authority

• Act as a change agent/coach to instill and sustain changes

• Build positive relationships and credibility with the BPI team and business partners

• Assess change readiness and prepare plans for helping stakeholders through change

• Utilize process improvement principles and tools to achieve significant improvement results

• Direct the analyses of process improvement analysts

• Drive for high quality results

Process Improvement:

• Utilize Lean, DMAIC and Design for Six Sigma tools and methodologies to define activities that are aligned with business objectives

• Identify and manage project risks and issues that impact project progress

• Prepare detailed plans to track project performance and assure timely completion and achievement of project deliverables

• Develop practical solutions and methodologies to solve complex business problems

• Effectively coach, mentor and assist Lean and Green Belt candidates to certification

• Develop internal and external content for leadership team presentations

• Ensure deployment of common solutions across divisions and businesses

• Identify and present new project opportunities to leadership

• Develop and share best practices among fellow process improvement coaches and clients

Financial Management:

• Partner with Finance and Business to develop and track project metrics

• Develop business cases using ROI models

• Develop control plans and monitor performance and improvement in key metrics

• Deliver significant operational improvement and financial benefits to meet annual targets

What You Bring

Education/Experience:

• High School Diploma/GED required

• Bachelor degree preferred or relevant experience in lieu of degree

• Requires a minimum of 5 years business process improvement or process redesign experience

Additional licensing, certifications, registrations:

• Qualified Lean Six Sigma Green-level certification from an industry recognized academic or quality institution (e.g. Universities, American Society for Quality) plus the commitment to achieve Horizon Black Belt certification within two years of hire

Knowledge:

• Healthcare industry experience preferred

• Experience in a multi-divisional corporate environment desired

• Understanding of change management challenges related to process improvement

• Proven project management and process improvement skills including strong knowledge of lean and Six Sigma methodologies

• Experienced with Minitab and/or other statistical software

• Must be proficient in MS Office products (Word, Excel, PowerPoint, Visio)Skills and Abilities:

• Ability to lead the work of others

• Strong verbal/written communication skills, both verbal and in written

• Strong presentation and facilitation skills

• Demonstrated ability to create strong working relationships with others

• Ability to gather, synthesize and analyze data and draw logical conclusions

• Strong project management experience

• Well organized and results-driven individual

Travel (If Applicable):

• Occasional travel may be required to alternate Horizon sites

Why Horizon?

At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth.  We believe that when our people thrive, our communities do too.  If you are passionate about making an impact, we’d love to hear from you!

Salary Range:

$97,800 - $133,455

​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:

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